Category: Nursing

“There are several advantages and disadvantages to obtaining and having a psychiatric diagnosis” (Rüsch, 2022)*
Critically discuss the above statement in light of (emotionally unstable personality disorder)
*Rüsch, N. (2022). The stigma of mental illness: Strategies against discrimination and social exclusion. Elsevier Health Sciences.

Clinical Journaling #2- APA format
Safety and Caring
How do nurses promote safety and caring in the nursing profession and why is it important? (Minimum of 2 pages.) –submit via Canvas Drop Box.

Part 1: Choose a condition from the following case studies: (Week 4 Case Study Details). Expectations
Length: A minimum of 280 words, not including references
Citations: At least two high-level scholarly reference in APA from within the last 5 years
MSN570 Week 4 Case Studies
A 28-year-old male presents with opioid dependency. He is not in treatment at the present time and is exhibiting severe withdrawal symptoms.
Compare and contrast the efferent and afferent nerve pathways.
What is nociception?
What is somatogenic pain?
What is hyperalgesia? How does Naloxone work?
A 55-year-old male presents after a fall in his backyard. His primary diagnosis is a 12 year battle with Parkinson’s Disease.
How does Bradykinesia manifest?
What causes postural instability in this patient?
Compare and contrast pyramidal vs. extrapyramidal.
Compare and contrast myelinated and unmyelinated fibers.
A 20-year-old female presents with severe migraines. She has been treated for the last two years.
What is the pathophysiology involved with the prodrome associated with migraines?
Compare and contrast tension headache and cluster headache. Use patho principles.
What is the pathophysiologic difference between migraine headache and tension headache?
A 35-year-old female presents with complications of Huntington’s Disease.
What role does ACTH hormone play in this disease?
What is cytosine-atenine-guanine repeat? How does this pertain to Huntinton’s disease?
How do chromatids and centromere apply to this patient?
What is a Punnett Square?

Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. Your initial post should be at least 500 words. Formatted, and cited in current APA style with support from at least 2 academic sources.
TJ. is a 5-year-old boy who presents to the clinic with his father. The family adopted a dog from the animal shelter for 8 months PTA.
Subjective
TJ’s father reports that TJ. has had “sneezing fits,” a runny nose, and coughing for the past few months and that it seems better when TJ. is at school. Father states, “He just won’t stop rubbing his nose and eyes.”
Objective
Vital signs: Temp 98.6° F (37° C). BP 93/60 mm Hg (sitting). Pulse 90 bpm. Resp 24/min (at rest, open-mouthed).
General appearance: Alert and active child who is smiling and talkative.
HEENT: Normocephalic, no lumps, no lesions. Palpable anterior cervical lymph nodes (1 mm), discrete, move easily, non-tender. Light-blue areas in the skin under the eyes, creasing present on palpebrae inferior and superior to the tip of the nose. Minimal fluid in the middle ear denies tenderness to palpation of sinus cavities; swollen turbinate’s bilat, and consistently sniffles and clears throat. Reddened posterior pharynx exudate present.
Cardiovascular: No murmurs or abnormal heart sounds.
Respiratory: Breath sounds = bilat, expiratory wheezing present bilat that clears with cough.
Assessment
Allergic rhinitis R/T newly obtained household pet
Needs health teaching regarding allergies
1. TJ’s father came back to the clinic after 6 days with worsening symptoms (runny nose, sneezing, congestion, etc.) as an FNP what would you assess?
2. How would you address TJ.’s situation?
3. What health education can ensure a better health outcome for TJ?

Log into the Open EMR software to complete this assignment.
When complete take a screenshot of the Calendar showing Dr. Lee’s Matrix
When complete take a screenshot of the Calendar showing Dr. Stone’s Matrix.
Let us set up the appointment matrix for the Great Medical Clinic for two new providers. These activities will be completed using the Open EMR online software. After you complete your assignment take a screenshot or “Snip” of the weekly Calendar showing each providers schedule and submit.

1. Dual Process Theory and Reasoning
The Dual Process Theory suggests that there are two distinct cognitive processes involved in decision-making, i.e., Type 1 (intuitive) and Type 2 (deliberative) (Tsalatsanis et al., 2015). Type 1 thinking is fast and spontaneous, while Type 2 is slower, methodical, and analytical. In the context of advanced practice nursing, Type 1 thinking can be useful in familiar or routine situations, while Type 2 thinking can be useful for more complex or ambiguous situations because it allows for a more thorough analysis of clinical data, consideration of differential diagnoses, and evaluation of treatment options. 2. Cognitive dispositions to respond
CDRs, or cognitive dispositions to respond, are people’s inherent tendencies or biases in processing and acting upon information. These cognitive biases affect individuals’ perception, evaluation, and choice-making (Monteiro et al., 2019). In an APN setting, clinical judgment and decision-making can be affected by CDRs. Therefore, APNs need to recognize their own implicit biases and take steps to minimize them in order to deliver quality patient care.
3. Cognitive debiasing
The term “cognitive debiasing” refers to recognizing and correcting cognitive biases that may impact making decisions (Stephens, 2020). It entails actively questioning and analyzing one’s biases, heuristics, and cognitive processes to make more informed decisions. In the APN setting, cognitive debiasing is crucial for reducing diagnostic errors.
4. Applications of Type 1 and Type 2 processes in each case
In case 1, the NP used Type 1 process by relying on common symptoms and examination findings to diagnose the patient with gallbladder disease. Nonetheless, the NP could use Type 2 thinking to conduct a more methodical investigation, reducing the likelihood of making an incorrect diagnosis. This would entail looking beyond gallbladder illness in the differential diagnosis and considering the patient’s risk factors, such as testosterone injections.
In case 2, the NP used Type 1 process to diagnose seasonal influenza based on typical flu symptoms and the fact that it was the flu season. However, the NP should have used Type 2 thinking to reduce the likelihood of diagnostic errors by considering the patient’s atypical features, such as lethargy, aberrant behavior, and lack of a cough. The NP could have considered other diagnoses, such as viral meningitis, that fit the unusual symptoms. This would have involved a more in-depth review, including an assessment of the nervous system, further diagnostic testing, and specialist consultations.
5. Considerations for change to practice
For case 1, the NP should consider improving communication and documentation. The NP should record and update all relevant information in the patient’s medical record, including the administration of testosterone injections. This would be useful for making future treatment decisions. In addition, the NP should consider stepping up their attention to possible differential diagnoses. The NP should maintain a high index of suspicion for alternative conditions, even when the initial diagnosis seems likely.
For case 2, the NP should consider performing comprehensive assessments. In response to atypical symptoms, the NP should consider performing a comprehensive assessment, such as a neurological examination. This aids in identifying indications that may signal a more serious ailment. In addition, the NP should consider implementing clinical guidelines for evaluating and assessing pediatric patients with atypical symptoms. This can help minimize diagnostic errors in the future.
this is a student post, please create a peers response of 150 words APA format, include citations and referebnces no older than 5 years

Critically appraise a qualitative and quantitative research design.
Submission Instructions:
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.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.

Part A:
video:
After watching the video, address the first question based on your thoughts and supported by research. Include with your post the research references in APA (American Psychological Association) style format.
Question: Do you think the government should mandate childhood vaccinations? Do you think parents have the right to refuse it? Why?
Part B:
topic:lymphatic system and immunity
create and post TWO separate well-crafted and well-researched questions for your classmates to answer. Each question must include at least 5 sentences of background information before your classmate questions are asked.
***Please be sure to research your questions and add references in APA style.

There are a variety of rating systems and hierarchies of evidence that grade the strength or quality of evidence generated from a research study or report. Being knowledgeable about evidence-based practice and levels of evidence is important to every clinician as clinicians need to be confident about how much emphasis they should place on a study, report, practice alert or clinical practice guideline when making decisions about a patient’s care.
* Select and discuss a published practice guideline from a credible source and critique the levels of evidence. Comment regarding the strength of the levels of evidence that support the guideline.
A minimum of 2 references (not older than 5 years) with corresponding in text citations using APA format

IN 400 WORDS, 200 EACH QUESTION, ASWER TH FOLLOWING
Part A: What are the primary responsibilities of a nurse in an intensive care unit (ICU) setting?
Part B: How do these responsibilities differ from those in other nursing specialties?