Category: Nursing

According to Carl Rogers, unconditional positive regard involves basic acceptance and support of a person, regardless of what the person says or does. The therapist gives space for the client to express whatever immediate feeling is going on—confusion, resentment, fear, anger, courage, love, or pride.
Discuss the role of the therapist’s personality in person-centered psychotherapy.
Are there particular people who have been or would be especially difficult for you to unconditionally positively regard?
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.

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.
Introduction
Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.
Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriiptions for each criterion to see how your work will be assessed.
For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
Access the Ethical Case Studies media piece(see below for the case study) to review the case studies you will be using for this assessment.
Select the case most closely related to your area of interest and use it to complete the assessment.
Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance.
Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Identify who is involved or affected by the ethical problem or issue.
Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
Apply the three components outlined in the Ethical Decision-Making Model media.
Analyze the factors that contributed to the ethical problem or issue identified in the case study.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
Review the Think Critically About Source Quality resource.
Assess the credibility of the information source.
Assess the relevance of the information source.
Discuss the effectiveness of the communication approaches present in a case study.
Describe how the health care professional in the case study communicated with others.
Assess instances where the professional communicated effectively or ineffectively.
Explain which communication approaches should be used and which ones should be avoided.
Describe the consequences of using effective and non-effective communication approaches.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
Discuss the key lessons this case provides for health care professionals.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Describe the proposed solution.
Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
Discuss how likely it is the proposed solution will foster professional collaboration.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Apply the principles of effective composition.
Determine the proper application of the rules of grammar and mechanics.
Write using APA style for in-text citations, quotes, and references.
Determine the proper application of APA formatting requirements and scholarly writing standards.
Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
Additional Requirements
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Use correct spelling, grammar, and punctuation.
References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
Competency 3: Apply ethical principles and academic standards to the study of health care.
Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
Discuss the effectiveness of the communication approaches present in a case study.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes.
Case study:
E. L. Straight is director of clinical services at Hopewell Hospital. As in many hospitals, a few physicians provide care that is acceptable, but not of very high quality; they tend to make more mistakes than the others and have a higher incidence of patients going “sour.” Since Straight took the position 2 years ago, new programs have been developed and things seem to be getting better in terms of quality.
Dr. Cutrite has practiced at Hopewell for longer than anyone can remember. Although once a brilliant general surgeon, he has slipped physically and mentally over the years, and Straight is contemplating taking steps to recommend a reduction in his privileges. However, the process is not complete, and Cutrite continues to perform a full range of procedures.
The operating room supervisor appeared at Straight’s office one Monday afternoon. “We’ve got a problem,” she said, somewhat nonchalantly, but with a hint of disgust. “ I’m almost sure we left a plastic needle protector from a disposable syringe in a patient’s belly, a Mrs. Jameson. You know, the protectors with the red–pink color. They’d be almost impossible to see if they were in a wound.”
“Where did it come from?” asked Straight.
“I’m not absolutely sure,” answered the supervisor. “All I know is that the syringe was among items in a used surgical pack when we did the count.” She went on to describe the safeguards of counts and records. The discrepancy was noted when records were reconciled at the end of the week. A surgical pack was shown as having a syringe, that was not supposed to be there. When the scrub nurse working with Cutrite was questioned, she remembered that he had used a syringe, but, when it was included in the count at the conclusion of surgery, she didn’t think about the protective sheath, which must have been on it.
“Let’s get Mrs. Jameson back into surgery.” said Straight. “We’ll tell her it’s necessary to check her incision and deep sutures. She’ll never know we’re really looking for the needle cover.”
“Too late,” responded the supervisor, “she went home day before yesterday.”
Oh, oh, thought Straight. Now what to do? “Have you talked to Dr. Cutrite?”
The supervisor nodded affirmatively. “He won’t consider telling Mrs. Jameson there might be a problem and calling her back to the hospital,” she said. “And he warned us not to do anything either,” she added. “Dr. Cutrite claims it cannot possibly hurt her. Except for a little discomfort, she’ll never know it’s there.”
Straight called the chief of surgery and asked s hypothetical question about the consequences of leaving a small plastic cap in a patient’s belly. The chief knew something was amiss but didn’t pursue it. He simply replied there would likely be occasional discomfort, but probably no life–threatening consequences from leaving it in. “Although,” he added, “one never knows.”
Straight liked working at Hopewell Hospital and didn’t relish crossing swords with Cutrite, who, although declining clinically, was politically very powerful. Straight had refrained from fingernail biting for years, but that old habit was suddenly overwhelming.

Conflict among employees is inevitable in the workplace. As a leader, you may be called upon to intervene in conflicts, especially interpersonal conflicts, which are the most common. Considering this please address the following prompts in your discussion prompt:
Describe an interpersonal conflict you have seen in the workplace.
Describe how this conflict was solved, and by whom.
Discuss approaches that you would use to increase the effectiveness of this kind of conflict’s resolution.
Please be sure to validate your opinions and ideas with citations and references in APA format.
It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Core Concepts Paper
Purpose: The purpose of this assignment is to facilitate thinking about your personal beliefs in relation/comparison to the core concepts of Communication, Compassionate Care, Diversity, equality and inclusion, Ethics, Evidence-Based Practice, Health Policy, and social determinants of Health in nursing practice as outlined and defined by the AACN . As a senior level nursing student you may be asked to revisit this assignment so please keep your work.
Before you begin to write this paper:
• Read the American Association of Colleges of Nursing (AACN) “2021 THE ESSENTIALS: CORE COMPETENCIES FOR PROFESSIONAL NURSING EDUCATION” description of the above core concepts – Look closely at pages 11-14. (https://www.aacnnursing.org/Portals/42/AcademicNur…Reflect within your paper on at least 5 out of the 8 core concepts and how they
o 1) relate to nursing
o 2) how they compare to your own thoughts and feelings on these concepts. Provide examples from nursing literature, your work or life experiences.
• This paper can be thought of as a comparison and introspection of your own beliefs and values compared to University’s Nursing Department values of the discipline of nursing rising from the AACN Essentials.
Directions:
• Students are expected to use the Publication Manual of the American Psychological Association (7thedition) to guide the formatting of this paper. One third of the points received for this paper stem from APA formatting, see rubric below.
• 5-6 pages (not including title, reference and rubric page) typed, double-spaced, one-sided, 12-point font paper. Required typeface throughout- Times New Roman.
• Minimum of four different reference citations (Four Different resources)
• All papers submitted should be at an acceptable college level of writing.
• The following grading rubric will be used: Please attach a copy of this rubric as the final page of your paper, after reference page.(One will be available on Canvas)

Directions
• Review the Growth and Development Stages
This website is also quite helpful and includes more theorists: https://www.verywellmind.com/child-development-theories-2795068
• Google developmental theories and look at some of those charts. (https://www.onlinepsychologydegree.info/lists/5-theories-of-child-development/ ) Some of these theorists are more well-known and should have been introduced to you in your undergraduate degree programs through general psychology and nursing courses, especially pediatrics. Lev Vygotsky, Sara Smilansky, Albert Bandura, and John Bowlby will also be looked at in the PNP and possibly FNP future coursework; please familiarize yourself with their theories during your Google search.
• Based on your specialty interest (acute gerontology), create a fictional patient with a health issue and family involvement, and situate this character. Discuss the developmental stage they are in based on Freud, Erickson, and Piaget. Discuss how Vygotsky, Smilansky, Bandura, and Bowlby have relevance to this case based on their theories and the story you create. Create a chart for this.
• Provide a reference list for those websites or sources you used to complete the table. Also cite these parenthetically in the table after each typed cell of information provided related to the theorist. Notes go under tables, as shown in Chapter 7 of the APA manual, but you may not need notes for the type of information you provide in the table.
The submitted assignment should contain:
• A fictional patient with a case, history, and problem identified.
• A table covering the theorists described in this example with relevant theory application.
• A brief suggestion for how needs would be met, with specific attention to developmental needs.
Submit this in a written assignment format with two text pages, including the table, and a title and reference page.
Do not use the same type of situation, diagnosis, and age of patient provided in the example for your case construction.
What to Submit
A 2-page Microsoft Word document that includes the table and the reference page.
If you copy and paste references from the course into your assignment, be sure to confirm APA formatting before submitting.
View Rubric

**Teacher checks for plagiarism. Please original work only and many other students also use this website**.CompetencyDescribe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
ScenarioTony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.
Tony’s ABG results:
pH 7.28
PaCO2 – 55 mm Hg
PaO2 – 70 mm Hg
HCO3 – 30 mEq/L
InstructionsIn a 1-2 page Word document:
Determine Tony’s acid-base imbalance
Describe possible causes of the imbalance
Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
List the multidimensional care strategies that are appropriate for the care of Tony

Consider the current healthcare delivery models and practice settings. Reflect on how nursing practice is transforming in response to the current demands of the healthcare system and answer one of the following questions:
What differentiates the practice of a master’s-prepared nurse compared to that of a baccalaureate-prepared nurse?
What is the value of a master’s degree in nursing?
What do you consider to be the most essential professional competency for a master’s-prepared nurse practicing in the 21st century?
scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).
Contains references for sources cited
Written by a professional or scholar in the field and indicates credentials of the author(s)
Is no more than 5 years old for clinical or research article

Evidence based practice paper, 3-5 pages long, APA format. I attached my sources to be used: 3 articles to review and analyze the latest scientific evidence. I also attached the rubric and a sample research paper for reference.

Complete your required discussion prompt.
A 29-year-old female develops sepsis and, as a consequence, she experiences profound vasodilation.
a) What effect does vasodilation have on the afterload? Explain why.
b) What effect does vasodilation have on blood pressure? Explain why. How will her body try to bring her blood pressure back to homeostasis? a short explination on sepsis
Be detailed in your explanation and support your answer with facts from your textbook, research, and articles from scholarly journals. In addition, remember to add references in APA format to your posts to avoid plagiarism.

PICOT question related to labor and delivery –
In patients with threatened abortion, what is the effect of bed rest compared to ambulation on the survival rate of a premature infant?