Category: Nursing homework help

In 150-250 words, give a synopsis of the current level of practice and practice climate for APRNs in California.
Incorporate what you have learned from the Buppert readings, and from investigating your state BRN website.
If yours is a full practice state, discuss how your state adopted full practice authority (FPA). If your state is restricted, describe the restrictions to practice and the current political climate surrounding FPA (for example, is there any pending legislation to move to FPA?
Are there any eased regulations or expedited licensure due to Covid-19?).
Discuss major barriers to FPA in CA.
Finally, discuss how you plan to be involved in your state’s governance and/or advocacy for APRNs. Include at least two references from an official state or government website or from the BRN for your state.
Expectations
Length: A minimum of 250 words, not including references
Citations: At least two high-level scholarly references in APA from within the last 5 years

Which learning theories and principles do you think are most useful to the advanced practice nurse (APN) in providing high quality health care to clients, and why?

In Units 3 and 4, you examined theories from other disciplines that are used in nursing. Some of these theories are used without modification in nursing such as Lewin’s Change Theory to support practice changes. Other theories are used as a foundation for development of nursing theories such as Peplau’s Theory of Interpersonal Relations founded on the work of Harry Stack Sullivan. Clearly, many non-nursing theories are used in the development of middle range theories in nursing.
Identify a middle range theory in nursing that has links to a non-nursing theory. Describe the theory and explain the relationship to the related non-nursing theory. Connect the selected middle range theory to nursing research or advanced nursing practice.
(Use at least 3 references from the year 2015 and above) (use apa style 7)

1.Why is the Pituitary gland considered the Master gland of the endocrine system? Describe any two disorders of your choice that are caused by pituitary gland dysfunction(1 Point)
2.Compare hormonal vs neural signals. Comment on the need for these differences based on the response time required. Hint: Think about the steroidal vs non-steroidal hormone response to electrochemical signals fired by neurons(1 Point)
3.Give an example of primary hyperthyroid disease. Describe the pathophysiology and manifestations of this disease.(1 Point)
4.Describe the negative feedback loop utilized by the endocrine system with an example of a marathon runner
(1 Point)
5.Why is Diabetic Ketoacidosis (DKA) a more significant problem for Type 1 Diabetes Mellitus than Type 2 Diabetes Mellitus?(1 Point)
6.Explain how treatment of hyperosmolar hyperglycemic syndrome (HHS) with rehydration and insulin can cause serum hypokalemia.(1 Point)
7.In response to hyperglycemia, Protein Kinase C activates VEGF, which over time can lead to retinopathy and retinal detachment. How does this occur?(1 Point)

Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

Between 10% and 20% of the population experience personality disorders. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.
Paraphilic disorders are far more common in men than in women, and generally quite chronic, lasting at least two years. Treatment of these disorders usually involves both psychotherapeutic and pharmacologic treatments.
In this Assignment, you will explore personality and paraphilic disorders in greater detail. You will research potentially controversial elements of the diagnosis and/or treatment and explain ethical and legal considerations when working with these disorders.
Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.
Select a specific personality or paraphilic disorder from the DSM-5-TR to use for this Assignment.
Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations.

In 2–3 pages:
Explain the controversy that surrounds your selected disorder.
Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.
Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

Final Reflection: In 250 or fewer words, express an understanding of your personal learning experiences in the FNP program, what you have learned from the program and what you still need to do to enhance personal and professional career advancement.
Expectations
Length: A minimum of 100 and maximum of 250 words, not including references
Citations: None needed

For this, you will be asked to generate posts on social media as it is used by businesses.
Your current employer is interested in using various social media to increase the company/organization’s profile in the area. The company/organization has also recently introduced a new product or service that your boss wants the general public to know about. You have been asked to create the initial contact to the public on both Facebook and Twitter.
Select a product or service that is appropriate either for your current job or for the career you intend to have.
Create two Facebook posts of up 100 words each announcing the product/service to the company’s Facebook audience and two tweets (limit 140 characters including spaces) for the company’s Twitter audience announcing the new product or service. These should be written as if they will be posted to social media, but should be submitted as a Word document.
Keep in mind the conventions of social media. Grammar and spelling are critically important, as is maintaining professionalism while still being fun and welcoming to customers or clients.
Write a 2-3 paragraph reflection on how you approached these posts and how writing social media posts for a professional entity like a business differs from your personal use of social media.

PLEASE READ ENTIRE CASE STUDY AS IT WILL UNFOLD
Unfolding Case Study 1:
Issues in Advanced Nursing Practice
55 year old female
Background
Gloria Smart is a 55-year-old female who presents to your office today for regular gyn care. You read her medical history and note she received a cardiac stent at age 50, has mild hypertension, and is on Zocor, Plavix, and lisinopril. Surgical history is remarkable for tonsils as a child and bunion surgery. She works full time, by choice, because it “makes me feel young.” She is up to date with colonoscopies. Gyn history normal pap history, last DXA within normal limits, normal mammogram. BMI is 26. First menses age 14 and menopause age 52. She works out at her local gym 5 days a week. Social history is negative for tobacco and recreational drugs. She has an occasional glass of wine. She has never married and has been with her current partner for 2 years and will be getting married in 2 months. She has never been pregnant, and her partner has never had a child.
Decision Point One
Gloria relates as you start to talk to her that she and her fiancé have been talking about it, and they would like to have a child. She wants a referral and some guidance.
Q: What anticipatory guidance should you consider?
A: She has some things in her history that she needs to consider.
CORRECT
Rational:
First, she has a significant cardiac history and is at high risk for cardiovascular complications. Additionally, Zocor and lisinopril are both category x drugs, and it is unknown whether Plavix is safe in pregnancy.
Decision Point Two
You discuss with Gloria about the issues with her medical problems and the issues with her current medications. You recommend that she set up an appointment with a maternal-fetal medicine specialist to discuss this and make recommendations for them.
Q: Are there any other preconceptual recommendations you would make for her (or another woman considering pregnancy)?
A: Begin folic acid 400 mcg to 800 mcg daily. Discuss risks of alcohol and pregnancy.
CORRECT
Rational:
All women should consider preconceptual folic acid supplementation to help prevent neural tube defects. Gloria speaks with the maternal-fetal medicine specialist, who then speaks with her cardiologist. She is taken off her cholesterol meds, has her blood pressure meds changed to Procardia, stops the Plavix, and starts a baby aspirin daily. Her cardiac stress test is good, and her kidney function is reported as normal.
Decision Point Three
Gloria then sees an infertility specialist and discusses IVF and donor egg. She and her fiancé proceed and she gets pregnant on her second cycle. She is referred back to you at 12 weeks to be co-managed with the maternal-fetal medicine specialist.
Q: What specific issues do you need to think about?
A: Baseline CMP and 24-hour urine.
CORRECT
Rational:
As she has chronic hypertension and known cardiac disease, she is at a higher risk for preeclampsia. You need to see what her normal is at the beginning.
Decision Point Four
Gloria and her fiancé present to your office with a complaint that her blood pressure has been up at home when they check it with their BP cuff. Her fiancé thinks it might be related to a pain she has in her ribs on the right side that started after they went out Chinese food. They also ask if you can give her something to help with her “swelling” as her face won’t look good at the planned marriage in 2 weeks. Her BP is 160/ 92, with a repeat 160/ 88. You note that she has 2+ pitting edema in her legs and that her face appears slightly swollen.
Q: What is your next consideration?
A: Explain to the patient and family the concerns for her high blood pressure and need for immediate treatment to prevent stroke and/or placental abruption.
CORRECT
Rational:
Extreme hypertension is related to strokes in women and complication from preeclampsia/hypertension in pregnancy/HELLP is the second leading cause of death of women worldwide.
Her LFTs are quadruple normal and her platelets are 50,000. She is started on IV magnesium sulfate and given several doses of IV labetalol to get her blood pressure under control. Unfortunately, she abrupted late that day and delivered a male infant who lived about 20 minutes. After a rough course, including anuria and difficulty maintaining her pressures, she was eventually discharged home on Day 11.
HW:

Review the above case studies. Your post should address the following:
1: Summary of your chosen case study
2: What is your differential diagnosis?
3: Why did you make this diagnosis decision?
4: What is your treatment plan?
5: What evidence-based research can you provide to support your decision (choice for differential diagnosis and plan/intervention)?
6: What resources did you use to meet your best practice guidelines?
7: Address the ethical dilemmas and/or other issues for your case study:
– Ethical issues
– Psychological issues
– Physical issues
-Financial issues

Purpose of Assignment
This assignment will help to identify the normal growth and development by topic for each age group. In the final column of the assignment, you need to observe a child and apply the information you gathered and document your findings in comparison by the particular age of that child.
Competency
Compare principles of growth and development when caring for pediatric clients.
Instructions
Using the template linked below:
Explain the topics in the worksheet by age. Identify one milestone and one expected norm for each category by age group.
After you fill out the milestones and expected norms for each category by age group, observe a child of any age for 30 minutes to an hour, and apply the knowledge that you learned to the child you are observing and record this information in the purple Observation Data column.