Community Clinical practice experience

Community clinical practice experience. Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

  1. The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.
  2. Completion of work associated with program competencies.
  3. Work associated with completion of the student’s capstone project change proposal.

Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions

 

Benefits of Using Certified Mail

Benefits of using Certified Mail. When mailing a patient termination letter, explain the benefits of sending it by Certified Mail with return receipt?

Improving your Emotional intelligence

Improving your emotional intelligence. Would you describe yourself as emotionally intelligent? ( Why or Why
not?)
2. What steps will you take to improve your emotional intelligence?
3. How does emotional intelligence impact your success in nursing school?

Give full explanation

Abdominal and Speculum examinations

Abdominal and speculum examinations. A 30-year-old woman is referred, with anemia. She had been complaining of increasing tiredness and shortness of breath for 3 months, with frequent headaches.

Her periods occur every 24 days and the first day and are generally very heavy. She has no previous gynecological problems and takes no medication.

 

Physical Examination

The woman is slim with pale conjunctiva. Abdominal, bimanual, and speculum examinations are unremarkable.

 

Diagnostics: 

Hemoglobin = 6.3 g/dL (Normal range = 11.7-15.7 g/dL)

Mean cell volume = 66 fL (normal = 80-99 fL)

Ferritin = 9 μg/L (normal = 6-81 μg/L)

WBC count and platelets = within normal ranges

Total iron-binding capacity = (TIBC) 80 μmol/L (normal = 45-72 μmol/L)

Blood film: hypochromic microcytic red cells

Transvaginal ultrasound scan report normal.

 

Questions

1. How do you interpret these findings?

2. What is the likely underlying type of anemia in this patient?

3. Which lab value led you to the most likely type of anemia?

4. How would you treat this woman’s anemia?

Antinuclear antibodies Statement

Antinuclear antibodies Statement. Read the pdf regarding the ANA Position Statement on Just Culture.

Discuss the ANA position and your thoughts, be sure to either state your support or disagreement regarding the statement. In regards to the states mentioned, is there one you support more than the other and why?

Do you see a correlation between just culture and patient safety, if so explain?

Myocardial Infarction overall impacts

Disease: Myocardial Infarction overall impacts. With this discussion address the following discussion prompts:

Impact on the heart muscle itself (i.e., increase or decrease perfusion)

If you are confused about what this means, perfusion refers to the amount of blood getting to the heart muscle itself. Why would we want good blood flow to the heart muscle? What does the heart muscle do in relation to the heart’s function?

An explanation of how the impact above affects the chemical, cellular, or histological function of the heart

Can this be broken down? – does myocardial infarction  affect a specific type of cell? If so, how does it affect that specific cell and what would that do to the overall function of the heart or system? Same thing with histology (tissue type) – if it affects a specific tissue (epithelial, connective, muscle, or nervous) explain how it does and what the overall impact is.

 

Training Advanced practice nurses

Scenarios: Training Advanced practice nurses. A 34-year-old female who is 36 weeks pregnant – G2P1AB0 – presents to your office complaining of shortness of breath and ankle swelling. She states she has had “the flu” for several days and is insistent that this is why she can’t stop coughing.

She is obviously short of breath when talking. In reviewing her chart, you can see she has a history of hypertension. She states she “”officially” stopped her blood pressure medications when she found out she was pregnant but admits that she rarely took her pills anyway, so “no big deal.”

Sumar has just found out she is pregnant and presents to the local free clinic. She is a 26-year-old G2P0AB1, and her first OB appointment is in two weeks. Sumar thinks she is about 12 to 14 weeks pregnant.

She has come to the clinic complaining of indigestion. You notice the strong smell of cigarette smoke, and she admits she smokes one pack of cigarettes a day but states she is smoking less now since she started vaping.

 

You are seeing a 19-year-old female for STI screening. When reviewing her health and sexual history to determine her risk, she indicates she has had several new partners over the past six months and that she has not been using condoms but does have an IUD.

She has started smoking marijuana and has dabbled with some other prescription medications over the previous two months. She is worried about having contracted an STI because she has noticed some “cauliflower” type bumps “down there” and would like to be tested.

Questions:

  • As an APRN, how could you positively affect the health of the woman in the scenario you chose?
  • What would be the pros and cons of utilizing the technique of Motivational Interviewing with the woman in the scenario.

 

  • Trial the techniques you have read about over the previous few weeks related to Motivational Interviewing with a coworker, family or friend. What was this experience like? Do you see benefits to becoming more comfortable with this technique? Why or why not?

 

For each scenario answer the above questions using the information within Motivational interviewing. Any pertinent scholarly references within the last 5 years may be used.

Nursing Practice Acts

Compare and contrast two Nursing Practice Acts addressing

a) identify each state (Kentucky and Texas)

b) the APRN Title,

c) Scope of Practice, including prescriptive authority,

d) education requirements, and

e) national certification.

 

Clinic care for headache and wheezing

Clinic care for headache and wheezing. For the following scenarios, determine what condition(s) you would code and why. After discussing what conditions you would code, please provide the correct codes using your ICD-10-CM book.

Scenario #1
Larry is an 80-year-old patient who has previously been diagnosed with lung cancer. He has been receiving chemotherapy and radiation. Larry develops seizures and is admitted for further workup and treatment. Workup revealed metastasis of lung cancer to the brain.
Scenario #2
Joan Schmidt, a 15-year-old female, reports to the hospital urgent care clinic for a headache and wheezing. Following the examination, she is discharged with an acute frontal sinus infection, recurrent, and exacerbated asthma due to environmental dust allergies.

Chemotherapy and radiation case

Chemotherapy and radiation case. For the following scenarios, determine what condition(s) you would code and why. After discussing what conditions you would code, please provide the correct codes using your ICD-10-CM book.

Scenario #1
Larry is an 80-year-old patient who has previously been diagnosed with lung cancer. He has been receiving chemotherapy and radiation. Larry develops seizures and is admitted for further workup and treatment. Workup revealed metastasis of lung cancer to the brain.
Scenario #2
Joan Schmidt, a 15-year-old female, reports to the hospital urgent care clinic for a headache and wheezing. Following the examination, she is discharged with an acute frontal sinus infection, recurrent, and exacerbated asthma due to environmental dust allergies.