Psychopharmacology, culture in nursing, nursing leadership,

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Parts 5 and 6  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

Parts 9 and 10 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

Parts 11 and 12 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

1) Minimum 29 pages  and 2 paragraphs (No word count per page)-   Follow the 3 x 3 rule: minimum of three paragraphs per page ( minimum 300 words per page)

You must strictly comply with the number of paragraphs requested per page.  

The number of words in each paragraph should be similar

20 hours: 8 pages

44 hours: 11 pages

66 hours: 10 pages and two paragraphs

Part 1: minimum 2 pages (20 hours)

Part 2: minimum 2 pages (20 hours)

Part 3: minimum 3 pages (44 hours)

Part 4: minimum 5 pages  (66 hours)

Part 5: minimum 2 pages (44 hours)

Part 6: minimum  2 pages (44 hours)

Part 7: minimum  2 pages (44 hours)

Part 8: minimum 2 pages (44 hours)

Part 9: minimum  1 page (20 hours)

Part 10: minimum 1 page (20 hours)

Part 11: minimum 1 page and one paragraph  (66 hours)

Part 12: minimum  1 page and one paragraph  (66 hours)

Part 13: minimum 3 pages (66 hours)

Part 14: minimum 2 pages (20 hours)

Submit 1 document per part

2)¨******APA norms

        The number of words in each paragraph should be similar

        Must be written in the third person

         All paragraphs must be narrative and cited in the text- each paragraph

         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 

         Bulleted responses are not accepted

         Don’t write in the first person 

  Do not use subtitles or titles      

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed 

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

 Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Psychopharmacology

Topic:  Anxiety & Sleep-Wake Disorders 

Case:

 A 26-year-old woman presented to the clinic after her cleaning rituals had so exhausted her that she had given up and could now enter only two of the five rooms in her home. For more than a year she has worried that if her house is not sufficiently clean, her 3-year-old son will become ill and could die. Having touched a surface she has to disinfect it repeatedly – a procedure performed in a particular way and taking several hours. In addition, she repetitively washes her hands and sterilizes all the crockery and cutlery before eating. She realizes that she is ‘going over the top’, but she cannot stop thinking that items may have germs on them. This leads to disabling anxiety and fear for her son’s health, which she can only resolve by cleaning. This helps temporarily, but soon the thoughts return again. 

1. Summarize the clinical case (One paragraph)

2. According to What is the DSM 5-TR explain the diagnosis (One paragraph) 

a. Explain the criteria meeting in this case according to the diagnosis

3. Which pharmacological treatment would you prescribe? including  (One paragraph)

a. Dosage

b. Time

c.. Include the rationale for this treatment.

4. Which non-pharmacological treatment would you prescribe? (excluding a psychotherapeutic modality) (One paragraph)

a. Modality

b. Expected outcomes

5. Explain an assessment of the treatment’s appropriateness. Including (One paragraph)

a. Cost

b. Effectiveness

c. Safety

d. Potential for patient adherence to the chosen medication. 

6. Use a local pharmacy (Miami) to research the (One paragraph)

a. Cost of the medication

b. Provide the most cost-effective choice for the patient. 

Use great detail when answering questions 3-5.

Part 2: Culture in Nursing

Nontraditional Treatment: Aromatherapy

1. Explain four main long-term benefits of exploring and assessing health beliefs focusing on the topic (One paragraph)

2. Explain three main pros and cons of using this nontraditional treatment (Two paragraphs)

a. Pros (One paragraph)

b. Cons (One paragraph)

3. How these pros and cons does it affect transcultural nursing? (One paragraph)

4.   Discussion of how to work the insurance payments for this nontraditional treatment (One paragraph)

5. Conclusion (One paragraph)

 

Part 3: Nursing Leadership

Topic: Building Trust as a Nurse Leader

Purpose: Positive and Trust Leadership

Your role: Nurse Leader 

Issue: Nurse Leader Issue 

From your role:

1. Introduce the topic (One paragraph)

2. Search two scholarly pap3rs that addressed the issue and purpose. Explain (Two paragraphs)

a. Summarize scholarly pap3rs 1 (One paragraph)

i. Proposal to solve the issue

ii. Perspective from the scholarly pap3rs about the issue

b.  Summarize scholarly pap3rs 2 (One paragraph)

i. Proposal to solve the issue

ii. Perspective from the scholarly pap3rs about the issue

3. Explain two possible strategies for achieving the topic and meeting the purpose (Two paragraphs)

a. Strategy 1 (One paragraph)

b. Strategy 2 (One paragraph)

4. Describe how the issue impacts the nurse’s activities (Two paragraphs)

a. Impact 1 (One paragraph)

b. Impact 2 (One paragraph)

5. Describe how the nurse leader should promote the purpose of nursing staff  (One paragraph)

8. Describe the benefits of solving the problem and meet the Purpose for (One paragraph):

a. Patients

b. Nurses

c. System health care

Part 4: Nursing Leadership

Topic:   Future of Nursing Leadership.

 1. Introduction (One paragraph)

2. Explain what the nursing professional organization’s role is (One paragraph) 

3. Describe the most there popular nursing professional organization

a. Organization 1 (One paragraph) 

b. Organization 2 (One paragraph) 

c. Organization 3 (One paragraph) 

4. Why Nurses should belong to professional organizations (Two paragraphs)

5. Give two advantages for the nurses belonging to professional organizations

i. Advantage 1 (One paragraph)

ii. Advantage 1 (One paragraph)

6. Describe what the ideal healthcare system of the future looks like (Two paragraphs).

7. How  nursing professional organization’s role contributes to the future of Nursing Practice (One paragraph)

8. How do you plan to contribute to the future of Nursing Practice (Two paragraphs) (Write in the first person)

9. Conclusion (One paragraph) 

Parts 5 and 6  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

Part 5: Conditions and diagnosis

Topic/condition: Down Syndrome

1. Explain  how this diagnosis has the potential to affect clients:

a. Physical Functioning (One paragraph)

b. Cognitive Functioning (One paragraph)

c. Social Functioning (One paragraph)

d. Emotional Functioning (One paragraph)

4. Describe how the condition might affect the client’s independence in important life activities (work/school) (Two paragraphs)

a. How affects their ability to self-manage their condition, and their leisure and community involvement.

b. Explain if this impact will be lifelong/chronic or if the effect of this condition is limited to only a portion of the client’s lifespan. 

Part 6: Conditions and diagnosis

Topic/condition: Down Syndrome

1. Explain  how this diagnosis has the potential to affect clients:

a. Physical Functioning (One paragraph)

b. Cognitive Functioning (One paragraph)

c. Social Functioning (One paragraph)

d. Emotional Functioning (One paragraph)

4. Describe how the condition might affect the client’s independence in important life activities (work/school) (Two paragraphs)

a. How affects their ability to self-manage their condition, and their leisure and community involvement.

b. Explain if this impact will be lifelong/chronic or if the effect of this condition is limited to only a portion of the client’s lifespan. 

Part 7:  Introduction to Recreational Therapy 

Recreational Therapy Model: Leisure & Well-Being Model

1. Purpose of the model (One paragraph)

2. Theories and philosophical orientations that guide the model (One paragraph)

3. Components of the model. Also, (One paragraph)

a. Relationship/interaction between the components and the outcome

4. Rationale of why you chose this model and (Write in the first person)(One paragraph)

a. Reflection on how this model fits with the type of therapist you want to become

5. Three mains strengths and three main weaknesses of the model (One paragraph)

6. Direction for practice and research (One paragraph)

Part 8:  Introduction to Recreational Therapy 

Recreational Therapy Model: Leisure-Spiritual Coping Model

1. Purpose of the model (One paragraph)

2. Theories and philosophical orientations that guide the model (One paragraph)

3. Components of the model. Also, (One paragraph)

a. Relationship/interaction between the components and the outcome

4. Rationale of why you chose this model and (Write in the first person)(One paragraph)

a. Reflection on how this model fits with the type of therapist you want to become

5. Three mains strengths and three main weaknesses of the model (One paragraph)

6. Direction for practice and research (One paragraph)

Parts 9 and 10  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

Part 9: Inclusive Recreation Services

Topic:  Cognitive Disabilities and Activity 

1. Explain how sports/activities promote abilities for people with cognitive limitations (One paragraph)

2. How can you encourage others to focus on people’s similarities rather than their differences? (One paragraph)

3. Select a business company that focuses on improving assist individuals with cognitive limitations in gaining self-determination and independence (One paragraph)

a. How specifically are they helping individuals with cognitive limitations gain independence

b. Name of the business/organization 

c. Location of business/organization 

d. Mission Statement/Goal of the organization/business

e. Include the website of the organization/business

Part 10: Inclusive Recreation Services

Topic:  Cognitive Disabilities and Activity 

1. Explain how sports/activities promote abilities for people with cognitive limitations (One paragraph)

2. How can you encourage others to focus on people’s similarities rather than their differences? (One paragraph)

3. Select a business company that focuses on improving assist individuals with cognitive limitations in gaining self-determination and independence (One paragraph)

a. How specifically are they helping individuals with cognitive limitations gain independence

b. Name of the business/organization 

c. Location of business/organization 

d. Mission Statement/Goal of the organization/business

e. Include the website of the organization/business

Parts 11 and 12 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted. 

Part 11: Inclusive Recreation Services

Impairment caused by damage to the brain: Intellectual disabilities

Traumatic Brain Injury

1. Describe the impairment selected (One paragraph)

2. Explain how the impairment impacts recreation and leisure in: (One paragraph).

a. Performance

b. Functioning 

3. What is Animal-Assisted Therapy?   (One paragraph) 

4. What are the benefits of using animal-assisted therapy with individuals with your selected impairment?   (One paragraph)
 

Part 12: Inclusive Recreation Services

Impairment caused by damage to the brain: Traumatic Brain Injury

1. Describe the impairment selected (One paragraph)

2. Explain how the impairment impacts recreation and leisure in: (One paragraph).

a. Performance

b. Functioning 

3. What is Animal-Assisted Therapy?   (One paragraph) 

4. What are the benefits of using animal-assisted therapy with individuals with your selected impairment?   (One paragraph)
 

Part 13: Health Assessment

Topic: Adolescence: Contemporary Issues and Resources

Issue: Virtual game addiction

1. Introduction (One paragraph)

a. Topic

b. Issue

2. Describe the contemporary issue and  (One paragraph)

a. Explain what external stressors are associated with this issue.

3. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient and (Two paragraphs)

a. Describe what additional assessment questions you would need to ask 

b. Define the ethical parameters regarding what you can and cannot share with the parent or guardian.

4. Discuss two main support options for adolescents encountering external stressors and (One paragraph)

a. Share specific support options for the contemporary issue you presented. 

5. Conclusion (One paragraph)

Part 14: Psychopharmacology

Topic: Opioid Use Disorder Agents

Case

A 25-year-old Caucasian male presents to the outpatient detoxification and rehabilitation facility, for opioid and alcohol detoxification. For the past two weeks, this patient has being using 15 bags of heroin intravenously, two 48-ounces cans of beer, and has inhaled one hundred dollars’ worth of cocaine per day. According to the patient, the main reason for his seeking medical attention is to avoid going to jail. The patient has a history of law violations and has been monitored by a probation officer once a week. The probation officer worked with the patient and his family to arrange the probation treatment program instead of jail. The patient voluntarily agreed to be evaluated for admission to the outpatient treatment facility.

History

Mr. W is a 25-year-old single male who was referred for treatment by his probation officer. Mr. W is currently unemployed, and lives with his friends in a different location each day because his relationship with his family deteriorated due to addiction, he is no longer welcomed in the family house. According to Mr. W, he is not homeless “I always find a place to crash for a night”. Mr. W states that he has been using marijuana from age 15 but it is not his drug of choice any longer. He was introduced to heroin by his best friend about five year’s age during very stressful times in his undergraduate school. He states that his parents and two sisters are aware of his addiction problems and do not support him at all. However, his grandmother understands him more than anyone, and supports him financially in order to prevent him from stealing. Mr. W states that “If you do not admit me today, I will go and get high, and I do not care what happens to me after.”

History of present illness

Mr. W presents for opioid and alcohol detoxification and rehabilitation. He has no past medical history or any hospitalizations for medical conditions. However, he states that he was found unconscious by his mother in August 2016, and was hospitalized at Hospital due to a heroin overdose. He left the hospital against medical advice after two days of admission. He denies any history of head injury, trauma, asthma, hypertension, diabetes mellitus, or seizures. He is not on any prescribed medications. In addition, he denies any history of food, drug or latex allergies. Mr. W also denies any surgical history.

Psychiatric history

Mr. reports that he has struggled with severe anxiety and mild depression from an early adolescent age. He stated that he cannot remember the time when he was free of anxiety without using some kind of drugs. According to the patient, he was never hospitalized for anxiety or depression. However, he states that he did have suicidal ideations in the past, but not suicidal attempts. He denies any history of self-inflicted cuts or injuries. He has been prescribed benzodiazepine (Xanax) a medication for anxiety and seroquel, antipsychotic (an atypical type for depression, but stopped taking both medications two years ago. “I am not crazy and don’t want to be hooked on it.” Currently he is not under either a psychologist’s or psychiatrist’s care and does not take any psychiatric medication.

Review of systems

Mr. W reports that he was not feeling well, because he took his last bag of heroin at five in the morning. He denied recent visual changes, eye pain, discharge or inflammation. Denies a history of shortness of breath, wheezing, chest pain, or chest palpitations or arrhythmia. Mr. W states that he is very nauseous and had diarrhea in the morning, but denies abdominal pain. Mr. W is very restless, states that he has pain in his back, rated five out of 10 and just feels uncomfortable sitting in the chair although he denies a history of joint disease. Denies skin rash, moles, or changes in skin pigmentation. Denies any urinary incontinence, urgency or frequency. However, he states that his appetite has decreased during the past year and has been constipated for the past week. Denies use of any over-the-counter medications for his constipation.

Physical 3xam

Well-developed and nourished, slightly disheveled White male. Patient is alert and oriented to person, place, time and situation. Easily irritable, angry and very talkative. Vital signs are: BP 130/88 (left arm, sitting position) HR 104 RR 22 Temp. 98.8 Fahrenheit. Normocephalic, atraumatic, short hair and symmetric flushed face. Eyes: pupils are constricted bilateral, round, reactive to light and accommodation, sclera is red and teary. Ears with normal ear canal and tympanic membrane. Runny nose no erythema of nostrils and normal septum. Dry oral mucous membranes, poor dentations, and missing back tooth. Neck supple with midline trachea and no lymphadenopathy or jugular vein distention. Heart rate is regular but mild tachycardia (104), no murmurs, rubs or gallops, bilateral dorsalis pedis pulses 2+. Anterior and posterior lungs sounds are clear to auscultation bilateral, no wheezing, crackles or rhonchi. Bilateral upper extremities with multiple tattoos and fresh needle track marks in the antecubital area and popliteal space in the lower extremities. Bilateral hand tremors with extended arms, no edema noted on upper or lower extremities. Bilateral feet with dry, cracking and peeling skin, patient states that it is very itch at times. Bilateral toenails and fingernails with in normal limits, no cyanosis or clubbing of nails noted. In general, Mr. W is able to make his needs clear, however his speech is very rapid, and his pupils are constricted/pinpoint (1 mm).

1. Summarize the clinical case (One paragraph)

2. According to DSM-V, explain the diagnosis (One paragraph)

a. Explain the criteria meeting for the patient

3. According to DSM-V, explain the three differential diagnosis (One paragraph)

4. Explain test or screening tools should be considered to help identify the correct diagnosis or diagnoses (One paragraph)

a. Expected outcomes

5. Treatment (One paragraph)

a.Pharmacology

i. Medication

ii. Dosage

iii. Time

b. Psychotherapy

c. Psychoeducation)

6. Explain two standard guidelines to assess or treat this patient (One paragraph)

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