Academic Success and Professional Development Plan Template

To Prepare:

· Review the Walden and the School of Nursing (SON) mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this week’s Learning Resources.

· Reflect on your professional and academic goals as they relate to your program/specialization.

· Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner.

· Also consider academic and professional individuals and teams that you may collaborate with in support of your efforts as a student at the University and as a professional within your organization and career.

-Post a brief post introducing yourself to your colleagues. Include an explanation for how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN program outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner. 

-Then, post a draft of Part 1 of your Academic Success and Professional Development Plan Template indicating at least two academic and at least two professional individuals or teams that you would like to collaborate with to be successful in your MSN program and as a practicing nurse along with an explanation for your selections.

Rubrics

OutstandingExcellentGoodFairPoor
Main Posting50 (50%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and synthesizes additional current credible sources. Supported by three or more current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA Manual writing rules and style.45 (45%) – 49 (49%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA Manual writing rules and style.40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA Manual writing rules and style.35 (35%) – 39 (39%)Responds to some of the discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely, may contain more than two spelling or grammatical errors. Contains some APA formatting errors.0 (0%) – 34 (34%)Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA Manual writing rules and style.
First Response18 (18%) – 18 (18%)Response exhibits a synthesis of critical thinking and application to practice settings. Provides clear concise opinions and ideas that are support by two or more scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.17 (17%) – 17 (17%)Response exhibits critical thinking and application to practice settings. Provides clear concise opinions and ideas that are support by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.15 (15%) – 16 (16%)Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Response to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported at least one scholarly source. Response is effectively written in standard, edited English.12 (12%) – 14 (14%)Response is on topic, may have some depth. Responses posted in the discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas and a few or no credible sources are cited.0 (0%) – 11 (11%)Response may not be on topic, lacks depth. Responses posted in the discussion lack effective professional communication. Response to faculty questions are missing. No credible sources are cited.
Second Response18 (18%) – 18 (18%)Response exhibits a synthesis of critical thinking and application to practice settings. Provides clear concise opinions and ideas that are support by two or more scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.17 (17%) – 17 (17%)Response exhibits critical thinking and application to practice settings. Provides clear concise opinions and ideas that are support by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.15 (15%) – 16 (16%)Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Response to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by at least one scholarly source. Response is effectively written in standard, edited English.12 (12%) – 14 (14%)Response is on topic, may have some depth. Responses posted in the discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas and a few or no credible sources are cited.0 (0%) – 11 (11%)Response may not be on topic, lacks depth. Responses posted in the discussion lack effective professional communication. Response to faculty questions are missing. No credible sources are cited.
Main Posting: Timely and full participation14 (14%) – 14 (14%)Posts main discussion by due date. Meets requirements for full and active participation. Posts on more than 3 different days.13 (13%) – 13 (13%)Posts main discussion by due date. Meets requirements for full participation. Posts on 3 different days.10 (10%) – 10 (10%)Posts main discussion by due date. Posts on 2 different days.5 (5%) – 5 (5%)Does not post main discussion by due date. Posts on 2 different days.0 (0%) – 0 (0%)Does not meet requirements for full participation. Does not post main discussion board by due date. Posts on 1 day.
Total Points: 100

Name: NURS_6002_Week_1_Discussion_Rubric

Professional Capstone And Practicum Reflective Journal

 Details:

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Benchmark – Future Scope, Role, And Professional Obligations

Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system.(Emergency Room R.N.) Write a 1,250-1,500-word paper that includes the following:

A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.

A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?

A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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

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

Ethical And Spiritual Decision Making In Health Care

Project Details:

Write a reflection about worldview and respond to following:

  1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
  2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
  3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence?

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

How to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation

Purpose

The purpose of this assignment is to learn how to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation. You will gain insight into conflict management strategies and develop a plan to collaborate with a potential nurse leader about the conflict and its impact in a practice setting.

Directions

  1. Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333.
  2. Write a 7 page paper (not including the title or References pages).  Follow APA format. Consult your APA manual, and consider using the APA resources provided by Chamberlain. Cite the course textbook and two scholarly sources. You are required to complete this assignment using the productivity tools required by Chamberlain 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, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu  (Links to an external site.)Links to an external site.  Click on the envelope at the top of the page. 
  3. Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. This should be from your practice setting or prelicensure experiences.
  4. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
  5. REVIEW AND DISCUSS the four stages of conflict as found in Finkelman. IDENTIFY AND EXPLAIN how the stages of conflict relate to the example in your workplace.Do not use direct quotes.
  6. Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to deal with the conflict. Besides the textbook, the paper needs to summarize conflict resolutions from two scholarly articles. 
  7. Describe the rationale for selecting the best strategy.
  8. Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.

Textbook:

Finkelman, A. (2016). Leadership and management for nurses: Core competencies for quality care (3rd ed.). Boston, MA: Pearson.

The Role Of The Nurse Informaticist In Systems Development And Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

Planning and requirements definition

Analysis

Design of the new system

Implementation

Post-implementation support

Evidence-Based Practice And The Quadruple Aim

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

Rubrics:

Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:

· Patient experience

· Population health

· Costs

· Work life of healthcare providers–

Levels of Achievement: Excellent 77 (77%) – 85 (85%) Good 68 (68%) – 76 (76%) Fair 60 (60%) – 67 (67%) Poor 0 (0%) – 59 (59%)

Written Expression and Formatting—Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.–

Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%)

Written Expression and Formatting—English Writing Standards:

Correct grammar, mechanics, and proper punctuation.–

Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%)

Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%)

Integrated strategic management and implementation plan for a health care organization

Create an integrated strategic management and implementation plan for a health care organization that incorporates instructor and real world feedback into a final balanced scorecard analysis and strategic plan.

Note: The assessments in this course are presented in sequence and must be completed in order. You may not begin this assessment until you have completed and received feedback from your instructor for each of the previous assessments in this course.

The successful implementation of a strategic plan requires effective communication and a thorough understanding of not only the role of the organization within the greater community, but the role of leadership within the organization. By effectively engaging stakeholders and understanding the philosophy of strategic management, leaders can mitigate challenges and hurdles that face those directing change.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces.

1. Analyze potential long-term opportunities and operational components in the strategic planning process.

. Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.

2. Analyze the effect of the strategy formulation on human, financial, and technical resources.

. Competency 3: Recommend an organizational structure and design to optimize a strategic plan.

3. Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

. Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.

4. Incorporate feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

4. Assemble a professional final report that meets the needs and expectations of a specific audience.

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Context

In the workplace it is essential to periodically measure outcomes of key performance indicators on the strategic plan in order to meet the overall goals of the organization.

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Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

. What is the purpose of the balanced scorecard?

. How do key performance indicators in the four perspectives affect the department, service line, or strategic business unit in which you currently work or desire to work?

. From the time that a new vision and directional strategy are defined, what are the logical steps that you as a healthcare leader can take to assure that your actions align with the needs of the organization?

. How do you, your team, your department, et cetera, add value in a measurable way to the organization?

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Resources

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Capella Resources

Click the links provided to view the following resources:

. ePortfolio.

. Using Kaltura [PDF].

. APA Paper Template.

. APA Paper Tutorial.

Show Less

Skillsoft Tutorials

If you feel you need help using PowerPoint the following resources will help you expand your skills.

. Search Capella Tutorials for PowerPoint tutorials.

Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course:

. Ballé, M., Morgan, J., & Sobek, D. K. (2016). Why learning is central to sustained innovation. MIT Sloan Management Review57(3), 63–71.

. Daly, R. (2014). The structure of value. Healthcare Financial Management68(1), 56–63.

. Gingrass, J. (2015). Changing the channel: Strategies for expanding patient access. Healthcare Financial Management69(4), 64–68.

. Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013) . Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass.

. Mangelsdorf, M. E. (2016). Mastering strategy. MIT Sloan Management Review57(2), 67–71.

. Sheffi, Y. (2015). Preparing for disruptions through early detection. MIT Sloan Management Review57(1), 31–42.

Course Library Guide

A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the MHA-FP5010 – Strategic Health Care Planning Library Guide to help direct your research.

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· Assessment Instructions

Overview

This assessment is the culmination of your work in the course. It includes the analyses you made of your selected organization, details of your proposed strategic plan, and recommendations for implementing your plan. An important aspect of this assessment is providing the rationale used when you incorporate feedback from stakeholders and/or colleagues (instructor, mentor…) into your integrated final report.

Preparation

To successfully complete this assignment, you will be expected to:

· Use strategic management and knowledge management theory and research to analyze the current environment of a health care organization.

· Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

· Synthesize operational and financial components in the strategic planning process.

· Evaluate the effect of your strategy formulation.

· Integrate additional knowledge that you have gained and feedback you have received as the course progressed.

· Incorporate any necessary instructor feedback and real-world feedback (from colleagues, for example) into previously submitted assessments, including your Kaltura recording and PowerPoint presentation.

Integration of Feedback

· Step One: Share this plan with a colleague in your profession (preferably in the health care organization you are analyzing) and receive feedback on your management and implementation strategies.

· Step Two: Integrate additional knowledge that you have gained along with the feedback you have received as the course progressed. Incorporate real-world and instructor feedback into previously submitted elements, including your Kaltura recording and PowerPoint presentation.

. Refine each element accordingly and assemble a fully integrated plan. Create footnotes where refinements were made as a result of feedback received. Call out your rationale for changes made or reasons you chose to retain elements even though a stakeholder might have called for a change.

. Re-record your 5–10 minute presentation as needed.

Final Report

Create a 12–15-page final report addressed to senior leadership in your selected organization that contains your balanced scorecard analysis and your proposed strategic plan. Your final report should contain the following elements.

· Title page.

· Executive summary: This is a 1-page summary of the main points of your analysis, an overview of the feedback you have received from stakeholders, along with the major recommendations contained in your strategic plan.

· Table of Contents.

· Section headings and sub-headings (based on the content of your analysis and your strategic plan).

· Footnotes: Provide a reference or footnote where substantive refinements were made from previous assessments. Support your rationale for changes or lack of changes in both management strategies as well as implementation strategies with relevant scholarly resources.

· References.

· Appendices.

Additional Requirements

· Written communication: Written communication should be free of errors that detract from the overall message.

· APA formatting: Resources and citations are formatted according to current APA style and formatting.

· Number of resources: Minimum of 10 peer-reviewed research resources.

· Length of PowerPoint presentation: 10–12 presentation slides.

· Length of final report: 12–15 pages, excluding cover page and references.

Submit your integrated strategic plan, PowerPoint presentation, and refined Kaltura presentation to this assessment.

Portfolio Prompt: You may choose to save this assessment to your ePortfolio.

Advanced Coding: Integumentary/Cardiovascular/Sensory

Please answer all questions CORRECTLY, and return back to me.

  1. A 38-year-old patient is admitted to the hospital due to a lesion in her right breast, and a painful lump and nipple discharge from the left breast. The physician places a percutaneous needle localization device in the right breast under ultrasound guidance, excises the right breast lesion, and then excises the lactiferous duct fistula in the left breast. What CPT codes should be assigned? A. 19129-RT, 19284-RT, 19122-LT B. 19125-RT, 19285-RT, 19112-LT C. 19127-RT, 19283-RT, 19132-LT D. 19122-RT, 19275-RT, 19142-LT
  2. A 92-year-old female patient experiences difficulty hearing in her left ear. She is prescribed a BICROS hearing aid that she can wear behind the ear. What HCPCS code is assigned? A. V5250 B. V5320 C. V5220 D. V5240
  3. A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What CPT code should be assigned? A. 01612-P1 B. 01402-P1 C. 01202-P1 D. 01312-P1
  4. An 80-year-old patient is admitted to the hospital with congestive heart failure. What ICD-10-CM code should be assigned? A. K15.0 B. L50.5 C. K52.9 D. I50.9
  5. A 44-year-old female patient comes to the hospital for removal of a 4 cm malignant lesion from the arm. During the course of the procedure, the patient undergoes a 14 sq. cm adjacent tissue transfer from the right leg, as well as a 20 sq. cm split-thickness skin graft from the left arm. What CPT codes are assigned? A. 14021, 15100-51 B. 14045, 15400 C. 14032, 15207 D. 14044, 15350
  6. A patient has a breast localization device placed through the skin using stereotactic guidance in order to treat two lesions. What codes would be assigned? A. 19285, 19286 B. 19287, 19288 C. 19283, 19284 D. 19296, 19297
  7. A 19-year-old patient is diagnosed with acne vulgaris. The physician performs laser dermabrasion of the facial skin. What codes are assigned? A. L50.5, 0HB1XZZ B. L70.0, 0HD1XZZ C. L70.5, 0HA1XZZ D. L70.6, 0HQ1XZZ
  8. Implantation of a patient-activated cardiac event recorder is assigned to code A. 33286. B. 33282. C. 33285. D. 33284.
  9. A 27-year-old patient is diagnosed with a chalazion on the upper left eyelid, which is excised using an external approach. What ICD-10 diagnosis and procedure codes are assigned? A. H04.16, 08BQXZZ B. H02.14, 08BTXZZ C. H00.14, 08BPXZZ D. H07.19, 08BRXZZ
  10. A 77-year-old patient is diagnosed with an ear infection. She receives an injection of 40 mg of gentamicin sulfate. What HCPCS code should be assigned? A. J1452 B. J1472 C. J1675 D. J1580
  11. A patient undergoes a transcanal labyrinthectomy. What code would be assigned? A. 69930 B. 69915 C. 69955 D. 69905
  12. A 92-year-old patient is diagnosed with senile cataracts and bilateral sensorineural hearing loss. The physician performs a bilateral cataract extraction. What ICD-10 codes are reported? A. H27.9, H90.3, 08KJ3ZZ, 08MK3ZZ B. H26.9, H90.3, 08EJ3ZZ, 08LK3ZZ C. H25.9, H90.3, 08DJ3ZZ, 08DK3ZZ D. H21.9, H90.3, 08PJ3ZZ, 08NK3ZZ
  13. Mr. Oliver is an elderly gentleman who has been having problems with his vision for the previous three weeks. He is diagnosed with keratoconus, as well as hypertension with stage III chronic kidney disease, and diabetes mellitus, for which he takes long-term insulin. The anesthesiologist provided general anesthesia for this patient with severe systemic disease. After the administration of anesthesia, the surgeon performs an endothelial keratoplasty. Prior to performing the endothelial keratoplasty, the surgeon performs backbench preparation of the allograft. Code this scenario (including the anesthesiology service). A. 65756, 65757, 00144-P3; H18.609, E11.65, R46.89, Z79.4 B. 65754, 65727, 00134-P1; H18.609, E11.40, I12.9, N18.4, Z79.899 C. 65756, 65757, 00144-P3; H18.609, E11.9, I12.9, N18.3, Z79.4 D. 65757, 65787, 00142-P2; H18.229, E11.51, I12.0, N18.9
  14. A 47-year-old female patient is seen for a worrisome lesion on the back of her hand. What ICD-10-CM code should be assigned? A. L94.9 B. L98.9 C. L91.5 D. L97.4
  15. Breast reconstruction with transverse rectus with a TRAM flap would be assigned to code A. 19370. B. 19342. C. 19369. D. 19316.
  16. Ms. Nelson comes to the emergency room due to sustaining multiple lacerations after being pushed into a glass door during a physical altercation with her husband at a hotel. She sustained a 5 cm laceration on her right hand and a 7 cm cut on her neck. She also has a 5.0 benign lesion removed from her left arm. The physician performs a simple repair on the lacerations on her hand and neck. Code this scenario. A. 11443, 12008-59; S61.209A, S31.652A, Y04.0XXA, W45.8XXA, V97.29XA B. 11422, 12007-59; S51.809A, S61.351A, W86.8XXA, Y04.0XXA C. 11409, 12005-59; S58.119A, S11.22XA, X19.XXXA, V95.13XA D. 11406, 12004-59; S61.401A, S11.90XA, Y04.0XXA, W45.8XXA, Y92.29
  17. Biopsy of the lacrimal gland is assigned to code A. 68520. B. 68811. C. 68815. D. 68510.
  18. A patient comes to the emergency room complaining of lightheadedness and difficulty hearing. The physician examines her and determines that she has Ménière’s disease. The physician performs an endolymphatic sac decompression (excision of the right inner ear using an open approach). What ICD-10 diagnosis and procedure codes are assigned? A. H81.03, 09BF0ZZ B. H83.03, 09BK0ZZ C. H81.03, 09BD0ZZ D. H82.03, 09BG0ZZ
  19. A physician performs a biopsy of the cornea. What code should be assigned? A. 65420 B. 65410 C. 65419 D. 65415
  20. Injection of contrast medium for dacryocystography is assigned to code A. 68853. B. 68854. C. 68850. D. 68851.

Nursing homework help

“Fear,” according to the DSM-5, “is the emotional response to real or perceived imminent threat, whereas anxiety is anticipation of future threat” (APA, 2013). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease.

 

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5 criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5 criteria.  Nursing homework help

To Prepare:

  • Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

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Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis. Nursing homework help

Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

 

 

American Psychiatric Association. (2013). Anxiety disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm05

 

American Psychiatric Association. (2013). Obsessive compulsive and related disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm06

 

American Psychiatric Association. (2013). Trauma- and stressor-related disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.dsm07