Category: Nursing homework help

Case Study: Late and Later Documentation
According to what you learned from chapter 3 critique the documentation presented by the healthcare provider and provide examples of whether the nurse followed or did not follow documentation requisites.

Patients are often asked to write their record their negative thoughts as homework for Cognitive Behavioral Therapy (CBT) session.
Explain how difficult this task might be for depressed patients?
Identify your culture and ethnicity (MUST BE HISPANIC, LATINO). Describe how negative thoughts are perceived in your culture.
Discuss ways you could increase the likelihood that a depressed patient completes the Automatic Thoughts (See attached) assignment.
at least 500 words ( 2 complete pages of content) formatted and cited in current APA style 7 ed with support from at least 3 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.
ANSWER
Writing down negative thoughts as part of Cognitive Behavioral Therapy (CBT) homework can indeed be a challenging task for depressed patients. It is essential to approach this issue with sensitivity and awareness of cultural and ethnic factors, particularly in the context of being a Hispanic or Latino individual. In this response, I will address the difficulties that depressed patients might encounter when completing Automatic Thoughts assignments in the context of CBT and discuss how these challenges are perceived in Hispanic and Latino culture. I will also explore strategies to increase the likelihood of depressed patients successfully completing these assignments.
The Difficulty of Recording Negative Thoughts for Depressed Patients
Depressed patients often struggle with various cognitive and emotional challenges that can make the task of recording negative thoughts a daunting one. These difficulties can be compounded by the following factors:
Cognitive Impairment: Depression can lead to cognitive impairments, such as difficulty concentrating and impaired memory. These cognitive deficits can make it hard for patients to identify and accurately record their negative thoughts. They may have a blurry or incomplete understanding of their own thought processes.
Emotional Overwhelm: Depression is often characterized by intense negative emotions, such as sadness, hopelessness, and anxiety. These overwhelming emotions can be a barrier to engaging in any task, let alone one that requires self-reflection and analysis. Depressed patients may find it challenging to muster the emotional energy required for self-examination.
Self-Criticism: Depressed individuals tend to have high levels of self-criticism. They may view themselves harshly and judge their own thoughts and feelings negatively. This self-criticism can hinder their willingness to engage in CBT homework, as they may fear the judgment they might direct towards themselves.
Perception of Negative Thoughts in Hispanic and Latino Culture
In Hispanic and Latino culture, the perception of negative thoughts may be influenced by various factors, including family dynamics, cultural norms, and coping strategies:
Collectivism: Hispanic and Latino cultures often emphasize collectivism, where the family unit is central. Negative thoughts and emotions may be seen as a reflection not only of an individual’s inner state but also of the family’s well-being. This can add an additional layer of pressure to hide or downplay negative thoughts to protect the family’s honor.
Stoicism: Many Hispanic and Latino individuals may adhere to a cultural norm of stoicism, where they are expected to endure suffering without complaint. Negative thoughts may be seen as a sign of weakness, and individuals may be hesitant to express or document them openly.
Religiosity: Faith and spirituality play a significant role in Hispanic and Latino culture. Negative thoughts may be interpreted as a test of faith or an opportunity for spiritual growth. This perspective can either encourage individuals to cope with their negative thoughts through prayer and faith or, conversely, lead to guilt and self-blame for not being able to overcome them.
Strategies to Increase Completion of Automatic Thoughts Assignment
To enhance the likelihood of depressed patients completing the Automatic Thoughts assignment, therapists and mental health professionals can implement the following strategies:
Building Trust: Developing a trusting therapeutic relationship is crucial. Depressed patients may be more inclined to complete homework assignments if they feel a strong connection with their therapist and believe that the exercises are genuinely helpful.
Simplifying the Task: Break down the task into smaller, manageable steps. Instead of asking patients to record all their negative thoughts at once, therapists can instruct them to record just one or two each day. This can make the process less overwhelming.
Providing Clear Instructions: Ensure that patients have a clear understanding of the assignment’s purpose and how it fits into their treatment. Explain the potential benefits of identifying and challenging negative thoughts in the context of CBT.
Cultural Competency: Be culturally sensitive. Acknowledge the cultural factors that may influence the patient’s perception of negative thoughts and adapt the therapeutic approach accordingly. Respect the patient’s cultural beliefs and values.
Homework Collaboration: Encourage patients to collaborate with family members or close friends if they are comfortable doing so. In some cases, involving trusted individuals from their cultural community can provide additional support and motivation.
Flexibility: Be flexible in the assignment’s format. Some patients may prefer to express their thoughts through art, music, or other creative means. Allow for alternative methods of expression if it helps the patient engage with the material.
In conclusion, depressed patients face various challenges when completing Automatic Thoughts assignments as part of CBT. These difficulties are often compounded by the individual’s cultural and ethnic background, which can influence their perception of negative thoughts. By implementing strategies that consider these challenges and cultural factors, therapists can increase the likelihood that depressed patients will successfully complete these assignments and benefit from the therapeutic process. In doing so, they can promote mental health and well-being in a culturally sensitive manner.

in 750 words explain the cultural congruent approach in mental health care, bullet point style. 5 references

Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page.
If any questions, please do not hesitate to contact me.
Patient with Otitis Externa
ZM is an 8-year-old male who is brought to the clinic by his mother for complaints of acute left ear pain. She has recently picked him up from a week-long stay at camp, and he stated his ear hurt so bad he was crying. When his mother looked at this ear, she noticed the outside canal was very swollen. He could not even touch his ear. His mother states: “He is never sick, and he never cries.”
Past Medical History
• All immunizations current
• No history of surgeries
• No history of allergies
• No history of significant illness
Medications
• Multivitamin, daily
• Occasional allergy medication with children’s loratadine
Physical Examination
• Pulse: 100; respiration rate: 22; temperature: 100.2 °F data scan
• Left ear canal swollen; unable to access with otoscope to observe tympanic membrane
• Swelling noted in lymph nodes below ear
• Ear is red and warm to touch
Diagnosis
• External otitis
Discussion Questions
1. What factors in ZM’s recent history should the clinician consider, and what additional questions should the clinician ask the mother?
2. What treatment options are indicated for ZM?
3. What patient teaching should the clinician provide?

Women’s Health

Women’s Health & STIs
Discussion Topic
Infection rates for many STIs continue to be highest among young people (typically defined as
around 15–24 years old). What are some reasons for this? What would you recommend to increase
prevention or encourage testing or treatment among this group?
Discussion Requirements:
At least 250 words

External Resource: STDs during Pregnancy
Explore CDC website to learn more on how STDs can impact pregnant women



Course Materials• Required Text or E-Book: Alexander, L., LaRosa, J., Bader, H., & Garfield, S., Alexander,W. (2007). New Dimensions in Women’s Health, 7th ed. Sudbury, MA: Jones and Bartlett.ISBN# 978-1284088434
APA Format

Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, and health care financing.
Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question)
Perceptions related to impact on health policy on decision. Perceptions related to impact of regulatory agencies on decision making. Perceptions related to impact of health care financing on decision making.
Analysis of the interview supported by the literature.

Case 1 – Chapter 12
Ahmed has worked as a phlebotomist in the local hospital for the last 7 years. Last year, he began to complain of watery, nasal congestion and wheezing whenever he went to work. He suspected he was allergic to something at the hospital because his symptoms abated when he was at home over the weekends. One day, he arrived at work for the morning shift and put on his gloves. Within minutes, he went into severe respiratory distress requiring treatment in the emergency ward. It was determined at that time that his allergic response was due to latex exposure (Learning Objectives 5 to 7).
Ahmed experienced a type I, IgE-mediated hypersensitivity response. How can this be determined by his signs and symptoms? How might another type of latex hypersensitivity reaction present?
How do T2H cells, mast cells, and eosinophils function to produce the signs and symptoms typical of a type I hypersensitivity disorder?
How is it that someone who does not come into direct contact with latex can still have a hypersensitivity response to the material? What do food allergies have to do with latex allergies?
Case 2 – Chapter 4
Marsha and Clement are both carriers of sickle cell anemia, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease. Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement’s father died from complications of sickle cell disease shortly before Amelia was born (Learning Objective 8).
Draw a Punnett square to determine the likelihood of Marsha and Clement having a baby with sickle cell anemia. What is the chance the baby will be a carrier of the disease, just like the parents?
Marsha suggested to the nurse at the local family planning clinic that if the baby were a boy, he might have a higher risk of developing the disease, just like his grandfather. If you were this nurse, how would you respond?
When Amelia, who does not have sickle cell anemia, grows up and marries someone who does have the disease, how likely will her children have the disease?

Reply separately, at those two discussion attached below with a reflection of their response. Please make sure to provide citations and references (in APA, 7th ed. format) for your work.

Create a 2-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
Briefly and generally explain the policy or regulation you selected.
Address the impact of the policy or regulation you selected on system implementation.
Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
Use APA format and include a title page, in-text citations, and reference page.

discussion 2
1A. Using the National Center for Complimentary and Integrated Health (NCCIH) at https://nccih.nih.gov/, provide research about a complementary therapy.
Provide a summary overview of the therapy.
What evidence is there about providing care for patients of all cultures.
Discuss how you would work with a patient to integrate the therapy into his/her care plan.
1B. Using transcultural care concepts, provide evidence-based practice guidelines that illustrate how linguistic challenges interfere with culturally competent care.
What are the safety concerns for APRN providers?