Category: Nursing

Chief Complaint
(CC)
“I have pain during intercourse and urination”
History of P

Chief Complaint
(CC)
“I have pain during intercourse and urination”
History of Present Illness (HPI)
A 19-year-old female reports to you that she has “sores” on and in her vagina for the last three months.
Drug Hx
She tries to practice safe sex but has a steady boyfriend and figures she doesn’t need to be so careful since she is on the birth control pill
Family Hx
Subjective
states “I have sores and bumps on the inner creases of my thighs and pelvic area”. “There is yellowish discharge from the sores that comes and goes”
Objective Data
VS
temperature: 100.2°F; pulse 92; respirations 18; BP 122/78; weight 156 lbs, 25 lbs overweight; height 5′3″
Generalpatient appears to have good hygiene; minimal makeup, pierced ears, no tattoos; well nourished (slightly overweight); no obvious distress noted
HEENT
Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.
Lungs
within normal limits, appropriate lung sounds auscultated, clear and equal bilaterally
Card
S1S2 without rub or gallop
BreastINSPECTION: no dimpling or abnormalities noted upon inspection
• PALPATION: Left breast no abnormalities noted. Right breast: denies tenderness, pain, no abnormalities noted.
Lymph
Inguinal Lymph nodes: tenderness bilaterally, numerous, 1 cm in size.
Abd
tender during palpation; the left lower quadrant was very tender during palpation; patient denies nausea or vomiting
GU
labia major and minor: numerous ulcerations, too many to count; some ulcerations enter the vaginal introitus; no ulcerations in the vagina mucosa; cervix is clear, some greenish discharge; bimanual exam reveals tenderness in left lower quadrant; able to palpate the left ovary; unable to palpate the right ovary; no tenderness; uterus is normal in size, slight tenderness with cervical mobility
Integument
MS
Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.
Neuro
No obvious deficits and CN grossly intact II-XII
Once you received your case number, answer the following questions:
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms?
Give rationales for your each differential diagnosis.
What teachings will you provide?
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

Purpose: The purpose of this assignment is to develop oral testimony that can be

Purpose: The purpose of this assignment is to develop oral testimony that can be presented to various decision-makers.
Instructions:
Complete the learning activities for this module. Review the Jurns article from Module 1, which presents SBAR as a guide for oral testimony, and Chapter 15 of the Porch textbook, especially boc 15-9 on page 218.
Using Kaltura, create an oral testimony of no longer than four minutes with you on camera that includes:
Remind the class of your selected health policy problem of the proposed legislation that addresses the selected issue from Module 1.
Provide testimony related to your selected issue using the SBAR format. I-Identify yourself, give your credentials to speak to the issue
S-Situation: Present the issue, the associated legislation by name and number, and your position on the issue
B-Background: Provide information, history, and a personal story if appropriate
A-Assessment: Offer your professional assessment
R-Recommendation: Make a recommendation and ask for their support
Complete and submit the assignment by 23:59 EST Sunday.
Module Objectives:
This assignment aids in the attainment of the following Module Objectives:
MO 2: Employ your understanding and knowledge of healthcare policy formulation as you finalize your video (CO 2,8)
Grading Criteria:
Review the rubric for grading criteria.

Please provide an answer that is 100% original and do not copy the answer to thi

Please provide an answer that is 100% original and do not copy the answer to this question from any other website since I am already well aware of this. I will be sure to check this.
Please be sure that the answer comes up with way less than 18% on Studypool’s internal plagiarism checker since anything above this is not acceptable according to Studypool’s standards. I will not accept answers that are above this standard.
No AI or Chatbot! I will be sure to check this.
**Please be sure to follow and address all of the requirements listed and attached. No plagiarism.**
Requirements: 1-2 Full Pages Times New Roman Size 12 Font Double-Spaced APA Format Excluding the Title and Reference Pages
Please provide an answer that is 100% original and do not copy the answer to this question from any other website since I am already well aware of this. I will be sure to check this.
Please be sure that the answer comes up with way less than 18% on Studypool’s internal plagiarism checker since anything above this is not acceptable according to Studypool’s standards. I will not accept answers that are above this standard.
No AI or Chatbot! I will be sure to check this.
Please be sure to include an introduction paragraph with a clear thesis statement in the last sentence of the introduction paragraph and a conclusion paragraph.
Please be sure to carefully follow the instructions.
No plagiarism & No Course Hero & No Chegg. The assignment will be checked for originality via the Turnitin plagiarism tool.
Please be sure to include at least one in-text citation in each body paragraph.

For this Discussion, your instructor will assign you three case numbers. FIND AT

For this Discussion, your instructor will assign you three case numbers. FIND ATTACHEDED
Once you received your three case numbers; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
Name the different family developmental stages and give examples of each one.
Describe family structure and function and the relationship with health care.

Submission Instructions:
Your instructor will assign you your case number and you will post on the case number you have been assigned.
You will reply to the other two case studies (One of each).
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.

Professional Portfolio
This professional portfolio assignment will prepare the

Professional Portfolio
This professional portfolio assignment will prepare the students to market and negotiate for employment as advanced nurse practitioner.
The portfolio will include the forms below and all the forms are available on the Module 6: Lecture Materials & Resources page.
Collaborative Practice Agreement. See the NSC attachment on the Module 6: Lecture Materials & Resources page. Fill out your name and all the other information should be filled out fictitiously. Once you have filled out the application, save it as a collaborative practice agreement, and upload the file as an attachment.
Professional Liability Insurance Applications. Choose one of the professional liability insurances. Copy and paste one of the links to your web browser to access the form. Fill out your name and all the other information should be filled out fictitiously. Once you have filled out the application, save it as a professional liability insurance application, and upload the file as an attachment.
www.NSO.com
NP Secure Print out the form, fill out the application, and upload the document.
AANP or ANCC application. Choose one of the certification applications. Copy and paste one of the links to your web browser to access the form. Fill out your name and all the other information should be filled out fictitiously. Once you have filled out the application, save it as ARNP certification, and upload the file as an attachment.
Online Materials & Resources
Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website, locate and read the article(s) below:
Romboli, J. E. (2012). Establishing an independent family practice. Nurse Practitioner World News, 18(7/8), 1-7.
Donald, F., Martin-Misener, R., Carter, N., Donald, E. E., Kaasalainen, S., Wickson-Griffiths, A., & … DiCenso, A. (2013). A systematic review of the effectiveness of advanced practice nurses in long-term care. Journal of Advanced Nursing, 69(10), 2148-2161. doi:10.1111/jan.12140
Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., & … Weiner, J. P. (2013). The quality and effectiveness of care provided by nurse practitioners. Journal for Nurse Practitioners, 9(8), 492-500. doi: 10.1016/j.nurpra.2013.07.004
Conrad, D., Hanson, P. A., Hasenau, S. M., & Stocker-Schneider, J. (2012). Identifying the barriers to use of standardized nursing language in the electronic health record by the ambulatory care nurse practitioner. Journal of The American Academy Of Nurse Practitioners, 24(7), 443-451. doi:10.1111/j.1745-7599.2012. 00705.x 429-43
Dillon, D. L., & Hoyson, P. M. (2013). From graduation to employment: A guide for the new nurse practitioner. The Journal for Nurse Practitioners, 9(5), 312-315. https://doi.org/10.1016/j.nurpra.2013.04.002
Dillon, D., & McLean Hoyson, P. (2014). Beginning employment: A guide for the new nurse practitioner. Journal for Nurse Practitioners, 10(1), 55-59. doi: 10.1016/j.nurpra.2013.09.009
Schwarz, C. (2015). Five powerful marketing initiatives for the new practitioner. Podiatry Management, 53-54.

Preparing the AssignmentDownload the Week 4 Check-In: Course Project Part 2 Temp

Preparing the AssignmentDownload the Week 4 Check-In: Course Project Part 2 Template below.
Save it to your computer with the file name: Your Last Name NR394 W4 Check In.docx
Type directly in your saved template.
Complete the Week 4 Check-In:Explain your progress on Week 4: Course Project Part 2. Include revisions, if required by the Week 3: Course Project Part 1 faculty feedback.
Ask at least one question of your instructor that could help you do your best on Course Project Part 2.

To complete this assignment, you will utilize the case study assigned to you by

To complete this assignment, you will utilize the case study assigned to you by faculty for a patient population for special consideration during prescribing practices. You will consider the specific patient and determine the appropriate medication to prescribe, based on the patient specifics and medication attributes in various case studies. You will construct a 4- to 5-page paper in which you determine the medication, the dosing, necessary patient education, and potential side effects. You will also indicate why the other medications would not be appropriate, as well as any necessary labs or diagnostics that might be needed. You will develop a plan to enhance medication adherence for the nonadherent patient.
Special Considerations for Patient Population Cases:
Patient 1: 82-year-old male presenting with cognitive decline. He had always been a very active individual. Over the past year, he has become less active in the community. Previously, he played cribbage weekly with friends at the local senior center but has been struggling with the math involved with the game and no longer attends the weekly card game. He had also volunteered as a crossing guard for the local public school. He quit doing that after he took the wrong turn to get home and drove around the town feeling lost. He acknowledges he is “sensitive” to this and can be irritable towards his children when they bring up these concerns. He was diagnosed with mild neurocognitive disorder after completing neuropsychological testing. Of the following medications, which would be the most appropriate to prescribe? Explain why you chose this medication. What would be the dosing schedule for this patient? Provide education to the patient and review risks, benefits, and potential side effects of the medication. In addition, explain why the other medications listed are not appropriate for this patient. Med List: lorazepam, olanzapine, memantine
Patient 2: 76-year-old female who recently moved from her home to an assisted living. After 1 week of moving in, she has become extremely confused. Staff have attempted to re-orient her, and she struggles to focus on what they are saying. She is only oriented to self. She has become very agitated and has even thrown breakable objects in her room. Her family is concerned stating she is “out of it.” The PCP ordered labs and UA. Labs are unremarkable outside of mild leukocytosis and positive dipstick analysis for nitrite and red blood cells. Med List: valproate, alprazolam, trimethoprim
Patient 3: A 33-year-old female that is 6 weeks postpartum. She presents with depressed mood, sadness, easily emotional, difficulties with sleep even when the infant is sleeping. She has lost weight and has a poor appetite. You note psychomotor retardation. She has limited interests in hobbies or bonding with the infant. Her partner is concerned and reports she is typically active and “bubbly” and enjoys the outdoors. She is diagnosed with major depressive disorder, with postpartum onset. She denies suicidal ideation, homicidal ideation, or infanticidal ideation. No psychotic symptoms are present. She is nursing the infant and wants to continue this hoping it will assist with bonding with the infant. Med List: lithium, paroxetine, sertraline
Patient 4: 10-year-old male who comes in with his father. He has been diagnosed with generalized anxiety disorder. He has constant worries that he cannot control. He feels nervous and tense. He is easily irritable. He struggles to settle down or relax. He is also quite fidgety and restless. He and his father are interested in medications to manage these symptoms. Med List: quetiapine, duloxetine, fluoxetine
Patient 5: 27-year-old male with a diagnosis of schizophrenia. He has been hospitalized three (3) times in the past 1 year due to symptoms. When symptomatic, he becomes disorganized and paranoid. He will respond to auditory hallucinations. He will scream out at night after seeing a shadow in his room. He has delusions that the CIA is poisoning food and will not eat for multiple days. He has unintentionally hurt his mother after “slapping” food out of her hand, as he did not want her to ingest the “poisoned food.” Symptoms are treated very well with paliperidone, but he struggles to remember to take it. Med List: paliperidone palmitate, clozapine, lamotrigineThe Assignment (4–5 pages)
Construct a paper concerning your assigned vulnerable population patient case. In your paper include the following:Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
Explain the dosing schedule for the specific patient including the therapeutic endpoint.
Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
Explain how you might monitor efficacy or side effects of the medication.
Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.
This Assignment requires a minimum of five (5) peer-reviewed, evidence-based scholarly references outside of course resources. Note: You will need to include the APA style formatting.

Writing Assignment #2: Appraise the Qualitative Evidence
This writing assignment

Writing Assignment #2: Appraise the Qualitative Evidence
This writing assignment involves the student researching databases to find a relevant research
article. Then the student will begin an article appraisal by addressing the research problem and
literature review. This writing assignment will serve as the foundation for the second writing
assignment. This allows for students to receive feedback from peers, from the writing center and
faculty, which can be incorporated into the second article critique.
Objectives:
Critically appraise a chosen primary research nursing article. The required course textbook
will be used as a guide in critically appraising a qualitative article.
Synthesize the information from discussion questions, research textbook, and chosen
research article to support the elements of article critique.
Understand how an article critique can determine the appropriateness of research in
evidence-based practice (EBP).
Determine the elements of a well written research article.
Directions:
2) Locate one primary qualitative research article that is related to the student’s topic of interest.
The chosen article must be obtained from the library database and in pdf journal format.
3) Write a 6–8 pages paper in APA (7th edition) format (exclude the title page, abstract, and
reference page in page count) that addresses the following points:
a) Abstract (see previous abstract guidelines).
b) Introduction (see previous introduction guidelines).
c) State the problem.
Evaluate if the researchers described the significance of the problem and/or its
importance to nursing practice.
Evaluate if the researchers provided the background of the problem.
Evaluate if a clear problem statement exists.
d) Statethepurpose.
Explain if research objectives were used to guide the study.
Explain if an overall research question was present.
e) Literature Review
Justify if the literature review included a description of a theory and previous studies.
Explain if the references are current. Include the number and percentage of sources in
the last 10 years and in the last 5 years.
f) Sampling
Assess if inclusion and exclusion criteria were identified.
Identify the number of participants in the sample.
Assess if the author/s identified the specific type of sampling that was used. If not,
identify and explain the sampling method used. If more than one type of sampling
was used, explain if the author/s identified the number of participants recruited
through each type of sampling.
g) Ethical considerations
Explain if the study was reviewed by an institutional or ethical board.
Explain the process for informed consent
h) Data collection
Identify the methods used to collect data.
Explain how the researcher managed and analyzed the data including its
appropriateness.
i) Results
Explain how the participants were described—age, marital status, or other relevant
demographic variables.
Explain if the results of the analysis were presented as themes, concepts, or a
diagram. Discuss the components of the themes, concepts, or the diagram
j) Discussion
Identify two findings discussed by the researchers. Explain the findings of the study.
Discuss and explain the limitations of the study.
Assess if the researcher indicated whether the findings might be applicable to other
samples. Explain.
Identify the implications of the findings for nursing practice if there are any. Explain.
Identify suggestions for further study.
k) ArticleCritique
Discuss the importance of article critique in EBP.
Discuss the strengths and weaknesses of the primary research article based on your
explanation in the discussion section.
Determine the article’s usefulness for practice changes.
l) Conclusion
Reiterate the main points: thesis, significance, implications, and any future research recommendation/s of your chosen article.
4) Use level 1 and 2 headings (using APA guidelines).
5) Include at least 2 direct quotes in the body of the paper.
Remember that it has to be a primary qualitative research article. Avoid articles that are a review of a bunch of different articles. Avoid systematic reviews, meta-analysis, meta-synthesis, meta-summary, or literature reviews. Also make sure it is qualitative instead of quantitative.
Make sure that all articles cited in your paper are added to your reference page.
Make sure that all sources on your reference page are cited in your paper.
Remember that you need to cite your sources. When you pull information from an article you need to add a citation to your paper.
Avoid putting the title of the articles in your paper. Instead of writing According to the Evidenced Based Practice: Nursing Research textbook…… Instead say: According to Grove & Gray (2022)….
Avoid the use of the first person in an APA paper, unless it’s a personal essay. Avoiding the use of the first person will help strengthen your paper.
Remember that you will be finding a primary qualitative research article that was written within the last 5 years and written by at least 1 nurse or published in a nursing journal. Please do not submit an article that says systematic review, literature review, meta-analysis, or meta synthesis. Remember those are secondary articles, not primary.
I want you to pick an qualitative article within 2hrs and send it to me. PLEASE!!
I’ve also attached the rubric below. Please read all the info in there and in the directions carefully and write the paper accordingly.
NO PLAGIARISM should be found.
A sample paper has been attached below. Don’t choose the same topic in there.
This has to be a QUALITATIVE RESEARCH paper written by a nurse based on their own research study and not critiquing on someone else’s research
As I said earlier, the PRIMARY QUALITATIVE ARTICLE has to be done within 12hrs in order for me to submit it today. please!!.
The rest of the paper can be completed within 6 days and I’ll be giving you feedback according to my professor and classmates.
The whole paper should be 6-8 pages without the title page, abstract, and the reference page.
Write the paper in the format as in the example paper.
a)Abstract
Keep it at 100-150 words.
Identify the research topic or purpose of the research – why the study was done.
Identify the population and method – who were in the study and how the study was done.
Identify the results and application of results or findings to the nursing profession.
Identify the three to five keywords used on your article search.
Watch this. video before writing the abstract:
a)Introduction
Hook – identify your topic and the angle you are taking; your hook needs to capture the reader’s attention.
Context – provide a background, an explanation on the significance of your topic and what the research will address.
Thesis – provide a clearly defined thesis statement
b)Article search process
Explain the choice of topic.
List the database, search terms, and method used to narrow the results.
Narrate if difficulties occurred in your article search.
c)Literature Review/Background/Introduction
Evaluate the article’s literature review if it is comprehensive, current, and of good quality. (Did it look at different aspects of the problem, was the topic of interest described well or indicated the state of the science? Was it in the scholarly date range for when the study was completed, and was it from a scholarly journal?)
Identify if the references are current, including the number and percentage of sources in the last 10 years and in the last 5 years from the time the research was performed or published. (Note the date the research was done, if presented.)
Specify the new information learned about the topic of the research study after reading the literature review or introduction.
Survey the reference list of your article. In APA format, identify and list two primary quantitative research articles from the reference list. Then, identify and list one secondary article from your article’s reference list.
d)Methods
Identify the specific design of the study. Use a direct quote from your article and then define it using a direct quote from your textbook.
Identify the population, sample, and characteristic of the participants.
Identify the inclusion and/or exclusion criteria.
Identify the sample size. Discern and justify if the sample size is adequate.
Describe how the rights of the participants were protected, including the risks to the participants.
Identify the data collection process and explain role of the investigator in this process.
Identify and explain the internal and external threats to validity.
Identify and explain the strategies used to ensure rigor and trustworthiness.
e)Findings
Identify the findings of the study.
Identify and discern the implications of this research to the nursing profession.
Identify and explain the implications for future research.
Identify the level and strength of evidence the study provides.
f)Conclusion
Reiterate the main points: thesis, significance, implications, and any future research recommendation/s of your chosen article.
3)Include at least two direct quotes in APA format.
4)Use the peer review process to strengthen your paper.
5) Submit a hardcopy of the paper, peer review, and article in class. All hardcopies for submission must be printed double-sided.
Let me know if you have any questions.
Please give me the primary quantitative article within 2 hrs, thanks!

The National Organization of Nurse Practitioner Faculties (NONPF) has determined

The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.
The nine areas of competency are:
Scientific Foundations
Leadership
Quality
Practice Inquiry
Technology and Information Literacy
Policy
Health Delivery System
Ethics
Independent Practice
TO PREPARE
Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
THE ASSIGNMENT
For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs). Then, propose how you plan to engage in social change in your community as a nurse practitioner. Finally, describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved. Be specific and provide examples.
BY DAY 7 OF WEEK 10
Submit your Assignment.

This is a group project, and our main topic for the group power point assignment

This is a group project, and our main topic for the group power point assignment is Hospital – Adult Medical-Surgical . We had to prepare a team charter prior to this project. I have attached the team charter assignment just for your knowledge. Finally, the guideline assessment for the assignment is also attached. feel free to let me know if you have any questions.