Case: An elderly widow who just lost her spouse.Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:Metformin 500mg BIDJanuvia 100mg dailyLosartan 100mg dailyHCTZ 25mg dailySertraline 100mg dailyCurrent weight: 88 kgCurrent height: 64 inchesTemp: 98.6 degrees FBP: 132/86List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.

DirectionsCarefully read these directions and the grading rubric below.Download the required template below under Template.Rename that template as Your Last Name Professional Paper Worksheet.docx.  This must be saved as a Microsoft Word document (.docx). Save it to  your own computer or flash drive in a location where you will be able to  retrieve it later. Type your assignment directly on the saved document.  Save your work often..5. This assignment must use the required article and sentences stated  in the announcement described above to complete the following items:Reference for the assigned journal article,Quotation with citation,Paraphrased area with citation, andAssigned article summary.6. Each of required items above is clearly described on the  Professional Paper Worksheet Template. Page numbers for resources in the  current APA Manual are provided on the template for your use7. The Assigned Article Summary that you write must be 175-200 words.  The Summary must contain the assigned sentence for quotation and  citation as noted in the announcement, the assigned sentence for the  paraphrased area with citation as noted in the announcement, several  additional paraphrased areas, and appropriately formatted citations. You  may also include one more short quotation if you wish.8. When your Professional Paper Worksheet Assignment is completed, save  and close the completed template. Click the Submit button at the top of  this page to upload your completed assignment.The required sentence forquotationand citation  is located on page 65 in the first full paragraph in the second column.  The sentence begins with the words: Nurse leaders are in a unique  position…The required sentence forparaphrasingand citation  is also located on page 65 in the second column underneath the heading  Promote a Growth Mindset. The sentence begins with the words:  Constructive feedback that is taken and put into practice can lead to…Follow the directions on the Graded Assignment pages to complete each  assignment. Contact your instructor with any questions. Thank you.

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution. Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment.Select the case most closely related to your area of interest and use it to complete the assessment.Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance.Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.Identify who is involved or affected by the ethical problem or issue.Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.Apply the three components outlined in the Ethical Decision-Making Model media.Analyze the factors that contributed to the ethical problem or issue identified in the case study.Describe the factors that contributed to the problem or issue and explain how they contributed.Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.Discuss the effectiveness of the communication approaches present in a case study.Describe how the health care professional in the case study communicated with others.Assess instances where the professional communicated effectively or ineffectively.Explain which communication approaches should be used and which ones should be avoided.Describe the consequences of using effective and non-effective communication approaches.Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.Describe the actions taken in response to the ethical dilemma or issue presented in the case study.Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.Discuss the key lessons this case provides for health care professionals.Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.Describe the proposed solution.Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.Discuss how likely it is the proposed solution will foster professional collaboration.

Assignment 1:Analyzing an Ethical DecisionIn your role, as an advanced practice nurse, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear cut answer of how to address the issue, but your ethical decision making must be based on evidenced based practice, and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their sociodemographic and ethnic/racial background. You must be prepared to critically analyze ethical situations, and develop an appropriate plan of action. For this Assignment, you will review the literature and discover the various ethical dilemmas advanced practice nurses encounter and how these issues are typically addressed in your state.To prepare:•             Review literature for moral/ethical issues encountered by advanced practice nurses in clinical practice.•             Select an article that was published within the last five years.By Day 7Write a two page paper that answers the following questions:•             Summarize the moral/ethical issue in the article (no more than 1 paragraph)•             Describe the moral and ethical dilemmas surrounding the issue•             Analyze the ethical issue and compare them to the State Health Laws and Regulations in your state•             Outline the process of ethical decision making you would use to address this ethical dilemmaResourceshttp://midlevelu.com/blog/should-providers-treat-their-friends-and-familyhttps://www.youtube.com/watch?v=XtuanLybaZshttp://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Ethical-Dilemmas-2.aspx