Construct a mind map for gastritis.

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· Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.

· Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.

· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.

· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

– Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.

– Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

– Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

· This paper should have at least 4 current references (Year 2013 and up)

· At least 2 references should be from the class Learning Resources below

The following Resources are not acceptable:

· 1. Wikipedia

· 2. Cdc.gov- nonhealthcare professionals section

· 3. Webmd.com

· 4. Mayoclinic.com

LEARNING RESOURCES

**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 35, “Structure and Function of the Digestive System”

This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion.

Chapter 36, “Alterations of Digestive Function”

This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome.

Chapter 37, “Alterations of Digestive Function in Children”

This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition.

**Hammer, G. G., & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

Chapter 13, “Gastrointestinal Disease”

This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome.

**de Bortoli, N., Martinucci, I., Bellini, M., Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013). Overlap of functional heartburn and gastroesophageal reflux disease with irritable bowel syndrome. World Journal of Gastroenterology, 19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787

Outline the process of ethical decision making you would use to address this ethical dilemma.

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In your role as a Psychiatric and Mental Health Nurse Practitioner (PMHNP), you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Assignment

To prepare:

· Review literature for moral/ethical issues encountered by a Psychiatric and

Mental Health Nurse Practitioner (PMHNP).

· Select one of the articles you found that was published within the last 5 years to

use as a focus for this assignment.

Write a 2-page paper in which you do the following:

· Summarize the moral/ethical issue in the article (no more than 1 paragraph).

· Describe the moral and ethical dilemmas surrounding the issue.

· Analyze the ethical issue and compare them to the state health laws and

regulations in your state.

· Outline the process of ethical decision making you would use to address this

ethical dilemma.

Note: Be sure to use the Practicum Journal Template attached in this assignment.

Also, the Sample Practicum Journal attached is just a sample.

· Include references immediately following the content.

· Use APA style for your journal entry and references.

Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 5, “Examination and Diagnosis of the Psychiatric Patient” (pp. 192–289)

Chapter 31, “Child Psychiatry” (pp. 1082–1107)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Introduction”

“Use of the Manual”

“Cultural Formulation”

Translate those goals and objectives into policies and procedures for the department or unit.

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Application: Systems Theory

As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess all system components, as some may be relatively healthy while others are problematic.

For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)

To prepare:

· Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).

· Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.

· Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.

· Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.

· Research professional standards that are pertinent to your identified problem.

· Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

To complete:

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

· Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.

· Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).

· Based on this information, explain how you would address the problem as follows:

o Formulate a desired outcome.

o Identify goals and objectives that would facilitate that outcome.

o Translate those goals and objectives into policies and procedures for the department or unit.

o Describe relevant professional standards.

· Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

Learning Resources

Required Readings

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Organizational Planning”

Chapter 8, “Planned Change”

o Organizational Change Associated With Nonlinear Dynamics

Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.

Chapter 12, “Organizational Structure”

o “Organizational Culture”

There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.

The patient is explaining which aspect of heritage consistency?

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The health care team is having difficulty communicating with a patient from a non-English-speaking culture. An interpreter has not yet been located. Which behaviors might the patient demonstrate because of this communication issue?

Select all that apply.

1. Withdrawing

2. Hostility

3. Belligerence

4. Uncooperativeness

5. Apathy

Question 2 A group of nurses talking are overheard using jargon that is consistent with the nursing profession. Which behavior are the nurses demonstrating?

1. Socialization

2. Ethnicity

3. Acculturation

4. Heritage consistency

Question 3 The nurse determines that a patient is in the process of acculturation. What did the nurse assess in this patient?

1. Americanization of the patient’s name

2. Engaging in activities with members of the family’s preferred social group

3. Speaking the family’s native language

4. Living away from the family of origin

Question 4 Why does the nurse stop and think before implementing touch when providing care to a patient from a different culture?

1. Influences the patient’s personal space

2. Influences environmental control

3. Impacts time orientation

4. Alters social organization

Question 5 A patient from a non-English-speaking culture explains how he has to behave differently at work than he does at home. What does the nurse realize this patient is describing?

Select all that apply.

1. Withdrawing

2. Hostility

3. Belligerence

4. Uncooperativeness

5. Apathy

Question 6 Prior to caring for a Native American patient, the nurse reviews the diseases that are more prevalent in this culture. What is the nurse taking into consideration when caring for this patient?

1. Biological variation

2. Environmental control

3. Social organization pattern

4. Component of heritage consistency

Question 7 While conducting a health history, a patient demonstrates characteristics of ethnocentrism. What behaviors did the nurse observe in the patient?

Select all that apply.

1. Superiority with ethnic group

2. Concern with race

3. Fear of strangers

4. Morbid fear of strangers

5. Ethnic pride

Question 8 While collecting demographics, the nurse learns that an American patient is married to an immigrant from another country. What does this patient’s marriage exemplify?

1. Assimilation

2. Socialization

3. Acculturation

4. Ethnicity

Question 9 A patient living in the United States for 10 years is distressed about not “fitting in” with American society. What aspects of acculturation will the nurse discuss with this patient?

Select all that apply.

1. Socialization

2. Acculturation

3. Assimilation

4. Ethnicity

5. Heritage consistency

Question 10 A patient born in a European country speaks excellent American English. The nurse realizes that this patient has achieved which type of assimilation?

1. Cultural

2. Marital

3. Primary structural

4. Secondary structural

Question 11 A patient tells the nurse that it is important for him or her to be discharged soon because it is expected that the family’s needs be met. Which aspect of heritage consistency is this patient demonstrating?

1. Culture

2. Ethnicity

3. Religion

4. Acculturation

Question 12 What aspects of a patient’s culture will the health care provider keep in mind when providing care?

Select all that apply.

1. Parts of a person’s culture are under conscious control.

2. It is an extension of biological capabilities.

3. It is the medium of social relationships.

4. It identifies food preferences.

5. It explains folklore and music.

Question 13 The nurse is planning care for an older patient. What will the nurse take into consideration to reduce generational conflict?

Select all that apply.

1. Events that occurred when the patient was 10 years of age

2. Ethnocultural status of the nurse

3. Age of the nurse

4. Life trajectory

5. Religion

Question 14 The nurse identifies that a patient from a different culture will not make eye contact during the assessment process. What does the lack of eye contact indicate to the nurse?

1. Respect

2. Friendliness

3. Hiding something

4. Fear

Question 15 A patient tells the nurse that a health problem is common among people of the patient’s ethnic background. What other characteristics would the nurse assess as contributing to this patient’s ethnicity?

Select all that apply.

1. Food preferences

2. Employment patterns

3. Special interest in the homeland

4. Divine intervention

Question 16 The nurse is not happy to learn that a newly admitted patient is from the same culture as a previous patient who had created much turmoil on the care area. What behavior is this nurse prone to demonstrate?

1. Prejudice

2. Discrimination

3. Ethnocentrism

4. Racism

Question 17 A seminal event in the boomer generation that can still elicit comments today is the question:

1. “Where were you when John F. Kennedy was shot?”

2. “Do you remember Pearl Harbor?”

3. “What were you doing on September 11, 2001?”

4. “How did the Challenger tragedy affect you?”

Question 18 The staff development instructor is planning a seminar that focuses on the variables leading to generational conflict. What will the instructor include in this content?

Select all that apply.

1. Decade of birth

2. Generation in the United States

3. Class

4. Language

5. Socialization

Question 19 A patient tells the health care provider that a foot injury occurred while participating in Oktoberfest as a dancer. The patient is explaining which aspect of heritage consistency?

1. Ethnicity

2. Culture

3. Religion

4. Assimilation

Question 20 A health care provider comments that a patient is “too old to take care of herself” and needs to “let a man make decisions for her.” The nurse recognizes that this health care provider is demonstrating which misanthropic feelings?

Select all that apply.

1. Ageism

2. Sexism

3. Racism

4. Heterosexism

5. Ethnocentrism

Submit the completed interview form prior to the deadline outlined above

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Guidelines

Purpose
The purpose of this assignment is to:

communicate your understanding of the importance of quality information in everyday nursing practice;
discuss the roles and responsibilities of a Nursing Information Expert; and
articulate how the professional nurse uses information/data in every day practice to improve outcomes.
Directions

Download the NR361 Interview Form (Links to an external site.)Links to an external site., which will be used to complete this assignment.
Select your interviewee and schedule an interview. This individual must be a Registered Nurse. Job titles of RNs who may be considered include, but are not limited to, Nursing Clinical Information Manager; Super User, Director/Manger Clinical Education; Chief Information Officer; Quality Assurance or Performance Improvement Nurse; Nurse Informaticist; Telenursing Specialist; Nurse Abstractor; Case Manager; Compliance Nurse. If you have any concerns about whether the RN is suitable for this assignment, contact your instructor BEFORE you schedule the interview.
Review all questions (areas of inquiry) on the Interview Form PRIOR to conducting the interview. You may print the form and take it with you to the interview.
Note there are five required questions to ask the RN.
Note there are four optional questions. You need to select only one of these to ask the RN.
Note there are two follow-up questions that must be answered by you.
Prior to conducting your interview, review two scholarly resources. These resources should guide your understanding of the RN’s role and responsibilities or make you more knowledgeable about GIGO, Interprofessional Communication, or other key concepts in the questions that you may not fully understand. For example, if your interviewee is a telenurse, you would want to review information on this specialty. If you do not know what GIGO means, look it up.

Conduct your interview. The length of your interview will vary but should not exceed one hour.
Submit the completed interview form prior to the deadline outlined above

Mostly summarizes the criteria in the first column or one criteria lacks details.

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Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing literature using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018).

Purpose

This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed PPL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 175 points.

Directions

1. Read over each of the following directions.

2. You must read the Assignment Practice Scenario below before completing the PPL Worksheet.

3. Download and use the required PPL Worksheet (Links to an external site.)Links to an external site..

4. Review the information provided in our library of how to search for journal articles here (Links to an external site.)Links to an external site..

5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)Links to an external site..

6. You are required to complete the worksheet using the productivity tools required by University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365,

7. Complete each section of the Problem/PICOT/Literature (PPL) Worksheet. For the Clinical PICOT Question, you are required to use one type of question from the American Academy of Ambulatory Care Nursing (AAACN). Please access the template to select the question type from the following link:

American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions. Retrieved from https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf (Links to an external site.)Links to an external site.

8. Be sure to use the PPL grading rubric to make certain you are meeting all grading criteria of the PPL Worksheet.

9. Use correct grammar, spelling, punctuation, and in-text APA formatting.

10. Submit the completed PPL Worksheet on the Week 3 Assignment page.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality

Safety

Patient satisfaction

Patient education

Falls

Non-pharmacological pain management

Errors (any). Examples include:

· Medication

· Patient identification

· Communication

Readmissions

Length of stay

Costs

Healthcare Associated Infections (HAIs). (Any type)

Examples include:

· Central Line Associated Blood Stream Infections (CLABSI)

· Catheter Associated Urinary Tract Infections (CAUTI)

· Ventilator Associated Pneumonia (VAP)

· Surgical Site Infections (SSI)

Sepsis

Discharge Teaching/Coaching

Transitions of Care/Level of Care

Pressure Ulcers

Skin Integrity

Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell.

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

NR439 PPL Worksheet Rubric

NR439 PPL Worksheet Rubric

Criteria RatingsPts

This criterion is linked to a Learning Outcome Clinical Nursing Practice Problem

Identify one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize the independent clinical nursing practice problem/issue you believe is the most important. Summarize your rationale (why) for choosing the problem.

25.0 pts

Clearly identifies one quality and safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes the importance of the problem/issue. Thoroughly summarizes the rationale (why) the problem was chosen.

22.0 pts

Criteria from the first column are mostly summarized or one criteria lacks details or is missing.

20.0 pts

Criteria from the first column are minimally summarized or two criteria lack details or are not present.

10.0 pts

Criteria from the first column are poorly summarized.

0.0 pts

Criteria are not discussed.

25.0 pts

This criterion is linked to a Learning Outcome Clinical PICOT Question

Using the AAACN Template for Asking PICOT Questions located in the assignment guidelines, write out your PICOT question. You must use one type of question from the AAACN template.

20.0 pts

PICOT question with all 5 elements correct.

18.0 pts

PICOT question with 4 elements correct.

16.0 pts

PICOT question with 3 elements correct.

8.0 pts

PICOT question with 1-2 elements correct.

0.0 pts

PICOT question with no elements correct or no PICOT question present.

20.0 pts

This criterion is linked to a Learning Outcome PICOT Elements

Identify each of the elements for your PICOT.

20.0 pts

All 5 PICOT elements are correctly identified.

18.0 pts

4 PICOT elements are correctly identified.

16.0 pts

3 PICOT elements are correctly identified.

8.0 pts

1-2 PICOT elements are correctly identified.

0.0 pts

No PICOT elements are correctly identified or are not present.

20.0 pts

This criterion is linked to a Learning Outcome Evidence Retrieval Process

Using the Chamberlain College of Nursing library, locate an original nursing report/article of a single nursing study published from a nursing source/journal within the last 10 years that is relevant to your chosen clinical nursing practice problem/issue. Provide a complete APA reference to the study and the permalink. *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

20.0 pts

All of the five criteria are present or one criteria is missing: 1. Complete study reference is provided in APA. 2. Uses the Chamberlain College of Nursing library by providing the permalink for the study. 3. Study is less than 10 years old. 4. Single original nursing study. 5. Study is from a nursing source/journal *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.

18.0 pts

Missing two criteria from the A column.

16.0 pts

Missing three criteria from the A column

8.0 pts

Missing four criteria from the A column.

0.0 pts

Missing all five criteria from the A column or none of the criteria are present.

20.0 pts

This criterion is linked to a Learning Outcome Implications of Literature Evidence

Summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.

25.0 pts

Thoroughly summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.

22.0 pts

Mostly summarizes the criteria in the first column or one criteria lacks details.

20.0 pts

Fairly summarizesFair details are provided.

the criteria in the first column or one criteria is missing.
10.0 pts

Poorly summarizes the criteria in the first column. Poor details are provided.

0.0 pts

Criteria are not summarized or is missing.

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Terms

Identifies 4 (or more) relevant searchable terms you used for your search for literature.

25.0 pts

Identifies 4 (or more) relevant searchable terms used for the search for literature.

22.0 pts

Identifies 3 relevant searchable terms used for the search for literature.

20.0 pts

Identifies 2 relevant searchable terms used for the search for literature.

10.0 pts

Identifies 1 relevant searchable term used for the search for literature.

0.0 pts

No Marks

25.0 pts

This criterion is linked to a Learning Outcome Literature Search Strategies

Identifies 4 (or more) relevant search strategies you used to narrow/limit your search for literature.

25.0 pts

Identifies 4 (or more) relevant strategies used to narrow/limit the search for literature.

22.0 pts

Identifies 3 relevant strategies used to narrow/limit the search for literature.

20.0 pts

Identifies 2 relevant strategies used to narrow/limit the search for literature.

10.0 pts

Identifies 1 relevant strategy used to narrow/limit the search for literature.

0.0 pts

No strategies identified or strategies are not present.

25.0 pts

This criterion is linked to a Learning Outcome Scholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar

8.0 pts

Excellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.

6.0 pts

Good writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.

3.0 pts

Fair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.

2.0 pts

Poor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.

0.0 pts

Very poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow.

8.0 pts

This criterion is linked to a Learning Outcome APA In-Text Formatting for Cited Sentences

7.0 pts

Excellent APA formatting. Uses APA in-text citation formatting with no errors.

6.0 pts

Good APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.

4.0 pts

Fair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.

3.0 pts

Poor APA formatting with many errors noted.

0.0 pts

Very poor APA with errors noted throughout.

7.0 pts

This criterion is linked to a Learning Outcome Assigned PPL Worksheet Used

0.0 pts

Assigned PICOT Worksheet form NOT used for this assignment results in loss of 10% (17.5 points) from points possible. 17.5 points deducted

0.0 pts

Assigned PICOT Worksheet form used for this assignment. 0 points deducted

0.0 pts

Total Points: 175.0

Explain why this fetus developed this condition even though another type B+ fetus in a different type A+ mother was normal

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Answer Critical Thinking Questions 1-3 for Chapter 18 on page 526 and Clinical Application Question 1-4 for Chapter 19 on page 557. Answers should be submitted in a word document with any associated references used.

Answer Critical Thinking Questions 1-3 for Chapter 18 on page 526 and

1) What problem are associated with the use of live attenuated vaccines?

2) Many of the serological tests require a supply of antibodies against pathogens. For example, to test for Salmonella, anti-Salmonella antibodies are mixed with the unknown bacterium. How these antibodies obtained?

3) A test for antibodies against Treponema pallidum uses the antigen cardiolipin and patient’s serum (Suspected of having antibodies). Why do the antibodies react with cardiolipin? What is the disease?

Clinical Application Question 1-4 for Chapter 19 on page 557

1) Fungal infections such as athlete’s foot are chronic. These fungi degrade skin Keratin but are not invasive and do not produce toxins. Why do you suppose that many of the symptoms of a fungal infection are due to hypersensitivity to the fungus?

2) After working in a mushroom farm for several months, a worker develops these hives, edema, and swelling lymph node

a) What do these symptoms indicate?

b) What mediators cause these symptoms?

c) How many sensitivities to a particular antigen be determined?

d) Other employees do not appear to have any immunological reactions. What could explain this?

(Hint: The allergen is conidiophores from molds growing in the mushroom farm)

3) Physicians administering live, attenuated mumps and measles vaccines prepared in chick embryos are instructed to have epinephrine available. Epinephrine will not treat these viral infections. What is the purpose of keeping this drug on hand?

4) A woman with blood type A+ once received a transfusion of AB+ blood. When she carried a type B+ fetus, the developed hemolytic disease of the newborn. Explain why this fetus developed this condition even though another type B+ fetus in a different type A+ mother was normal

Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.

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Although structural therapy and strategic therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, as you compare structural and strategic family therapy, consider which therapeutic approach you might use with your own client families.

Learning Objectives

Students will:

· Compare structural family therapy to strategic family therapy

· Create structural family maps (Refer to Gerlach (2015) in this week’s Learning

Resources for guidance on creating a structural family map.) or LOOK AT THE

ATTACHED ONE.

· Justify recommendations for family therapy

The Assignment

In a 2- to 3-page paper, address the following:

· Summarize the key points of both structural family therapy and strategic family

therapy.

· Compare structural family therapy to strategic family therapy, noting the

strengths and weaknesses of each.

· Provide an example of a family in your practicum using a structural family map.

Note: Be sure to maintain HIPAA regulations (Refer to Gerlach (2015) in this

week’s Learning Resources for guidance on creating a structural family map.) or

LOOK AT THE ATTACHED ONE.

· Recommend a specific therapy for the family, and justify your choice using the

Learning Resources

Required Readings

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Chapter 5, “Bowen Family Systems Therapy” (pp. 69–88)

Chapter 6, “Strategic Family Therapy” (pp. 89–109)

Chapter 7, “Structural Family Therapy” (pp. 110–128)

Gerlach, P. K. (2015). Use structural maps to manage your family well: Basic premises and examples. Retrieved from http://sfhelp.org/fam/map.htm

McNeil, S. N., Herschberger, J. K., & Nedela, M. N. (2013). Low-income families with potential adolescent gang involvement: A structural community family therapy integration model. American Journal of Family Therapy, 41(2), 110–120. doi:10.1080/01926187.2011.649110

Méndez, N. A., Qureshi, M. E., Carnerio, R., & Hort, F. (2014). The intersection of Facebook and structural family therapy volume 1. American Journal of Family Therapy, 42(2), 167–174. doi:10.1080/01926187.2013.794046

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative analysis of how experts promote a systemic perspective. Family Process, 52(2), 207–215. doi:10.1111/famp.12025

Ryan, W. J., Conti, R. P., & Simon, G. M. (2013). Presupposition compatibility facilitates treatment fidelity in therapists learning structural family therapy. American Journal of Family Therapy, 41(5), 403–414. doi:10.1080/01926187.2012.727673

Sheehan, A. H., & Friedlander, M. L. (2015). Therapeutic alliance and retention in brief strategic family therapy: A mixed-methods study. Journal of Marital and Family Therapy, 41(4), 415–427. doi:10.1111/jmft.12113

Szapocznik, J., Muir, J. A., Duff, J. H., Schwartz, S. J., & Brown, C. H. (2015). Brief strategic family therapy: Implementing evidence-based models in community settings. Psychotherapy Research, 25(1), 121–133. doi:10.1080/10503307.2013.856044

Which type of healing is most appropriate for a person who is possessed by external evil?

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Question 1 A patient is interested in learning more about healing. About what types of healing would the nurse suggest the patient focus this study?

Select all that apply.

1. Spiritual

2. Inner

3. Physical

4. Deliverance

Question 2 A patient tells the nurse that she is a member of a religion where birth control is either permitted or up to the choice of the couple. Which religions have this belief regarding the use of birth control?

Select all that apply.

1. Buddhist Church of America

2. Judaism

3. Hinduism

4. Mennonite

Question 3 The family member of a patient with bipolar disorder is sitting quietly in the waiting room praying. To which saint would the family member most likely be praying for help with mental illness?

1. St. Dymphna

2. St. Odilia

3. St. Lucy

4. St. Peregrine

Question 4 For which health problems would physical healing be the most appropriate with which to treat?

1. A disease is present

2. Someone afflicted with a bodily and mental evil

3. Spiritual distress from personal sin

4. An emotional or mental illness

Question 5 A person has an illness of the spirit. What method of treatment will this person receive?

1. Repentance

2. Heal the memory

3. Laying of hands

4. Exorcism

Question 6 A patient is planning to participate in a physical healing session. What activities will occur during this session?

Select all that apply.

1. Laying on hands

2. Speaking in tongues

3. Having blood drawn

4. Releasing muscle tension through massage

Question 7 A patient approaching delivery of her first child tells the nurse that many things need to be done prior to delivery because she will not be permitted activity for 40 days after the birth. The nurse realizes that which countries of national origin practice a 40-day waiting period after the delivery of a baby?

Select all that apply.

1. Bangladesh

2. Cuba

3. Ethiopia

4. Jordan

5. Thailand

Question 8 A patient is planning to see a spiritual healer that practices telotherapy. What is this type of healing?

1. Spiritual HEALING

2. A method that separates the physical from the spiritual

3. The expression of divine intervention

4. The optimal method for HEALING

Question 9 A patient with terminal cancer is planning a trip to Lourdes, France, the site of a revered Roman Catholic shrine. What is the significance of visiting this shrine?

1. The hope for receiving a cure through a miracle

2. The hope being able to live a long life

3. Becoming more prosperous

4. Gaining insight about the cause of disease

Question 10 The family of a terminally ill patient is sitting in the waiting room with their parish priest praying for the patient to receive the grace of a happy death. To which saint is the family most likely addressing their prayers?

1. St. Dymphna

2. St. Odilia

3. St. Lucy

4. St. Peregrine

Question 11 A patient with a severe illness is reading the Bible. Which section of the Bible would help the patient with healing illnesses and suffering?

1. New Testament

2. Genesis

3. Old Testament.

4. Leviticus

Question 12 The nurse overhears a patient ask a family member to bring the Lourdes water to the hospital. The nurse recalls that this water is believed to cure which health problem?

1. Bodily ills

2. Blindness

3. Mental Illness

4. Cancer

Question 13 A patient follows the teachings of Christian Science and will not take any medications, but for which health problem will medications be used by members of this religion?

1. Immunizations to comply with civil law

2. Chemotherapy to treat cancer

3. Antibiotics

4. Narcotics for pain relief

Question 14 An adolescent patient is having a moral conflict because an abortion is desired but it is against the patient’s religion. Which religions forbid or restrict abortions?

Select all that apply.

1. Roman Catholicism

2. Christian Science

3. Church of Jesus Christ of Latter-day Saints

4. Unitarian Church

Question 15 A family member tells a patient with terminal cancer not to worry since special prayers have been said in church. To which saint is prayed for help with cancer?

1. St. Dymphna

2. St. Odilia

3. St. Lucy

4. St. Peregrine

Question 16 A patient adheres to the teachings of Seventh-day Adventist. What practice is followed by those within this religion?

1. Abstinence from alcohol, coffee, and tea

2. Avoid pork

3. Fasting once a month

4. Follow a vegetarian diet

Question 17 The nurse is reading about ancient forms of healing. Which method focuses on removing evil from the body?

1. Casting blame on another person in the community

2. Drinking special herbal mixtures

3. Eating special foods

4. Punishing the person who had the sickness

Question 18 A female patient tells the nurse that she prayed to one saint to become pregnant, and now that she is, she is going to pray to a different saint to help her through the pregnancy. To which saints is this patient praying?

Select all that apply.

1. St. Anthony of Padua

2. St. Raymond Nonnatus

3. St. Lucy

4. St. John of God

Question 19 A patient who is Buddhist is wearing white clothes. What does this color symbolize in this religion?

1. Mourning the death of a relative

2. Joy for the birth of an infant

3. Recognition of a religious holiday

4. Celebration of a marriage

Question 20 Which type of healing is most appropriate for a person who is possessed by external evil?

1. Deliverance

2. Physical HEALING

3. Inner HEALING

4. Spiritual HEALING