Nurse Menovich Believes

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Nurse Menovich Believes

Janice Menovich, a nurse manager on an oncology unit, is trying to increase the skill mix from 50% registered nurses (RNs) to 62% RNs. Nurse Menovich believes that it is essential to have a high percentage of RNs because of the chemotherapy that they are required to administer. Jessie Salee, a nurse manager on a surgical unit, is also trying to increase the skill mix of RNs from 50% to 55%. Nurse Salee believes that it is important because of the increasing condition severity levels and decreasing time in the recovery room, especially on the 3-11 PM shift Nurse Menovich Believes .

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The vice-president of nursing has announced that there will be a small increase in RN positions (approximately five new RN positions) and that she would like proposals from the managers on how to allocate the scarce resources in the best possible way. Nurse Menovich decides that she needs all five positions and writes up a detailed report, which she gives to the vice president of nursing. She makes an appointment with the vice president of nursing to follow up on the memorandum. The vice president of nursing asks Nurse Menovich whether she can negotiate for fewer RN positions so that Nurse Salee’s unit also can be allocated new positions. Nurse Menovich states that she can prove why she needs the RN positions more than Nurse Salee and that she will do what it takes to obtain the positions for her unit.

 

1.Which type of conflict is described in this case study?

2. What conflict management strategy or mode is Nurse Menovich using to get all of the RN positions?

3.What conflict resolution strategies could Nurse Salee use to engage in a win-win situation? Nurse Menovich Believes

Descriptive And Reflective Discussion

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Descriptive And Reflective Discussion

This is a Collaborative Learning Community (CLC) assignment.

As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references Descriptive And Reflective Discussion.

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Include the following:

  1. Describe the intervention or treatment tool and the specific patient population used in the study.
  2. Summarize the main idea of the research findings for a specific patient population. The research presented must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.
  3. Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.
  4. Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples Descriptive And Reflective Discussion.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion Descriptive And Reflective Discussion.

 

Curriculum Models In Nursing Education

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Curriculum Models In Nursing Education

There are many established and emerging curriculum design models. In a 10-15 slide PowerPoint presentation, address the following:

  1. Describe three curriculum design models.
  2. Identify the level of nursing education for which each model would be most appropriate.
  3. Describe advantages and disadvantages of each model for the learner.
  4. Describe advantages and disadvantages of each model for the educator. Curriculum Models In Nursing Education

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Present your findings in a professional PowerPoint presentation that would be helpful to a nursing school curriculum committee in revising their curriculum model.

Each slide should include speaker notes.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Curriculum Models In Nursing Education

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion Curriculum Models In Nursing Education.

Introduction To Target Community & Program

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Introduction To Target Community & Program

REQUIRED COMPONENTS for Assignment #2: Introduction to Target Community & Program Intervention Sample and Program    

The assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences. The assignment should consist of 1,500- to 2,500-words (excluding references and title pages). This assignment must be completed and submitted on a Microsoft word document.

APA format is required. 12 font size should be used, font names that should be used are Times New Roman or Cambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. Please include the title page that consists of your name (First and Last), Panther ID number and title of the article (APA format).In addition, include a reference page that consists of three (3) references from creditable resources Introduction To Target Community & Program.

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1. Description of Target Community. Describe, succinctly, the “community” that you perceive can be targeted to meet the selected HP 2020 Objective.  Community means the target population that is within your reach and that is at risk for not meeting this HP 2020 objective.

Describe the following:

  • Stated target objective from HP 2020 (Same as assignment #1 targeted objective).
  • Description of your “community” at the city or county or municipality level; in other words, “who are these people?” in terms of demographics; you can typically find this demographic data from census databases or other national or local databases or information that is within the public domain.
  • You must include important epidemiological “person, place and time” information about your target community.  This includes the target population size and target population demographics.  Include local incidence and prevalence rates of health outcomes that are directly related to your chosen Healthy People 2020 health behavior.

*With regards to the “community”, I strongly recommend you target a relatively narrow segment or community.  For example, it would be advisable to choose to target the issue of underage drinking and subsequent car crashes in a target community within your county, city, town or local school district versus addressing this issue by choosing a chosen target community of your entire state. 

2.  Description of Your Health Promotion Program and Sample Size

(a) Provide detailed and specific information about your chosen “Building Your Own Health Promotion Program” intervention sample group in whom you plan on being your program participants in your eventually implemented “Building a Health Promotion Program Project”. This program intervention sample should be taken from within your chosen target community. You MUST provide a SPECIFIC INTERVENTION SAMPLE SIZE AND A SPECIFIC SAMPLE INTERVENTION LOCATION AND A SPECIFIC SAMPLE INTERVENTION START DATE AND COMPLETION DATE.  This will specify when the program’s intervention sample subjects will begin the program and begin to have activities administered to them.  This will also describe the completion date of the program.   You will eventually have specific health promotion program educational activities and components that you will develop and administer during the implementation period of your program.  If you decide to implement your program in a school or worksite or hospital or community center or place of worship or clinic within your target community then you must obtain try to obtain important descriptive statistical information and demographic information about your sample from the site manager or overseer.  Introduction To Target Community & Program For example, if you decide to implement an obesity prevention program that targets first and second graders in your city because the city or county or state statistics reveal high child obesity prevalence rates in this area, then you may choose to implement your program at a local elementary school.  Your intervention sample would be first and second grade classes in this particular elementary school.  You will seek to gather basic information about the number of first and second graders in your chosen school and also seek to gather basic demographic data about the school population if at all possible.  Try to choose an intervention sample in which you will be able to research and find and report on all of this important demographic data.  This data will be important for your “stakeholders” as well as for your program planning.

3. Proposed Program. Conclude this proposal with a brief discussion of your idea for a health promotion program plan to meet your HP 2020/2010 objective, health behavior and associated health indicator (assuming the results of your needs assessment indicate a need).  Please use three (3) sources of research supporting this type of program Introduction To Target Community & Program.

Discussion Assignment Urinary Incontinence

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Discussion Assignment Urinary Incontinence

Question 1

0 out of 10 points

   
  Mrs. Doe is 68 years old, 30 hours post-stroke with left hemiparesis. Her bedding is wet and her urine is dark amber with a foul smell. Mrs. Doe is asking for an indwelling catheter.      
 
Selected Answer: ncorrect

All of the above.
Answers: orrect

Notify the stroke rehabilitation team of the incontinence
  Initiate a prompted voiding schedule and appropriate absorbent padding.
  Encourage her to drink more water, if not on fluid restriction.
  Patient teaching regarding the risk of UTI with an indwelling catheter.
  All of the above.

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· Question 2

10 out of 10 points

   
  Bladder training includes:      
 
Selected Answer: orrect

All of the above
Answers: Patient education
  Scheduled voiding
  Positive reinforcement
  orrect

All of the above

 

      

· Question 3

0 out of 10 points

   
  Behavioral management of UI includes all of the following except:      
 
Selected Answer: ncorrect

Pharmacologic or surgical treatment
Answers: Prompted voiding
  Scheduled toileting
  Pharmacologic or surgical treatment
  orrect

Praising the patient for being dry and using the toilet

 

      

· Question 4

10 out of 10 points

   
  Drugs like Ditropan and Detrol are effective for urinary incontinence because they strengthen bladder muscle tone and cause the bladder muscle to contract.      
 
Selected Answer: orrect

False
Answers: True
  orrect

False

 

      

· Question 5

0 out of 10 points

   
  Ageing is associated with bladder capacity      
 
Selected Answer: ncorrect

True
Answers: True
  orrect

False

 

      

· Question 6

10 out of 10 points

   
  Having a stroke can cause UI.      
 
Selected Answer: orrect

True
Answers: orrect

True
  False

 

      

· Question 7

0 out of 10 points

   
  Incontinence affects twice as many men as women.      
 
Selected Answer: ncorrect

True
Answers: True
  orrect

False

 

      

· Question 8

10 out of 10 points

   
  The symptoms of Stress Incontinence include:      
 
Selected Answer: orrect

Losing urine while sneezing, laughing, coughing or moving about.
Answers: Feeling overwhelmed by work.
  Having an urgency to go to the toilet.
  orrect

Losing urine while sneezing, laughing, coughing or moving about.
  Passing a little bit of urine without feeling the need to urinate.

 

      

· Question 9

10 out of 10 points

   
  Urge incontinence may occur when one hears the sound of water, or when on the way to the toilet.      
 
Selected Answer: orrect

True
Answers: orrect

True
  False

 

      

· Question 10

10 out of 10 points

   
  If a patient answers “yes” to the following questions, it may indicate he/she has a problem with UI.      
 
Selected Answer: orrect

All three questions
Answers: Does your bedding have urine stains?
  Does coughing or sneezing cause you to wet yourself?
  Do you lose urine in sufficient quantity to be a problem for you?
  Second and third questions only
  orrect

All three questions

 

      

· Question 11

10 out of 10 points

   
  Kegel exercises strengthen pelvic floor muscles and reduce urinary incontinence.      
 
Selected Answer: orrect

True
Answers: orrect

True
  False

 

      

· Question 12

0 out of 10 points

   
  Urinary incontinence is associated with all of the following except:      
 
Selected Answer: ncorrect

Urinary tract infection
Answers: Impaired mobility
  orrect

Drinking 1500cc of water in 24 hours
  Weak pelvic muscles
  Urinary tract infection

 

      

· Question 13

0 out of 10 points

   
  Urinary incontinence is a normal consequence of ageing.      
 
Selected Answer: ncorrect

True
Answers: True
  orrect

False

 

      

· Question 14

10 out of 10 points

   
  Urinary incontinence has been associated with:      
 
Selected Answer: orrect

All of the above
Answers: Constipation, Confusion
  Impaired mobility
  Reaction to medication
  orrect

All of the above
  None of the above

 

      

Course Project – Medicaid And The Middle Class

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Course Project – Medicaid And The Middle Class

Medicaid and the Middle Class

Description

Part I: Medicaid is not just for low-income people. The American middle class benefits significantly from the Medicaid program. In a 4-5-page synopsis, analyze a specific Medicaid program that seeks to benefit the middle class in the state in which you reside,Florida. Please keep in mind the position and facility you selected,Office Assistant Administrator.Make sure to include the following: Course Project – Medicaid And The Middle Class

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  1. Discuss the purpose of the program.
  2. Describe whether the program is effective and offer evidence to support your rationale.
  3. Discuss other viewpoints or opposing viewpoints to the program.
  4. This portion of your assignment will require you to research and examine information from various sources. Use a minimum of five credible sources for your paper, with three being an academic source from the Rasmussen College Online Library (don’t forget to include in-text citations throughout your paper with paraphrasing or quoting)
  5. Make sure to include your APA formatted reference page.

Part II: It’s tough for healthcare professionals to keep up with all the programs offered through the government. Based on the position and facility you selected, create a one-page information sheet for our staff that they can use to answer questions. SkillSurfer in the online tutoring platform offers beginner, intermediate, and advanced tutorials on Microsoft Office products. Course Project – Medicaid And The Middle Class

  1. The information sheet should give your staff enough information to have an educated conversation with a patient about their healthcare coverage options through Medicaid.
  2. Make sure to use audience specific language and tone in your information sheet. Remember, you are writing this information sheet for your staff.
  3. Be creative and make your information sheet fun and organized.

Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Course Project – Medicaid And The Middle Class

 

Health Care Delivery System Case 4

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Health Care Delivery System Case 4

Assignment Overview

There are many issues that affect the delivery of health care in the U.S. At the forefront, coverage, access, and cost are of the utmost importance. Although these problems may not be around forever, it is important as a health professional to be able to direct your company and employees through the challenge. Health Care Delivery System Case 4

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Assignment

In a 2-3-page paper, complete the following:

  1. Discuss in detail how coverage, access, and cost adversely affect health care delivery in the U.S.
  2. Identify 1-2 methods or approaches for each challenge (coverage, access, and cost)health care leaders could use to circumvent these challenges within a health care organization.

Include an introduction and conclusion paragraph in your scholarly paper.

Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your responses in your paper.
  2. Limit your total paper to a maximum of 3 pages, not including your title or reference page.
  3. Support with peer-reviewed articles, at least 3 references, must use 2 below, use subheadings.

Peer-reviewed References:

Aron-Dine, A. (2017). Health care: Issues impacting cost and coverage. Center on Budget and Policy Priorities. Retrieved from https://www.cbpp.org/health/health-care-issues-impacting-cost-and-coverage

Knickman, J., Kovner, A. R., & Jonas, S. (2015). Chapter 16 The future of health care delivery and health policy. In Jonas and Kovner’s health care delivery in the United States. (11th ed). New York, NY: Springer Publishing Company. Available in the Trident Online Library. Health Care Delivery System Case 4

Shi, L., & Singh, D. A. (2017). Chapter 12 Cost, access, and quality. In Essentials of the U.S. health care system (4th ed.).. Burlington, MA: Jones & Bartlett Learning. Available in the Trident Online Library.

Shi, L., & Singh, D. A. (2017). Chapter 14 The future of health services delivery. In Essentials of the U.S. health care system (4th ed.). Burlington, MA: Jones & Bartlett Learning. Available in the Trident Online Library.

Gibbons, C. M. & Shaikh, Y. (2017). A Vision of the Future: Organization and Delivery of Healthcare in the Digital Age. Health Management Policy & Innovation. Retrieved from https://hmpi.org/2017/09/06/a-vision-of-the-future-organization-and-delivery-of-healthcare-in-the-digital-age/

Health Care Delivery System Case 4

How is integrity displayed in your clinical setting

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Write a 1- 2 page essay addressing the discussion questions posed for the one you selected.  Be sure to clearly identify the news clipping you selected.

Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.

Find Out More: You may use these and other outside sources to frame your discussion.

  • The Pain of Wrong Site Surgery
  • Judgment Upheld in Arkansas Brain Surgery Lawsuit
  • National Quality Forum

Assignment Discussion Questions

1. Discuss the issues of integrity in this case.

2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer. 

3. Why did you choose to respond to this story?

4. How is integrity displayed in your clinical setting?

Video transcript

 #1 Wrong Operation Doctor (ethics and integrity) Hospitals find it hard to protect patients from wrong-site surgery. Last year a jury returned a $20 million negligence verdict against Arkansas Children’s Hospital for surgery performed on the wrong side of the brain of a 15-year-old boy who was left psychotic and severely brain damaged. Testimony showed that the error was not disclosed to his parents for more than a year. The hospital issued a statement saying it deeply regretted the error and had “redoubled our efforts to prevent” a recurrence. So, what happened? “Health care has far too little accountability for results … . All the pressures are on the side of production; that’s how you get paid,” said Peter Pronovost, a prominent safety expert and medical director of the Johns Hopkins Center for Innovation in Quality Patient Care. He added that increased pressure to quickly turn over operating rooms has trumped patient safety, increasing the chance of error. Kenneth W. Kizer, who coined the term “never event” nearly a decade ago when he headed the National Quality Forum, a leading patient safety organization, said he believes reducing the number of errors will require tougher reporting rules and increased transparency.  

Immune responses and defense against environmental antigens

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Question

Question 1

2 / 2 pts

Clinical manifestations of fibromyalgia include

hot, tender, and edematous muscle groups bilaterally.

exercise intolerance and painful muscle cramps.

fasciculations of the upper and lower extremity muscles.

burning or gnawing pain at tender points and profound fatigue.

Question 2

0 / 2 pts

What is the diagnosis of a person who has tennis elbow characterized by tissue degeneration or irritation of the extensor carpi brevis tendon?

Bursitis

Lateral epicondylitis

Lateral tendinitis

Medial tendinitis

Question 3

2 / 2 pts

_____ is the temporary displacement of two bones in which the bone surfaces partially lose contact.

Nonunion

Dislocation

Subluxation

Malunion

Question 4

2 / 2 pts

In ankylosing spondylitis, the CD8+ T cells are presented with which of the following antigens?

Tendons

Synovium

Cartilage

Ligaments

Question 5

2 / 2 pts

What causes the crystallization within the synovial fluid of the joint affected by gouty arthritis?

Overproduction of uric acid

Increase in the glycosaminoglycan levels

Reduced excretion of purines

Overproduction of proteoglycans

Question 6

2 / 2 pts

_____ is a chronic inflammatory joint disease characterized by stiffening and fusion of the spine and sacroiliac joints.

Paget disease

Fibromyalgia

Ankylosing spondylitis

Rheumatoid arthritis

Question 7

2 / 2 pts

Rhabdomyolysis is characterized by

lysis of skeletal muscle cells through the initiation of the complement cascade.

smooth muscle degeneration resulting from ischemia.

paralysis of skeletal muscles resulting from impaired nerve supply.

release of myoglobin from damaged striated muscle cells.

Question 8

0 / 2 pts

An insufficient dietary intake of vitamin _____ can lead to rickets in children.

D

B12

B6

C

Question 9

2 / 2 pts

Which protein, absent in muscle cells of Duchenne muscular dystrophy, mediates the anchoring of skeletal muscles fibers to the basement membrane?

Syntrophin

Dystrophin

Laminin

Troponin

Question 10

2 / 2 pts

Ewing sarcoma arises from

embryonal osteocytes.

metadiaphysis of long bones.

bone-producing mesenchymal cells.

bone marrow.

Question 11

2 / 2 pts

Osteochondrosis is caused by a(n)

bacterial infection of the bone.

nutritional deficiency of calcium and phosphorus.

imbalance between calcitonin and parathyroid hormone.

vascular impairment and trauma to bone.

Question 12

2 / 2 pts

Molecular analysis has demonstrated that osteosarcoma is associated with

TP53.

myc.

TSC2.

src.

Question 13

2 / 2 pts

The pain experienced in Legg-Calvé-Perthes disease is referred to as involving

elbows and upper and lower arms and is described as a continuous ache and relieved by anti-inflammatory drugs.

knees, inner thighs, and groin and is described as a continuous ache and relieved by anti-inflammatory drugs.

knees, inner thighs, and groin that is aggravated by activity and relieved by rest.

elbows and upper and lower arms that is aggravated by activity and relieved by rest.

Question 14

2 / 2 pts

Facioscapulohumeral muscular dystrophy is likely inherited from one’s

father.

mother.

affected parent.

maternal lineage.

Question 15

2 / 2 pts

The total mass of muscle in the body can be estimated from which serum laboratory test value?

Creatine

Blood urea nitrogen

Albumin

Creatinine

Question 16

2 / 2 pts

Cutaneous vasculitis develops from the deposit of _____ in small blood vessels as a toxic response allergen.

T lymphocytes

immune complexes

complement

IgE

Question 17

2 / 2 pts

Which cells of the dermis secrete connective tissue matrix?

Fibroblasts

Macrophages

Histiocytes

Mast cells

Question 18

2 / 2 pts

Which malignancy is characterized by slow-growing lesions that usually have depressed centers and rolled borders and are frequently located on the face and neck?

Squamous cell carcinoma

Kaposi sarcoma

Malignant melanoma

Basal cell carcinoma

Question 19

2 / 2 pts

Keloids are sharply elevated, irregularly shaped, progressively enlarging scars caused by excessive amounts of _____ in the corneum during connective tissue repair.

reticular fibers

collagen

elastin

stroma

Question 20

2 / 2 pts

_____ of the epidermis initiate immune responses and provide defense against environmental antigens.

Melanocytes

Keratinocytes

Merkel cells

Langerhans cells

Question 21

2 / 2 pts

Thrush is a superficial infection that commonly occurs in children and is caused by

Candida albicans.

Streptococcus.

Staphylococcus.

herpesvirus.

Question 22

2 / 2 pts

Which vascular anomaly is a congenital malformation of dermal capillaries that does not fade with age?

Cavernous hemangioma

Port-wine (nevus flammeus) stain

Strawberry hemangioma

Cutaneous hemangioma

Question 23

0 / 2 pts

Which of the following viral diseases has an incubation period of 14 to 21 days and a duration of 1 to 4 days?

Varicella

Rubeola

Roseola

Rubella

Question 24

2 / 2 pts

Which clinical manifestation is considered the hallmark of atopic dermatitis?

High fever

Itching

Papular rash

Vesicles that burst and form crusts

Question 25

2 / 2 pts

Which contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site?

Rubeola

Scabies

Pediculosis

Tinea capitis

Factors That Influence The Development Of Psychopathology

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Factors That Influence The Development Of Psychopathology

In many realms of medicine, objective diagnoses can be made: A clavicula is broken.  An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Sadock et al., 2015).

Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?Factors That Influence The Development Of Psychopathology

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To Prepare:

· Review this week’s Learning Resources, considering the many interacting factors that contribute to the development of psychopathology.

· Consider how theoretical perspective on psychopathology impacts the work of the PMHNP.

Assignment: In 5 pages, Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology Factors That Influence The Development Of Psychopathology.