Category: Nursing homework help

Performance Appraisal Proposal. The HR director approached the HR team requesting a reassessment of the current performance appraisal process and expectations. The HR director has broken the department into small groups and has asked each to research and propose a performance appraisal process to move forward with. Once the proposals are submitted, they will be reviewed by the HR director and company board.
choose 1 performance appraisal process (or create a new 1 based on a combination of several) to use for this proposal.

A summary of your overall performance appraisal process
The cadence and expectations
The benefits of your chosen performance appraisal process
Any anticipated challenges and how they will be overcome
A brief communication and implementation plan to roll this out to the organization The HR director approached the HR team requesting a reassessment of the current performance appraisal process and expectations. The HR director has broken the department into small groups and has asked each to research and propose a performance appraisal process to move forward with. Once the proposals are submitted, they will be reviewed by the HR director and company board.
choose 1 performance appraisal process (or create a new 1 based on a combination of several) to use for this proposal.

A summary of your overall performance appraisal process
The cadence and expectations
The benefits of your chosen performance appraisal process
Any anticipated challenges and how they will be overcome
A brief communication and implementation plan to roll this out to the organization
Performance Appraisal Proposal

Advantages of screening
Among the main benefits of screening is the capacity to identify conditions or problems early enough, often before signs and symptoms show up. Early discovery enables prompt treatment, which can considerably enhance health results. As an example, normal mammograms can discover breast cancer in its early stages, resulting in far better survival rates. In addition, Screening can identify individuals that are at high threat or in the early stages of a condition. The expertise allows medical care experts to apply safety nets and treatments to lower disease development risk (Bonneux, 2019). For instance, high blood pressure screening may facilitate timely modifications, thus leading to better quality of life. As a result, screening is linked to lowered mortality and morbidity over time because precautionary measures are initiated on time. Early detection can result in lower death numbers since deadly conditions are identified at a stage where therapy options are more reliable. For example, screening for colon cancer cells can identify precancerous polyps that can be removed prior to they become cancer, consequently minimizing mortality and morbidity rates associated with the disease.
Additionally, mass screening programs play a vital duty in public health. They aid in identifying and managing infectious illnesses, such as HIV/AIDS or consumption, by identifying infected people and starting proper treatments. Thus, screening help safeguard the overall population from spreading contagious diseases. In addition, evaluating programs can be economical in the long term. Early discovery and treatment can minimize the requirement for expensive therapies, hospitalizations, and long-term care. As an example, evaluating cervical cancer cells can identify precancerous lesions that can be dealt with at a much lower expense than advanced-stage cancer cells therapies.
Disadvantages of screening
False positives and negatives can initiate tragic outcomes or responses from individuals. Screening tests are not infallible and also can create false-positive or false-negative outcomes. False positives can lead to anxiousness and additional intrusive treatments or therapies (Thygesen et al., 2019). Alternatively, false negatives can offer individuals with a false sense of security, postponing necessary interventions and also possibly permitting the disease to progress undetected. Likewise, screening can find conditions that may never create signs or injury throughout a person’s lifetime.
Furthermore, the mental impact of screening may adversely impact their quality of life. Screening results, particularly false positives, can have a substantial mental influence on people. The fear and also anxiety related to a positive result or dealing with a problem can adversely influence mental well-being. Emotional assistance and counseling must be offered along with screening programs to aid people in handling the emotional facets (Bonneux, 2019). Also, access to screening programs might differ, resulting in disparities in healthcare. Certain populations, such as those in remote locations or with restricted resources, might have minimized access to screening chances. This can lead to unequal health and wellness results and also worsen existing health differences.
In conclusion, it is essential to consider the advantages and drawbacks of screening when making and implementing such programs. Each screening initiative ought to be evaluated based on scientific proof, weighing the prospective advantages against the risks and limitations related to the process. The balanced technique may help ensure that screening efforts are efficient and beneficial for individuals and the population.
200 words and two (2) scholarly references

You have been talking with your team and interacting with patients. You see some patterns that you would like to change to improve quality. Your team is motivated to help.
This week you will identify the focus of your project and anticipate the ethical, legal, and regulatory concerns that may arise in your career as a nursing leader.
For this summative assessment, create a presentation that communicates the focus and scope of your project. You may select from multiple venues to explain the details of your plan. You will demonstrate problem-solving skills as you organize the details of your plan.
Resource: Question Development Tool – Appendix B.
Begin your plan with the following:
Define the problem.
Identify the problem to be addressed and the setting in which it occurs.
Outline your proposal to address the problem.
Identify and discuss ethical, legal, and regulatory concerns relating to the problem.
Explain why you chose the problem.
Support your plan by gathering as much information about your selected problem as possible. Consider both qualitative and quantitative data, for example:
Leader and peer interviews
Patient/customer surveys
Quality improvement (QI) reports from the facility
Benchmarking studies/baseline data.
If baseline data is available:
What are the goals?
Are current practices meeting the organizational goals?
Are the prescribed practices followed?
Format your assignment as one of the following:
15- to 20-slide Microsoft® PowerPoint® presentation
The slides should only contain essential information and as little text as possible. Do not design a slide presentation made up of long bullet points. Use speaker notes to convey the details you would give if you were presenting. See create speaker notes from Microsoft® for more help.
Record and upload a video of a 15- to 20-minute oral presentation
See How to record online course videos at home from Podia for more help.
1,600-word
Infographic

Please watch this
https://lrps.wgu.edu/provision/299891586

INTRODUCTION

Assessing the health of a community or population requires a different skill set than assessing individual patients. Individual patients are assessed using direct observation during the process of identifying their condition, needs, abilities, and preferences. The health of populations is assessed using data analytics that aggregate findings based on a predefined geographic area or a common characteristic. For example, a population can include the people in an entire county, state, or nation. Additionally, a population can include the people in a hospital unit or community or any other group of individuals who have shared characteristics (e.g., older women or those who attend a common event at the same place and time). A disease investigator or advanced practice nurse defines the population of interest, which may change as the investigation progresses. Defining the population is extremely important as it is essential to describe the outbreak in terms of person, place, and time (PPT).
For this task, you will create a professional multimedia presentation. This presentation will be based on your analysis of an investigation conducted in the outbreak scenario. See the “Crab Apple Valley Communicable Outbreak Simulation” in the Web Link section. It is recommended that you complete your review of this outbreak before you begin your presentation since all the information in your presentation will come from this case scenario.
You will present the methods, processes, and results of your investigation of the outbreak that are essential to controlling the spread of this disease and preventing future outbreaks. Additionally, you will present information on the guiding principles that form the basis for investigating and managing infectious disease outbreaks.
REQUIREMENTS

Your submission must be your original work. No more than a combined total of 50% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .pdf, .ppt, .pptx).
Complete the “Crab Apple Valley Communicable Outbreak Simulation” (referred to as the outbreak scenario for this task) found in the Web Links section.
Note: Before starting the simulation, please read the attached “Prelude: Epidemiology of an Outbreak” and “Tutorial Crab Apple Valley” documents.
A. Create a multimedia presentation (suggested length of 22 slides) on your investigation of the outbreak scenario. You may use the attached “Crab Apple Valley Communicable Outbreak Simulation Multimedia Presentation Template.”
Note: While you need to create a presentation, you do not need to present it.
Note: The multimedia presentation for this performance assessment should be uploaded as a separate attachment and should not be included in the e-portfolio or submitted as a link.
B. In your presentation, provide your presenter notes for each slide in the presentation, including the appropriate level of explanation, analysis, and discussion of the outbreak scenario.
C. In your presentation, provide a title slide that includes each of the following components:
• your name
• the title of the presentation
• title of course
• instructor Name
• the date the presentation was submitted
D. In your presentation, provide a slide that includes an outline of the main topics that will be included in your presentation in the order they will be presented.
E. In your presentation, describe the background of the outbreak scenario from part A by doing each of the following:
1. Describe the key components of the case definition for the outbreak scenario.
2. Explain the 10 steps used in the outbreak investigation and include an example for each step.
F. In your presentation, discuss methods used to determine the existence and scope of the outbreak scenario.
1. Discuss the active and passive surveillance methods used to identify cases in the outbreak scenario.
2. Provide the number of suspect cases in the entire outbreak scenario.
3. Provide the number of probable cases in the entire outbreak scenario.
4. Discuss the mode of transmission for the outbreak scenario for both locations, including specific examples from the scenario.
5. Discuss how the cumulative incidence can be utilized with the outbreak scenario.
6. Calculate the cumulative incidence for the entire outbreak scenario.
G. In your presentation, justify your study design choice to guide your analysis of the outbreak scenario by doing the following:
1. Construct a purpose statement for your outbreak scenario research project.
2. Describe the data collected for the outbreak scenario research project from parts F1 and F2.
3. Present a screen capture of the outbreak plot that is clear and provides correct information.
a. Analyze the significance of the epi curve.
4. Analyze the significance of the incubation period of the outbreak scenario.
5. Describe the differences between an endemic, an epidemic, and a pandemic.
a. Discuss whether this scenario outbreak is experiencing an endemic, epidemic, or pandemic.
6. Calculate the case fatality rate.
a. Describe the significance of the case fatality rate.
7. Calculate the primary and secondary attack rates.
a. Describe how the primary and secondary attacks occurred.
H. In your presentation, discuss the three measures of outbreak management for the outbreak scenario.
1. Provide a rationale for the control measures that should be implemented in the outbreak scenario.
2. Formulate a plan to disseminate information on the outbreak to other agencies and the public.
I. In your presentation, reflect on your learning experience by responding to each of the following questions:
• What do you know now about investigating an outbreak that you did not know before?
• Based on what you have learned, what might you do differently if given the opportunity to investigate an outbreak?
• In what ways can you apply the concepts you have learned to your current clinical practice?
J. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased or summarized.
K. Demonstrate professional communication in the content and presentation of your

Option 2:
Social media is a staple in society today that pretty much everyone uses. Even people who don’t use typical social media, probably use some app that is considered social media. Personally, I signed out of all of my social media accounts in 2015 and have rarely checked them since. When I graduated high school, MySpace had only been out for about a year and I don’t remember even knowing what it was until after I graduated. At the time we posted literally everything that came to mind and photos that would humiliate us now. But then we never considered how much our information would be stored and saved an bought by other companies. Now, we’re all told to be careful what is posted online because it is there forever. I think the social media app that ages a person 10 years is a great example of utilitarianism in that people feel as though they are posting something meaningful and and benefiting from the process of posting. Social media apps are also unique in that the “platforms declare to impose severe sanctions on some behaviors of the user mainly based on the results rather than the intention, which is different from the conventional practice of law or ethics” (Mao & Wang, 2022). I think that a Utilitarian would agree that a person using the app isn’t beneficial from the standpoint that it is encouraging the mind. The person is going to use the app because they want to be part of the society that is posting their own pictures. Regardless of what the owners of the app are using the information for, we live in a time where most people just accept this. The government cannot unreasonably search our homes and seize anything from our homes, but social media has long since, openly be considered public domain. According to our lesson this week, This means that “If social media, internet traffic, communications done via applications, etc. are not defined as a private space, we are not able to guarantee legally that they cannot be accessed without legal authorization from a judge. Also, if something counts as third party property, we have no direct say over it” (Chamberlain, 2023).
Chamberlain College of Nursing (2023). ETHC 445N Principles of Ethics: Week 4: Lesson 1 Ethical Decisions and Ramifications
Mao, W., & Wang, Z. (2022). Ethical framework of social media based on text analysis of terms of service of six major platforms. Journal of Sensors, 2022, 1–9. https://doi.org/10.1155/2022/1136017

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)

CASE STUDY:
Mr. K is a 43-year-old male who has been admitted to the coronary care unit after experiencing a myocardial infarction which led to a cardiac arrest. Mr. K has maintained a healthy and active lifestyle since his myocardial infarction three years ago. Prior to his admission, Mr. K was at home running on his treadmill as part of his morning routine. His wife, Mrs. K, heard a loud noise and ran downstairs to find Mr. K lying prone on the treadmill with a head injury and no pulse. Mrs. K called 9-1-1. Cardiopulmonary resuscitation (CPR) was not initiated until paramedics arrived, and it was approximately 45 min until Mr. K had a return of spontaneous circulation. Mr. K was intubated at home and then brought into hospital where he was seen immediately by the cardiac team, which included an advanced practice nurse (APN). The APN’s role was to gather information about what might have led to Mr. K’s event and to consider the current goals of care. Given the estimated downtime (time without adequate blood circulation), the APN acknowledges that Mr. K would most likely suffer from severe anoxic brain injury, and his prognosis would be poor.
Although nothing had been confirmed by the physician, the APN recognizes that there is a strong possibility that she will need to support Mrs. K through the withdrawal of care for her husband. After considering this, the APN became overwhelmed with emotion as she thinks about her own spouse who is the same age as Mr. K. In addition, the APN also experienced profound frustration as to why Mrs. K did not initiate CPR for her husband. As the team continues to aggressively work on Mr. K, the APN will be Mrs. K’s initial point of contact and will work closely with her to meet the overall goals of care for Mr. K.
Discussion:
a. Choose three types of decision-making models that will assist the APN in providing care to Mr. K and Mrs. K. Compare and contrast the three chosen models making sure to discuss key aspects of these models and the benefits and limitations of these models in addressing the above situation.
b. Describe the rationale for choosing the decision-making models to apply to the case study scenario.
c. What do you feel is best decision-making model to use for APN? Provide a rationale.
Please be sure to adhere to the following when posting your weekly discussions:
3. As a reminder, all discussion posts must be minimum 250 words, references must be cited in APA format 7th Edition, and must include minimum of 2 scholarly resources published within the past 5-7 years.

Search the CDC National Notifiable Disease Surveillance System (NNDSS) list. Click this link: NNDSS.Links to an external site.
Select the Notifiable Conditions List, year 2022 National Notifiable Infectious DiseasesLinks to an external site.(most current year), check Infectious.
Select one infectious disease that starts with the first letter of your first, middle, or last name (D or H) that could potentially impact your community.
Clearly describe the disease, explain the chain of transmission, and include the CDC mandatory reporting requirements for the disease.
Explain the global impact of this disease and what country other than the U.S. is most affected?
Present one evidence-based strategy the nurse would use to help decrease the spread of this disease.
APA 7th ed
2 scholarly references within the past 7 years

Bullying prevention is a growing research field that investigates the complexities and consequences of bullying. There is also a complex relationship between bullying and suicide.
Visit http://www.stopbullying.gov/resources/index.html and identify resources for preventing bullying
and assisting children who have been bullied.
Instructions:
Word limit 500 words.
Please make sure to provide 2 citations and references (in APA, 7th ed. format)
less than 10 % plagiarism

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:
A description of your core values.
A personal mission and vision statement.
An analysis of your CliftonStrengths Assessment summarizing the results of your profile
A description of two key behaviors that you wish to strengthen.
A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.