For individual sub-scale scores below 70%, create three Critical Point Statements and identify the reference and page number that correlates with the statement (Title of Book/ page #). Critical Po

For individual sub-scale scores below 70%, create three Critical Point Statements and identify the reference and page number that correlates with the statement (Title of Book/ page #). Critical Point Statements and reference must be handwritten.

Content Area

Three Critical Points

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To receive full credit, 100%, submit the following in the ATI drop down box:

Topics To Review

Management of Care (1 item)

Informed Consent (1 item)

Legal and Ethical Issues: Informed Consent for Electroconvulsive Therapy (RN QSEN – Patient-centered Care, Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 2) Health Promotion and Maintenance (3 items)

Health Promotion/Disease Prevention (2 items)

Anger Management: Risk Factors for Violent Behavior (RN QSEN – Safety , Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 31)

Suicide: Risk Factors for Suicide (Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 30)

High Risk Behaviors (1 item)

Anxiety Disorders: Caring for Client Who Has Posttraumatic Stress Disorder (RN QSEN – Safety , Active Learning Template – System Disorder, RM MH RN 10.0 Chp 11) Psychosocial Integrity (17 items)

Abuse/Neglect (4 items)

Family and Community Violence: Evaluating Priority Outcome Following Intimate Partner Abuse (RN QSEN – Safety , Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 32)

Please see page 6 for an explanation of the Scores and Topics to Review sections Page 1 of 6

Report Created on: 3/11/2019 02:27 AM EDT REP_COMP_3_0_IndividualProctored_3_0_V3

Topics To Review

Family and Community Violence: Priority Nursing Action for Suspected Child Abuse (RN QSEN – Safety , Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 32)

Family and Community Violence: Risk Factors for Child Abuse (Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 32)

Sexual Assault: Priority Interventions (RN QSEN – Teamwork and Collaboration, Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 33)

Behavioral Interventions (2 items)

Family and Community Violence: Evaluating Understanding of Intimate Partner Abuse (RN QSEN – Safety , Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 32)

Personality Disorders: Establishing Client Goals (RN QSEN – Patient-centered Care, Active Learning Template – System Disorder, RM MH RN 10.0 Chp 16)

Chemical and Other Dependencies/Substance Use Disorder (1 item)

Substance Use and Addictive Disorders: Heroin Withdrawal (Active Learning Template – System Disorder, RM MH RN 10.0 Chp 18)

Coping Mechanisms (1 item)

Crisis Management: Assessing Personal Coping Skills (RM MH RN 10.0 Chp 29, Active Learning Template – Basic Concept, RN QSEN – Patient-centered Care)

Crisis Intervention (1 item)

Medications for Depressive Disorders: Analyzing Client Behavior (RN QSEN – Safety , Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 22)

Family Dynamics (2 items)

Eating Disorders: Planning Care for a Client Who Has Anorexia Nervosa (Active Learning Template – System Disorder, RM MH RN 10.0 Chp 19)

Group and Family Therapy: Recognizing Boundaries (RN QSEN – Patient-centered Care, Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 8)

Grief and Loss (1 item)

Care of Those Who are Dying and/or Grieving: Pediatric Concepts of Death (RN QSEN – Patient-centered Care, Active Learning Template – Growth and Development, RM MH RN 10.0 Chp 27)

Mental Health Concepts (5 items)

Bipolar Disorders: Interventions for Manic Episode (RN QSEN – Safety , Active Learning Template – System Disorder, RM MH RN 10.0 Chp 14)

Neurocognitive Disorders: Recognize Contributing Factors for Dementia (Active Learning Template – System Disorder, RM MH RN 10.0 Chp 17)

Personality Disorders: Clinical Findings (Active Learning Template – System Disorder, RM MH RN 10.0 Chp 16)

Psychotic Disorders: Interpreting Client Behavior (RN QSEN – Patient-centered Care, Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 15)

Stress and Defense Mechanisms: Identifying Client Defense Mechanisms  (RN QSEN – Patient-centered Care, Active Learning Template – System Disorder, RM MH RN 10.0 Chp 4) Pharmacological and Parenteral Therapies (5 items)

Adverse Effects/Contraindications/Side Effects/Interactions (1 item)

Medications for Psychotic Disorders: Evaluating Understanding of Risperidone (RN QSEN – Patient-centered Care, Active Learning Template – Medication, RM MH RN 10.0 Chp 24)

Dosage Calculation (1 item)

Dosage Calculation: Administering Conventional Antipsychotics (RM FUND 9.0 Ch 48)

Expected Actions/Outcomes (1 item)

Medications for Bipolar Disorders: Evaluating Effectiveness of Mood Stabilizers (Active Learning Template – Medication, RM MH RN 10.0 Chp 23)

Medication Administration (2 items)

Medications for Bipolar Disorders: Appropriate Nursing Action Based on Lithium Level (Active Learning Template – Medication, RM MH RN 10.0 Chp 23)

Medications for Psychotic Disorders: Teaching About Benztropine (RN QSEN – Patient-centered Care, Active Learning Template – Medication, RM MH RN 10.0 Chp 24) Reduction of Risk Potential (3 items)

Please see page 6 for an explanation of the Scores and Topics to Review sections Page 2 of 6Potential for Complications of Diagnostic Tests/Treatments/Procedures (1 item)

Brain Stimulation Therapies: Teaching About Electroconvulsive Therapy  (RN QSEN – Patient-centered Care, Active Learning Template – Therapeutic Procedure, RM MH RN 10.0 Chp 10)

System Specific Assessments (2 items)

Basic Mental Health Nursing Concepts: Assessing Abstract Thought (Active Learning Template – Basic Concept, RM MH RN 10.0 Chp 1)

Medications for Depressive Disorders: Emergency Care for a Client Who Has Indications of Neuroleptic Malignant Syndrome (Active Learning Template – System Disorder, RM MH RN 10.0 Chp 22) Physiological Adaptation (1 item)

Pathophysiology (1 item)

Mental Health Issues of Children and Adolescents: Characteristics of a Toddler Who Has Autism (RN QSEN – Patientcentered Care, Active Learning Template – System Disorder, RM MH RN 10.0 Chp 28)

RN Assessment 66.7% 9 The assessment step of the nursing process involves application of nursing knowledge to the collection, organization, validation and documentation of data about a client¶s health status. The nurse focuses on the client¶s response to a specific health problem including the client¶s health beliefs and practices. The nurse thinks critically to perform a comprehensive assessment of subjective and objective information. Nurses must have excellent communication and assessment skills in order to plan client care.

RN Analysis/Diagnosis 52.9% 17 The analysis step of the nursing process involves the nurse¶s ability to analyze assessment data to identify health problems/risks and a client¶s needs for health intervention. The nurse identifies patterns or trends, compares the data with expected standards or reference ranges and draws conclusions to direct nursing care.  The nurse then frames nursing diagnoses in order to direct client care.

RN Planning 40.0% 10 The planning step of the nursing process involves the nurse¶s ability to make decisions and problem solve. The nurse uses a client¶s assessment data and nursing diagnoses to develop measureable client goals/outcomes and identify nursing interventions. The nurse uses evidenced based practice to set client goals, establish priorities of care, and identify nursing interventions to assist the client to achieve his goals.

RN Implementation/Therapeutic Nursing Intervention

47.4%19 The implementation step of the nursing process involves the nurse¶s ability to apply nursing knowledge to implement interventions to assist a client to promote, maintain, or restore his health. The nurse uses problem-solving skills, clinical judgment, and critical thinking when using interpersonal and technical skills to provide client care. During this step the nurse will also delegate and supervise care and document the care and the client¶s response.

RN Evaluation 40.0% 5 The evaluation step of the nursing process involves the nurse¶s ability to evaluate a client¶s response to nursing interventions and to reach a nursing judgment regarding the extent to which the client has met the goals and outcomes.  During this step the nurse will also assess client/staff understanding of instruction, the effectiveness of interventions, and identify the need for further intervention or the need to alter the plan.

Nursing Process

   No of      Items

Individual Score Description

RN Assessment 66.7% 9 The assessment step of the nursing process involves application of nursing knowledge to the collection, organization, validation and documentation of data about a client¶s health status. The nurse focuses on the client¶s response to a specific health problem including the client¶s health beliefs and practices. The nurse thinks critically to perform a comprehensive assessment of subjective and objective information. Nurses must have excellent communication and assessment skills in order to plan client care.

RN Analysis/Diagnosis 52.9% 17 The analysis step of the nursing process involves the nurse¶s ability to analyze assessment data to identify health problems/risks and a client¶s needs for health intervention. The nurse identifies patterns or trends, compares the data with expected standards or reference ranges and draws conclusions to direct nursing care.  The nurse then frames nursing diagnoses in order to direct client care.

RN Planning 40.0% 10 The planning step of the nursing process involves the nurse¶s ability to make decisions and problem solve. The nurse uses a client¶s assessment data and nursing diagnoses to develop measureable client goals/outcomes and identify nursing interventions. The nurse uses evidenced based practice to set client goals, establish priorities of care, and identify nursing interventions to assist the client to achieve his goals.

RN Implementation/Therapeutic Nursing Intervention

47.4%19 The implementation step of the nursing process involves the nurse¶s ability to apply nursing knowledge to implement interventions to assist a client to promote, maintain, or restore his health. The nurse uses problem-solving skills, clinical judgment, and critical thinking when using interpersonal and technical skills to provide client care. During this step the nurse will also delegate and supervise care and document the care and the client¶s response.

RN Evaluation 40.0% 5 The evaluation step of the nursing process involves the nurse¶s ability to evaluate a client¶s response to nursing interventions and to reach a nursing judgment regarding the extent to which the client has met the goals and outcomes.  During this step the nurse will also assess client/staff understanding of instruction, the effectiveness of interventions, and identify the need for further intervention or the need to alter the plan.

Nursing Process

   No of      Items

Individual Score Description

Outcomes

Please see page 6 for an explanation of the Scores and Topics to Review sections Page 3 of 6

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50.0%8 Ability to demonstrate nursing judgment in making decisions about priority responses to a client problem. Also includes establishing priorities regarding the sequence of care to be provided to multiple clients.

Priority Setting

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Individual Score Description

Foundational Thinking in Nursing 57.1% 7 Ability to recall and comprehend information and concepts foundational to quality nursing practice.

Clinical Judgment/Critical Thinking in Nursing

49.1%53 Ability to use critical thinking skills (interpretation, analysis, evaluation, inference, and explanation) to make a clinical judgment regarding a posed clinical problem. Includes cognitive abilities of application and analysis.

Thinking Skills

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Individual Score Description

RN Management of Care 83.3% 6 The nurse coordinates, supervises and/or collaborates with members of the health care to provide an environment that is costeffective and safe for clients.

RN Safety and Infection Control 100.0% 3 The nurse uses preventive safety measures to promote the health and well-being of clients, significant others, and members of the health care team.

RN Health Promotion and Maintenance

0.0%3 The nurse directs nursing care to promote prevention and detection of illness and support optimal health.

RN Psychosocial Integrity 48.5% 33 The nurse directs nursing care to promote and support the emotional, mental and social well-being of clients and significant others.

RN Pharmacological and Parenteral Therapies

44.4%9 The nurse administers, monitors and evaluates pharmacological and parenteral therapy.

RN Reduction of Risk Potential 25.0% 4 The nurse directs nursing care to decrease clients¶

risk of developing complications from existing health disorders, treatments or procedures.

RN Physiological Adaptation 50.0% 2 The nurse manages and provides nursing care for clients with an acute, chronic or life threatening illness.

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Individual Score Description

Safety 50.0% 14 The minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others.

Patient-Centered Care 57.7% 26 The provision of caring and compassionate, culturally sensitive care that is based on a patient¶s physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values.

Evidence Based Practice 35.3% 17 The use of current knowledge from research and other credible sources to make clinical judgments and provide client-centered care. 

Teamwork and Collaboration 66.7% 3 The delivery of client care in partnership with multidisciplinary members of the health care team, to achieve continuity of care and positive client outcomes.

QSEN

   No of      Items

Individual Score Description

Please see page 6 for an explanation of the Scores and Topics to Review sections Page 4 of 6

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Human Flourishing 56.3% 16 Human flourishing is reflected in patient care that demonstrates respect for diversity, approaches patients in a holistic and patientcentered manner, and uses advocacy to enhance their health and well-being.

Nursing Judgment 34.8% 23 Nursing judgment involves the use of critical thinking and decision making skills when making clinical judgments that promote safe, quality patient care.

Professional Identity 75.0% 8 Professional identity reflects the professional development of the nurse as a member and leader of the health care team who promotes relationship-centered care, and whose practice reflects integrity and caring while following ethical and legal guidelines.

Spirit of Inquiry 53.8% 13 A spirit of inquiry is exhibited by nurses who provide evidence based clinical nursing practice and use evidence to promote change and excellence.

NLN Competency

   No of      Items

Individual Score Description

Liberal Education for Baccalaureate Generalist Nursing Practice

58.3%12 The need for an education that exposes nurses to multiple fields of study providing the foundation for a global perspective of society as well as high level thinking and acquisition of skills that can be applied to complex patient and system-based problems.

Basic Organization and Systems Leadership for Quality Care and Patient Safety

50.0%6 The need for nurses to be able to understand power relationships and use decision-making and leadership skills to promote safe practice and quality improvement within health care systems.

Scholarship for Evidence-Based Practice

35.7%14 The need for nurses to be able to understand the research process and base practice and clinical judgments upon fact-based evidence to enhance patient outcomes.

Interprofessional Communication and Collaboration

100.0%1 The need for nurses to be able to function as a member of the healthcare team while promoting an environment that supports interprofessional communication and collaboration with the goal of providing patient-centered care.

Clinical Prevention and Population Health

64.3%14 The need for nurses to be able to identify health related risk factors and facilitate behaviors that support health promotion, and disease and injury prevention, while providing population-focused care that is based on principles of epidemiology and promotes social justice.

Professionalism and Professional Values

66.7%3 The need for nurses to be able to practice nursing in a professional manner while providing patient-centered care that is caring, respects diversity, and is governed by legal and ethical tenets.

Baccalaureate Generalist Nursing Practice

30.0%10 The need for nurses to be able to practice as a generalist using clinical reasoning to provide care to patients across the lifespan and healthcare continuum and to individuals, families, groups, communities, and populations.

BSN Essentials

   No of      Items

Individual Score Description

Please see page 6 for an explanation of the Scores and Topics to Review sections Page 5 of 6

Report Created on: 3/11/2019 02:27 AM EDT

ATI  REMEDIATION.

Advanced registered nurses work in highly collaborative environments and must collaborate with interdisciplinary teams in order to provide excellent patient care. Besides knowing the role and scope of

Advanced registered nurses work in highly collaborative environments and must collaborate with interdisciplinary teams in order to provide excellent patient care. Besides knowing the role and scope of one’s own practice, it is essential to understand the role and scope of other nurse specialties to ensure effective collaboration among nurses, the organization, and other professionals with whom advanced registered nurses regularly interact.

Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse practitioner; graduate nurse with an emphasis/specialty in public health, health care administration, business, or informatics; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you are comparing.

Make sure to compare the following areas of practice in your graphic organizer:

1. Ethics
2. Education
3. Leadership
4. Public Health
5. Health Care Administration
6. Informatics
7. Business/Finance
8. Specialty (e.g., Family, Acute Care)

Include any regulatory bodies or certification agencies that provide guidance or parameters on how these roles incorporate concepts into practice. 

Can this assignment be done by tomorrow and by the time given?

Assignment

Select a nursing concept (be sure to use a nursing theory) and then provide a response to each one of the steps included in a concept analysis regarding your selected concept.  This information does not have to be comprehensive but provides a foundation to the upcoming assignment.  Be sure to include a scholarly reference.

Concept and theory analysis are powerful tools that assist in providing clarity for our nursing practice. Concept and theory analysis are the vehicles used to demonstrate to others key components of our profession. These steps for conducting a concept analysis are as follows: 1) Select a concept; 2) determine the purposes of the analysis; 3) identify all uses of the concept; 4) define attributes; 5) identify a model case of the concept; 6) identify consequences of the concept; and 7) identify empirical referents of the concept

MUST BE IN APA FORMAT

Must be at least 300 words no more then 400 words

This assignment is due Wednesday March 15,2017 at 2000 which is 8 o’clock pm eastern standard time.

Gerontology 301 Quiz

T and F

1. More recently, nutrition programs have begun offering medical nutrition therapy for older adults who are nutritionally at risk or malnourished. 

2. Home-delivered meal programs have shown that recipients have more physical limitations, are less socially isolated, and have similar incomes than those who attend congregate meal programs

3. Lack of private transportation makes shopping assistance an important service under the Older Americans Act program.

4. Home-delivered meals in most communities are provided by government agencies funded under the OAA.

5. The Seniors Farmer Market program provides coupons to low-income elders, aged 60 and older, with incomes not greater than 185% of the federal poverty rate. 

6. Older adults who lack an understanding about what constitutes a legal problem or how laws originate may not be able to identify that a legal remedy exists when problems occur 

7. Under the OAA legislation, congregate meal programs were required to provide at least one hot meal five or more days a week in a congregate setting, adult day program, or multigenerational site including in rural areas and where it is deemed feasible. 

8. Home-delivered meal participants are a more frail and at-risk population than those who attend congregate meal programs.

9. Elder abuse includes physical, psychological, and financial abuse as well as neglect

10. Supplemental Food Program (CSFP) is a service in place that assists low-income older adults over 60 years of age.

11. Personal care tasks, commonly referred to as activities of daily living (ADLs), include tasks such as bathing and grooming, toileting, dressing, and eating.

12. Home-management activities, or instrumental activities of daily living (IADLs), include tasks such as shopping and preparing meals, doing housework, and handling personal finances.

13. Chronic conditions vary across different populations of older adults. Older women are more likely than older men to suffer from chronic arthritis, hypertension, incontinence and asthma

14. The older population is at one point or another affected by one or more chronic conditions, regardless of race and ethnicity 

15. The disparities in health can be associated to the social economic status of the different groups rather than on their ethnic or racial status.

1 point each x 15 = 15 points

Multiple Choices

1. For both the congregate and home-delivered programs the following is true EXCEPT

a) Services must be targeted at persons with the greatest social and economic need, 

b) Attention should be given to low-income older persons, including low-income minority older persons, 

c) Older persons with limited English proficiency, 

d) Older persons residing in urban areas

      2.  Per the CDC, the top 5 chronic conditions for Hispanics are: 

a) cancer, heart disease, unintentional injuries, stroke and diabetes

b) chronic liver disease, cirrhosis, cancer, unintentional injuries and diabetes

c) chronic lower respiratory disease, Alzheimer’s disease, cancer, unintentional injuries and cancer

3. The following is true;

a) As the percentage of persons in the oldest-old category increases, the need for home-delivered meals may increase.

b) Changes in the delivery of health care have an impact on nutrition programs. 

c) Programs will be challenged to serve the underserved population in an era of shrinking public and private dollars

d) A and C

e) All the above

4. In accordance with the Older Americans Act each Title III Nutritional program, the program must provide the following Except:

a) Meals must have a minimum of one third of the recommended daily allowances 

b) Meals must be prepared with the advice of dietitians. 

c) Services should include nutrition screening, nutrition education, nutrition assessment, and counseling. 

d) Participants must live independently.

       5. Per the CDC, the top 5 chronic conditions for African           Americans are: 

a)  Heart disease, cancer, stroke, diabetes and unintentional injuries.  

b) Kidney disease, heart disease, chronic lower respiratory disease, diabetes and unintentional injuries 

c) Heart disease, cancer, stroke, Alzheimer’s disease and unintentional injuries. 

d) Kidney disease, heart disease, Alzheimer’s disease, diabetes and unintentional injuries 

   6. The Senior Farmers’ Market Nutrition Program 

a) Was established through the 2008 Farm Bill to increase the consumption of agricultural commodities 

b) The purpose of the SFMNP is to provide fresh, nutritious, locally grown fruits, vegetables, herbs, and honey from farmers’ markets and roadside stands

c) The program is aiding in the development and expansion of domestic farmers’ markets and roadside stands 

d) All the above

7. Title III Part F: ‘Disease Prevention and Health Promotion Services” of the Older Americans Act is designed to enhance the well-being of older adults and includes the following services except

a) Health risk assessments, routine health screening, Nutrition counseling and education and Alcohol and substance abuse, smoking cessation, 

b) Health risk assessment, weight loss, stress management, smoking cessation, routine health screening and physical fitness

c) Physical fitness, group exercise, music therapy, art therapy, dance movements, Health risk assessment and Nutrition counseling 

d) Home injury control services education, Medication management, Information about age related diseases

e) All the above services are included, there are no exceptions.

8. To ensure food insecure seniors have access to nutritional meals the following are some recommendations:

a) Enlist the help of local churches to donate non-perishable goods to seniors  

b) Contribute monetary donation and time to local food banks to assist with the distribution of meals

c) Educate seniors on the importance of health and wellness

d) All the above

9. The Elder Justice Act (EJA) includes a comprehensive array of initiatives except 

a) Mandates the establishment of an advisory council (federal Elder Justice Coordinating Council) to provide recommendations to the Secretary of Health and Human Services regarding the best coordination mechanisms throughout all levels of government to prevent elderly abuse. 

B)  Requires formation of an advisory board responsible to develop strategic plans to assure elder justice.

C) Background check for those who have direct contact with elders in long term care facilities 

D) Creates the Ombudsman program to protect elders in Nursing Homes

10.  The Older Americans Act provide services for caregivers. The following is the list of services this title provides except

a) Assistance in gaining access to private pay services

b) Individual counseling

c) Respite care

d) Supplemental services, including housing improvement, chore, provision of medical supplies and services

e) Legal assistance for caregivers, grandparents or older individuals who are caregivers for relatives.

f) B and E

2 points each x 10 = 20 points

Essay questions

1) Administration on Aging (AoA) has been instrumental in supporting initiatives designed to enhance the well-being of older adults.  Discuss these efforts. 

2) Discuss the difference among: Food banks,Brown Bags and Senior Farmers Market.

3) The Elder Justice Act (EJA), subtitle H of the Patient Protection and Affordable Care Act, passed into law in 2010, supports initiatives designed to protect vulnerable elders. Please discuss what the initiatives are included in the Patient Protection and Affordable Care Act to enhance services to elders.

4) Title III, the largest program under the Older Americans Act, authorizes could you explain and discuss what this title covers.

5) If you are a resident in a Nursing Home or in an Assisted Living Facility how can the Office of Long-Term Care Ombudsman help you?