Considering the circumstances and the preliminary workup and the type of anemia

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Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.” Considering the circumstances and the preliminary workup and the type of anemia

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Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an APA format essay of 500-750 words, explain your answer and include rationale. For internet references please only use .mil, .edu, .gov, and medical/nursing journals. All original work and no plagiraism please. Considering the circumstances and the preliminary workup and the type of anemia

How to recognize the clinical manifestations of patient with pulmonary edema

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Creating Online Quizzes

The testing and assessment process is often a struggle for educators. For many, finding the balance between a seemingly “hard” or “easy” question takes much practice. Furthermore, the development of question formats and stems can be a difficult concept to master. To aid in quiz development, nurse educators can use models such as The 3Cs(illustrated below) to focus more on the content of their questions and less on the actual construction. Nurse educators can also use prompts and templates provided at quiz development websites to assist quiz design. These websites can also help instructors easily administer quizzes in the online environment.

The 3Cs Model of Test Item Writing:

·         Content, concepts, and criterion. Use the content of the lesson as well as overarching concepts and nursing criterion (like NCLEX and other formal assessments) as a blueprint for your questions. In addition, consider the ideas and teachable moments that have occurred in the classroom or during clinical rotations.

·         Clarity and complexity. Be sure that your question stems are clear, straightforward, and use simple language. In addition, write your questions at the application or analysis level of Bloom’s Taxonomy. This will prompt students to move beyond basic comprehension and memorization. How to recognize the clinical manifestations of patient with pulmonary edema

·         Critique. Always go back and examine the questions that you have created. This process should be completed both before and after examinations. As with all teaching strategies, evaluation and revision is imperative to ensure the effectiveness of instruction.

Questions to be addressed on my paper:

1.       Review this week’s Learning Resources on developing multiple-choice quiz questions. How might you use the 3Cs and other best practices to craft your own quiz questions?

2.       Select one Lesson Plan (which is Pulmonary Edema) you will use as the focus of your online quiz. Then, craft three quiz questions (write your questions at the application or analysis level of Bloom’s Taxonomy) that are closely linked to the learning objectives and learning need of the lesson.

Learning Objectives:

a.       Explain how to recognize the clinical manifestations of patient with pulmonary edema

b.      Describe the treatment regimens of pulmonary edema

c.       Analyze  the priority nursing interventions for patients with pulmonary edema

d.      Create a concept map of pulmonary edema

3.       Brief description of one challenge that you experienced in crafting meaningful quiz questions and one challenge you experienced in using the technology platform. Briefly explain how you overcame each of these challenges.

4.       Explain whether you would use this technology to facilitate quiz development in a future learning environment and why How to recognize the clinical manifestations of patient with pulmonary edema

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Reminder:

1.      Put APA citations and references between 2011 – 2016… References that are below 2010 are obsolete already….

2.      At least two pages

Required Readings

Bristol, T. J., & Zerwekh, J. (2011). Essentials of e-learning for nurse educators. Philadelphia, PA: F. A. Davis Company.

  • Chapter 9, “E-Learning Assessment” (pp. 165–179)

Chapter 9 provides a brief description of each of the following e-learning assessments: rubrics, examinations, discussions, essays/papers, performance assessments, simulations/case studies, and portfolios.

Stanford Center for Teaching Excellence. (n.d.). Tomorrow’s professor Msg. #932 general guidelines for developing multiple-choice items. Retrieved February 21, 2013, from http://cgi.stanford.edu/~dept-ctl/cgi-bin/tomprof/posting.php?ID=932&search=general%20guidelines

At this website, review the nine “General Guidelines for Developing Multiple-Choice Items.”

Optional Resources

Dickinson, M. (2012). The thing about multiple-choice tests. Learning Solution Magazine. Retrieved from http://www.learningsolutionsmag.com/articles/861/the-thing-about-multiple-choice-tests-

Poll Everywhere. (n.d.). Retrieved January 29, 2013, from http://www.polleverywhere.com/

Poll Everywhere allows users to create multiple choice and free response polls. As a registered user (free for basic use), you will be able to create the five quiz questions needed for your Discussion assignment. Before selecting this website, click on Take the Tour and watch video tutorials on how to navigate this website.

Survey Monkey. (n.d.). Retrieved January 29, 2013, from http://www.surveymonkey.com/

Though titled “Survey” Monkey, this website allows you to create more than just basic surveys. This website allows you to design, collect, and analyze your quiz results. Free registration is required to create your quiz How to recognize the clinical manifestations of patient with pulmonary edema

Formulating and analyzing nursing/clinical problems related to nursing and other disciplines

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The purpose of this assignment is for the student to learn to assimilate, analyze, critique, and summarize original research articles. In other words, select a report of a single, original study. Course Outcomes Through this assignment, the student will demonstrate the ability to: (CO 2) Formulate and analyze nursing/clinical problems related to nursing and other disciplines. (PO 1, 2, 4, 6, 7, 8, 9, 10) (CO 3) Synthesize for dissemination the research findings from nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11) Due Date: Sunday 11:59 p.m. MT at the end of Week 3 Total Points Possible: 165 Points Requirements Through this assignment, the student will 1. Conduct a systematic search of relevant databases to find research-based evidence related to a nursing problem (CO 2); 2. Construct a summary table of four peer-reviewed quantitative single original studies, indicating the purpose, sample, design/level of evidence, findings, and limitations of each (CO 3), within table bullet points are required to present the information; and 3. Summarize the findings of the four studies as a whole using the usual text format (not a table) (CO 3). Preparing the Table Conduct a PICO(T) search on the nursing problem related to your practice setting. Select the four most recent peer-reviewed studies that describe original research in a single study (do not select a meta-analysis, systematic review of research, or integrative literature review). Refer to the Types of Articles Found in the Nursing and Healthcare document in the Course Resource section to make sure that you are using the correct document. Construct a table summarizing the four most credible and recent studies, using the Research Summary template on the next page (also found in Course Resource Section). Analyze each article and provide the following information in brief format: purpose of the study; type of sample and number of participants; design of the study, along with the level of evidence; findings of the study; and limitations of the study. The use of bullets to present the information in the table (rather than cutting and pasting information from the reference) is required. Cutting and pasting information from the article may result in an evaluated TurnItIn score. Preparing the Summary Briefly (4-6 pages; not including cover page and reference page(s)) summarize the results of the four studies as a whole. Follow this outline: I. In a short paragraph, restate your research question and describe your search strategy. (10 points) II. Analysis of the designs used in the studies presented in your research summary table. (10 points) III.

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Where do these studies fall on the Levels of Evidence table? What is the significance of this information? (10 points) IV. Based on these studies, what are the findings? What is the answer to the research question? How well do the studies answer or fail to answer the question? Formulating and analyzing nursing/clinical problems related to nursing and other disciplines Provide rationale to support your answer. (10 points) V. How was each sample selected and how many participants in the studies? Is this number adequate? Why or why not? (10 points) VI. Overall, what are the limitations of the study, and how can these limitations be overcome in subsequent studies? (10 points) VII. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice or an idea for practice? Why or why not? Please provide a rationale for your answer. (10 points) Provide your references, formatted in APA style, after the summary. Include the doi number for each article. Submit a permalink of each article you have chosen for this assignment (directions on how to obtain a permalink are located in the Course Resource section). Instructions for setting up your paper in APA 6th edition format. Look at the example document for this assignment. Start your paper as you would for any scholarly assignment and use of APA 6th edition format is required. Copy and paste the table into your APA paper. This should allow your paper to remain in a vertical format. The vertical (i.e. portrait format) is required. Your paper should be ONE document. Research Summary Table (template provided in a separate document located in Course Resources) Student Name: ___________________ PLEASE NOTE: The information in this table should be presented using bullet points rather than copying and pasting information from the reference. Copying and pasting directly from the article may result in an elevated TurnItIn score. Author (year) Purpose Sample/Number of Participants (provide descriptive statistics) Design Level of Evidence Findings (provide any inferential statistics) Limitations Study 1 Study 2 Study 3 Study 4 Category Points % Description Selection of Articles 10 6.06 Selects appropriate, single studies from professional, peer-reviewed literature. Describes the Purposes of Studies 10 6.06 Description of the purpose of the studies is clear. Describes the Study Samples 10 6.06 Description of the samples used in the studies is clear. Describes the Research Designs 10 6.06 Description of the research designs used in the studies is clear. Describes the Level of Evidence 10 6.06 Describes the level of evidence for each study clearly. Description of Findings 10 6.06 Describes the findings of the studies clearly. Description of Limitations 10 6.06 Describes the limitations of the studies clearly. Summary of the Studies 10 6.06 Restatement of research question and search strategy 10 6.06 Analysis of the study designs presented in the summary table 10 6.06 Analysis of levels of evidence and its significance 10 6.06 Analysis of the findings 10 6.06 Analysis of the samples used 10 6.06 Analysis of the limitations of the studies information 10 6.06 Provides recommendation for change or not Grammar, Punctuation, and Spelling 10 6.06 Grammar, spelling, word usage, and punctuation are consistent with rules for formal written work. APA Formatting 10 6.06 APA formatting is correct Submits permalink of each study chosen 5 3.03 Submits a permalink of each study chosen for this assignment. Place the permalink of each study under the respective reference on the reference page. Total 165 100 A quality paper will meet or exceed all of the above requirements. Formulating and analyzing nursing/clinical problems related to nursing and other disciplines

Criminal Prosecution for Nursing Practice

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Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.

Case Study:

Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.

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In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin Criminal Prosecution for Nursing Practice.Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered—1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).

Respond to the following:

  • Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?
  • Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.
  • Can you think of other occupations in which the consequences of unintentional errors have greater legal implications? Discuss your answer.
  • How should the nursing profession respond to this frightening new legal threat?
  • Which sections of the State Nurse Practice Act did the nurses violate?

Reference:

Calfee, B. E, & Plum, S. D. (1997). Nurses indicted: Three Denver nurses face prison           in a case that bodes ill for the profession. Retrieved from http://business.           highbeam.com/4397/article-1G1-19588498/nurses-indicted-three-denver-           nurses-face-prison-case

Support your responses with examples.

Cite any sources in APA format. Criminal Prosecution for Nursing Practice

The benefits to interprofessional research collaboration to improve patient health outcomes

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Please separate each questions answer so: Question 1: answer and references, Question 2: answer and references

250-300 WORDS 2 SCHOLARLY REFERENCES (PREFER NURSING JOURNALS-ALL WITHIN 5 YEARS) EACH QUESTION. APA FORMAT, INTEXT CITATIONS ARE REQUIRED-REFERENCES MUST MATCH IN TEXT CITATIONS AND VICE-VERSA!! The bulk of a posting or assignment needs to be original thought (at least 75%) supported by a reference.

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Question 1:

After reviewing the resources in the Weekly Guide/Week 2, identify a clinical problem within the nurse’s practice setting related to patient care. Develop a research question utilizing the PICO format (SEE ATTACHED). Determine how the research question could guide the nurse’s search of the literature to address the issue to implement a change in practice. Explain the benefits to interprofessional research collaboration to improve patient health outcomes. The benefits to interprofessional research collaboration to improve patient health outcomes

PICO (T) Information:http://www.youtube.com/watch?v=IoXSTjSxkr8

Question 2:

Define and explain the significance quantitative research methodology. Discuss the different types of quantitative research design. Identify and describe a minimum of two types of sampling techniques used in quantitative research. Describe methods for collecting data for quantitative research.

The major concepts that comprise the framework for your model

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Need this by Thursday 4th

1750 words (exculding cover page adn references)

Please follow instructions below

===========================================

I. Title Page. A Model For Advanced Nursing Practice 

II. Table of Contents 

III. Introduction (Include your philosophy of advanced practice nursing in this section.) 

IV. Theoretical Base Briefly 

discuss the one major theory (nursing or non-nursing) upon which this model is based. 

Be sure your clear understanding of the theory is evident in the discussion. 

V. Conceptual Framework 

Identify the major concepts that comprise the framework for your model. 

Discuss the concepts in relation to health promotion, illness prevention, and maintenance of function. 

Discuss how the conceptual framework reflects the metaparadigm of nursing.  The major concepts that comprise the framework for your model

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VI. Advanced Nursing Practice 

A. Nursing. 

Discuss nursing in terms of the goals of health promotion, illness prevention, and maintenance of function. 

Describe the scope of clinical care/therapies/services provided by the master’s prepared nurse using your model. 

Discuss how your model differentiates nursing care/treatment from that provided by other health professionals. 

B. Clientele 

Describe the particular adult clientele to be served/treated/cared for by the advanced practice nurse using this model. 

C. Describe the practice setting(s) in which you see this model best being Implemented and explain your reasons for selecting the setting(s).  

VII. Relationship Between the Conceptual/Theoretical Framework and Advanced Nursing Practice 

How does your model for advanced nursing practice reflect the use of a major theory and a conceptual framework? 

How is the nurse’s advanced practice to be influenced (or directed) by the use of this model? 

How would you expect to see use of this model improving health care? 

VIII. Reference List 

Note: 

1. There must be minimum of 5 References / citations. 

2. The references /citations should not be older than 5 years (2012 – 2017). 

3. References / citations must be written in APA Style. 

4. The References / citations must be from scholarly articles / textbooks/ journals and not from blogs. 

5. Wikipedia must not be used for references at all.  The major concepts that comprise the framework for your model

Human Needs Theory Interactive

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Case study human needsinteractive nursing theory

Complete the Human Needs Theory Interactive Case Study following the readings and presentation for this week. Associate what you have learned about the theories to this case study. Then see the instructions below to complete a journal entry about your experience.

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Human Needs Theory Case Study Reflective Journal and follow the instructions listed within the journal. journal entry reflection should be a minimum of five to six paragraphsCase study of Human Needs Theory Interactive. Use nursing theorys to apply in this casePatient Name: Juan Duran, Mexican American, currently visiting diabetes clinic at the VA, He is exceedingly polite and respectfully healthcare personnel’s. He does not like to interrupt too many questions. He has been USA more than 50 years and navy veterans. Duran was wondering around the hallway and found by Mr. Carson clinical director. Mr. Duran tells him that he’s been instructed start insulin for his diabetes but does not know how. He does not receive call or call for any instructions. Mr. Carson finds diabetes nurse educator Jenny O’Conner and asked her for Mr. Duran’s scheduled for appointment.Nurse jenny interviewed Mr. Duran.Mr. Duran Married, lives in Chula Vista, CA in a comfortable apartment with his wife. Speaks fluent English, but wife’s English is limited. Speaks Spanish at home. Limited vision, wife must administer insulin. Had one daughter, who was found murdered in the apartment parking lot less than two weeks ago, leaving Mr. and Mrs. Duran to care for her child. Mr. Duran seems befuddled by the insulin and syringes and is stoic when he talks about the loss of his daughter. Human Needs Theory Interactive

Effective Approaches in Leadership and Management

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FOLLOW INSTRUCTION, PROOFREAD, SEE RUBRIC ATTACHMENT OR I WILL FILE A CLAIM I AM SICK AND TIRED OF MAKING CORRECTIONS TO WORK I AM PAYING FOR AND TIRED OF SENDING BACK WORK FOR CORRECTIONS TO BE MADE !!!!!!!!!

Details:

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. Effective Approaches in Leadership and Management
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Use at least two references other than your text and those provided in the course.

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Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. Effective Approaches in Leadership and Management

Assessment tools that would be appropriate to use in conducting a thorough geriatric assessment

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Nursing NR601Case study 5: Part One

C.W. is a tall, thin 78-year-old African American male brought into the office by his son who states that the patient is restless, angry, and has been unable to sleep for the last week. The son indicates that he is very concerned about his father because he lives alone. Also, he is concerned about the “strange” symptoms that his father has presented with recently.

Background:

C.W. presents as restless, hyperverbal, obnoxious and angry. He expresses himself by periodic yelling. He is unkempt and smells strongly of urine, alcohol and body odor. He has an unsteady gait and sways while standing. As you converse with the son, you determine that C.W. was medically separated from military service due to mental health issues after 2 years of active duty that ended in 1947. He has been married and divorced three times over the years. He typically seeks no acute or preventative medical care. He was treated by a psychiatrist previously, but he did not like taking the prescribed medications so he stopped taking them and did not keep any further psychiatric appointments. Assessment tools that would be appropriate to use in conducting a thorough geriatric assessment

PMH:

Patient denies any previous diagnoses. :

Patient denies any previous diagnoses. However, when asked why he saw a psychiatrist in the past, he tells you that the psychiatrist diagnosed paranoid schizophrenia, but that he does not have any psychiatric diagnoses or problems. He states: “It was just a way for him to make money off me coming in and seeing him and paying the drug companies for me to take all those meds!”

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Current medications:

Denies prescription medications, over the counter medication, herbal therapies or vitamins.

Surgeries:

Denies surgeries

Allergies: NKA

Vaccination History:

Flu vaccine: never given

Pneumovax: never given

Tetanus: never given

Herpes zoster: never given

Screening History:

Last Colonoscopy was 2012-normal

Last dilated retinal and glaucoma exam was 2013

Social history and Risk Factors:

Patient admits to smoking cigarettes and cigars. He estimates that he smokes about 1 pack of cigarettes daily for the last 40 years, and 2 cigars each week for the last 30 years.

He states that he drinks a 24 ounce bottle of beer 4-6 times a week. He denies drinking wine or hard liquor. He does admit to smoking marijuana on occasion but does not use other recreational drugs.

Patient denies falling. You notice some scrapes on his forearms, and when asked, he tells you that he fell yesterday: “I got pretty drunk out fishin’ with friends and fell off my bike trying to ride home”. He does not use any assistive devices for ambulation or balance. Assessment tools that would be appropriate to use in conducting a thorough geriatric assessment

Significant ROS:

Productive cough with white sputum. Denies hemoptysis.

He answers “No” to the PHQ-2 screening questions.

Family history:

Reports no significant family history

Discussion Part One:

•Provide differential diagnoses (DD) with rationale.

•Further ROS questions needed to develop DD.

•Based on the patient data provided, choose geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

Regulation for Nursing Practice Staff Development Meeting

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Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing. Regulation for Nursing Practice Staff Development Meeting

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To Prepare:

  • Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
  • Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

  • Describe the differences between a board of nursing and a professional nurse association.
  • Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
    • Who is on the board?
    • How does one become a member of the board?
  • Describe at least one federal regulation for healthcare.
    • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
    • Has there been any change to the regulation within the past 5 years? Explain.
  • Describe at least one state regulation related to general nurse scope of practice.
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • AT LEAST 3-4 REFERRENCE ARE REQUURED AND ARE TO BE ON SEPARATE SLIDE AT END
  • I HAVE INCLUDED A LIK TO FOLLOW FOR POWERPOINT GUIDELINE. IT IS THE 6 LINE DOWN
  • https://academicguides.waldenu.edu/ld.php?content_id=45326761 Regulation for Nursing Practice Staff Development Meeting