Effects Of Disasters On Community Health Research Paper

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Effects Of Disasters On Community Health Research Paper

Chapter 22 Substance Abuse and Misuse as Community Health Problems Definitions of Substance Abuse • Substance

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abuse: the use of any drug (alcohol, street drugs, prescription and over-the-counter medications) that results in a loss of control over the amount taken and when it is taken • Dependence or addiction: present when there are physiological symptoms that occur with withdrawal of the substance Scope of Substance Abuse • Illicit drug use • Use of alcohol • Use of Tobacco Impact of Substance Abuse on Society • • • Preventable morbidity and mortality Healthcare costs Costs to society Impact of Substance Abuse on the Individual • • • • • • • • Loss of job Divorce Health problems (acute and chronic) Nutritional deficiences Low self-esteem Depression Anxiety Death Risk Factors for Substance Abuse • • • • Society’s influence The family’s influence The workplace’s influence Personal factors Nursing Assessment • Nurses’ attitude self-assessment • Drug history • Recognizing the signs of substance abuse Interventions • Society’s response – Healthy People 2020 – Primary prevention – Secondary prevention – Tertiary Prevention • Interventions with special populations Chapter 28 Natural and Man-Made Disasters Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. Disaster Definitions  A disaster is any event that causes a level of destruction, death, or injury that affects the abilities of the community to respond to the incident using available resources. ➢ ➢ ➢ Mass casualty involves 100+ individuals Multiple casualty involves 2 to 99 individuals Casualties can be classified as a direct victim, indirect victim, displaced person, or refugee Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 2 Types of Disasters    Natural disasters Man-made disasters Combination disasters ➢ NA-TECH (natural/technological) disaster: a natural disaster that creates or results in a widespread technological problem Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 3 Types of Disasters (Cont.) (from Textbook, Box 28-1) Natural Disasters           Avalanches Blizzards Communicable disease epidemics Droughts, wildfires Earthquakes, tsunamis Hailstorms Heat waves Hurricanes Tornados, cyclones Volcanic eruptions Man-Made Disasters           Terrorism Civil unrest (riots) Explosions, bombings Fires Structural collapse (bridges) Airplane crashes Toxic or hazardous spills Mass transit accidents Pollution Wars Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 4 Acts of Terrorism Terrorism is   “the unlawful use of force and or violence against persons or property to intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political or social objectives.” (FBI, 2013) “is premeditated, politically motivated violence perpetrated against noncombatant targets by subnational groups or clandestine agents.” (CIA, 2013) Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 5 Weapons of Mass Destruction    Any weapon that is designed or intended to cause death or serious bodily injury through release, dissemination, or impact of toxic or poisonous chemicals, or their precursors Any weapon involving a disease organism (biological agents) Any weapon that is designed to release radiation or radioactivity at a level dangerous to human life (chemical agents) Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 6 Characteristics of Disasters       Frequency Predictability Preventability/mitigation Imminence Scope and number of casualties Intensity Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 7 Prevention in Disasters  Primary prevention ➢ Aimed at preventing the occurrence of a disaster or limiting the consequences when the event itself cannot be prevented (mitigation) ➢ Nondisaster stage: period before a disaster occurs ➢ Predisaster stage: actions taken when a disaster is pending Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 8 Prevention in Disasters (Cont.) ➢ Nondisaster activities include: • Assessing communities to determine potential disaster • • • • • hazards Developing disaster plans at local, state, and federal levels Conducting drills to test the plan Training volunteers and health care providers Providing educational programs of all kinds Developing risk maps and resource maps Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 9 Prevention in Disasters (Cont.) ➢ Predisaster activities include: • Notification of the appropriate officials • Warning the population • Advising what response to take  voluntary or mandatory evacuation Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 10 Prevention in Disasters (Cont.)  Secondary prevention ➢ ➢ ➢ Implemented once the disaster occurs Aimed at preventing further injury or destruction “Safety before search and rescue.” Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 11 Prevention in Disasters (Cont.)  Tertiary prevention ➢ Focuses on recovery and restoring the community to previous levels of functioning and its residents to their maximum functioning ➢ Aimed at preventing a recurrence or minimizing the effects of future disasters through debriefing meetings to identify problems with the plan and making revisions Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 12 Nurses Need to … … be involved in all stages of prevention and related activities … educate others about disasters and how to prepare for and respond to them … keep up to date on latest recommendations and advances in life-saving measures Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 13 Questions Nurses Should Ask 1. What kind of disasters threaten the 2. 3. 4. 5. communities where I live? What injuries should I expect from different disaster scenarios? What are the evacuation routes? Where are shelters located? What warning systems are used so I can respond effectively, personally, and professionally during different types of disasters? Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 14 Disaster Management   A collaborative interdisciplinary team effort is needed between a network of agencies and individuals. Develop a disaster plan. ➢ ➢ ➢ Communities can respond more quickly, more effectively, and with less confusion. Ensures that resources are available. Delineates roles and responsibilities of all personnel and agencies, both official and unofficial. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 15 Governmental Responsibilities  Local government (first responders) ➢  State government (Office of Emergency Management) ➢  Responsible for the safety and welfare of its citizens. Involved when a disaster overwhelms the local community’s resources. Federal government (Department of Homeland Security and CDC) ➢ A single department focusing on protecting the American people and their homeland Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 16 U.S. Department of Homeland Security (DHS)  DHS has three primary missions: ➢ ➢ ➢  Lead the unified national effort to secure America Prevent and deter terrorist attacks Protect against and respond to threats and hazards to the nation DHS goal (2011): Sets the “vision for nationwide preparedness” ➢ Identifies the core capabilities and targets necessary to achieve preparedness across five mission areas: Prevention, Protection, Mitigation, Response, and Recovery. ➢ Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 17 NIMS  NIMS (National Incident Management System) provides a systematic, proactive approach for all levels of governmental and nongovernmental agencies to work seamlessly to prevent, protect against, respond to, recover from, and prevent the effects of disasters. – Federal Emergency Management Agency (FEMA) (2012) Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 18 FEMA  Mission is to support citizens and first responders to ensure that, as a nation, everyone works together to build, sustain, and improve the capacity to prepare for, protect against, respond to, recover from, and mitigate all hazards. ➢ ➢ Established National Terrorism Advisory System • Threat alert: elevated or imminent threat FEMA published in-depth guide for citizen preparedness: Are You Ready? Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 19 Partnerships in Disasters       Department of Homeland Security (DHS) Federal Emergency Management Agency (FEMA) Department of Health and Human Services/ Centers for Disease Control and Prevention Public Health System (PHS) American Red Cross (ARC) Other local, state, and federal agencies Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 20 Disaster Management Stages     Prevention stage Preparedness and planning stage Response stage Recovery stage Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 21 Prevention Stage  Identify potential disaster risks. ➢  Educate citizens regarding what actions to take to prepare for disasters. ➢  Create risk maps Individual, family, and community level Develop a plan for meeting the potential disasters identified. ➢ Create resource maps Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 22 Community Risk Map (from Textbook, Figure 28-1) Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 23 Community Resource Map (from Textbook, Figure 28-2) Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 24 Preparedness/Planning Stage: Individual and Family Preparedness     Training in first aid Assembling a disaster emergency kit Establishing a predetermined meeting place away from home Making a family communication plan Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 25 Preparedness/Planning Stage: Community Disaster Planning  Plans must include: ➢ ➢ ➢   Authority Communication Logistical coordination of: • Supplies and equipment • Human resources • Evacuation and rescue Plans must be dynamic and change as needed. Plans must be tested in different disaster scenario drills. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 26 Disaster Planning Principles (from Textbook, Box 28-8) 1. 2. 3. 4. 5. 6. 7. 8. 9. Measures usually taken are not sufficient for major disasters. Plans should be adjusted to people’s needs. Planning does not stop with development of a written plan. Lack of information causes inappropriate responses by community members. People should be able to respond with or without direction. Plans should coordinate efforts of the entire community, so large segments of the citizenry should be involved in the planning. Plans should be linked to surrounding areas. Plans should be general enough to cover all potential disaster events. As much as possible, plans should be based on everyday work methods and procedures. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 27 Disaster Planning Principles (Cont.) (from Textbook, Box 28-8, Cont.) 10. Plans should specify a person’s responsibility for implementing segments by position or title rather than by name. 11. Plans should develop a record-keeping system before a disaster occurs, regarding: • Supplies and equipment • Records of all present at any given time (to account for everyone and to identify the missing) • Identification of victims and deceased, conditions and treatment documented, and to which facility victims are sent 12. Backup plans need to be in place for the following: • Disruption of telephone and cell phone lines • Disruption of computer data (should be downloaded weekly and stored off site) Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 28 Response Stage   Response stage begins immediately after the disaster incident occurs. May include: ➢ Shelter in place ➢ Evacuation ➢ Search and rescue ➢ Staging area ➢ Disaster triage Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 29 Areas of Operation in Disaster Response Figure 28-3 Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 30 Disaster Triage  START triage system ➢ ➢ ➢ “Simple Triage And Rapid Treatment” Used in multicasualty or mass casualty incident Triage of injured person should occur in less than 1 minute based on: • • • ➢ ➢ ➢ Respirations Perfusion Mental status Uses people with minor injuries to assist Person is tagged with a colored triage tag Victims moved to the treatment area Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 31 START Color-Coded Triage Tag Green = walking wounded Yellow = systemic but not yet life-threatening complications Red = life-threatening conditions that can be stabilized and have a high probability of survival Black = deceased or injuries so extensive that nothing can be done to save them Figure 28-4 Source: http://www.mettag.com. Reprinted with permission. Hazmat tag = contaminated Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 32 Psychological Triage  Four keys to gauging mental health impact: ➢ ➢ ➢ ➢  Extreme and widespread property damage Serious and ongoing financial problems High prevalence of trauma in the form of injuries, threat to life, and loss of life When human intent caused the disaster In addition, panic during the disaster, horror, separation from family, and relocation or displacement may play a part Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 33 Public Health Activities  While search and rescue is going on … ➢ Surveil for threats (e.g., contaminated water, vectors, and air quality). ➢ Disseminate data on what has been found. ➢ Relate health information to officials, the media, and the public as appropriate. ➢ Gather epidemiological information. ➢ Allocate resources and work to prevent further adverse health problems. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 34 Responses to Disasters  Community ➢ ➢ ➢ ➢ Heroic phase Honeymoon phase Disillusionment phase Reconstruction phase  Individual ➢ Cognitive ➢ Emotional ➢ Physical ➢ Behavioral ➢ PTSD Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 35 Recovery Stage   Begins when the danger from the disaster has passed. All local, state, and federal agencies are present in the area. ➢ Help victims rebuild their lives ➢ Restore public services ➢ Cleanup of damage and repair begins ➢ Evaluation and revision of the disaster plans ➢ Understand the financial impact Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 36

Occupational stress among nurses and the quality of service delivery

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Occupational stress among nurses and the quality of service delivery

analyze a peer-reviewed research article that you must present in class as a discussion. This article is about any nursing-practice-related topic that interests you. Example of topic is “pain management issues for patients with sickle cell disease” y, This assignment is supporting SLO #6 (Integrating Evidence-Based Knowledge).

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Disasters Assignment

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Disasters Assignment

1. Identify and discuss the types of disasters.

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2. Mention and discuss two natural or man-made disasters that recently occurred and discuss how they affect the community health.

3. Discuss the stages of disaster management.

4. Describe and discuss the role and responsibilities of nurses in relation to disasters.

APA format word document, Arial 12 font

A minimum of 2 evidence-based references besides the class textbook must be used. References no older than 5 years old.

A minimum of 700 words is required.

Tags: APA nursing disaster Disaster management manmade disaster

Case Report 3

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Case Report 3

Course Code DNP-810 Class Code DNP-810-IO1240 Criteria Content Percentage 70.0% Examination of How Genetics

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Can Influence Policy Issues 25.0% Discussion of Any Nutritional Influences for the Cause of This Disease 25.0% Discussion of the Process of Nutritional Assessment and Counseling as It Relates to Health, Prevention, Screening, Diagnostics, Prognostics, Selection of Treatment, and Monitoring of Treatment Effectiveness 20.0% Organization and Effectiveness 20.0% Thesis Development and Purpose 7.0% Argument Logic and Construction 8.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Format 10.0% Paper Format (Use of appropriate style for the major and assignment) 5.0% Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style) 5.0% Total Weightage 100% Case Report: Part 3 Unsatisfactory (0.00%) Examination of how genetics can influence policy issues is not present. Discussion of any nutritional influences for the cause of this disease is not present. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is not presented. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Template is not used appropriately or documentation format is rarely followed correctly. No reference page is included. No citations are used. 50.0 Less Than Satisfactory (74.00%) Examination of how genetics can influence policy issues is present but incomplete. Discussion of any nutritional influences for the cause of this disease is present but incomplete. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is presented but incomplete. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Reference page is present. Citations are inconsistently used. Satisfactory (79.00%) Examination of how genetics can influence policy issues is present but done at a perfunctory level. Discussion of any nutritional influences for the cause of this disease is present but done at a perfunctory level. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is presented but done at a perfunctory level. Thesis and/or main claim are apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Appropriate template is used. Formatting is correct, although some minor errors may be present. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Good (87.00%) Examination of how genetics can influence policy issues is clearly presented. Discussion is convincing. Information presented is from scholarly though dated sources. Discussion of any nutritional influences for the cause of this disease is clearly present. Discussion is convincing. Information presented is from scholarly though dated sources. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is clearly presented. Discussion is convincing. Information presented is from mostly current scholarly but some outdated sources are used. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Appropriate template is fully used. There are virtually no errors in formatting style. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct. Excellent (100.00%) Examination of how genetics can influence policy issues is clearly presented. Discussion is insightful. Information presented is from current scholarly sources. Discussion of any nutritional influences for the cause of this disease is clearly present. Discussion is insightful. Information presented is from current scholarly sources. The process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness is clearly presented. Discussion is insightful and detailed. Information presented is from current scholarly sources. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. Comments All format elements are correct. In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error. Points Earned
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Clinical Performance Assignment Paper

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Clinical Performance Assignment Paper

Clinical Performance

Governance Please respond to the following

Should every community have its own healthcare organization with its own mission, or should hospitals be like Wal-Mart, where the mission is set once for the world? State your position.

· If there is a virtue to individual community missions, determine what is it, and how a local governing board should establish a mission Clinical Performance.

 

Week 3 dq2

(This video looks at some different outcome measures and the fact that the issue is not only having outcomes, but being able to apply them to patient care. )

“Clinical Performance” Please respond to the following:

· Why should clinical performance be focused on outcomes? Clinical Performance. Clinical Performance Assignment Paper

· How do you differentiate the concepts of quality, appropriateness, economy, and efficiency?

· Analyze the way that medical decisions are made and explain why it is important that medical decisions involve probabilities. Clinical Performance.

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Health Outcomes Measurement in Orthopedic Hospital

Duration: (3:02)
User: siemens – Added: 7/18/13

Considering your own career in health care leadership, do you feel that a map or a compass is better suited for your planning? Explain your choice. Your response should be at least 200 words in length.

Explain the role of contingency planning in health care. Should every health care organization formulate contingency plans? Why, or why not? Your response should be at least 200 words in length. Clinical Performance.

What are the components of an action plan for a health care organization? Explain the function of each component. Your response should be at least 200 words in length.

Why is understanding the history of health care important?

DQ 2

Discuss three reasons why health care initially failed in America.

WEEK 2 DQ 1

Describe the similarities and differences between system outcomes and system outlook? What is the relationship between outcomes and outlook? Clinical Performance Assignment Paper

DQ2
What is defensive medicine and how does it impact health care cost, quality, and access?

WEEK 3 DQ 1

What are the predominant differentiators between primary and specialty care? Explain why.

DQ2

Identify three central health care delivery components. Why are they the central components, and who are the professionals associated with each? Consider hospital and nonhospital settings Clinical Performance.

WEEK 4 DQ 1

Identify a component of private and public insurance. Provide three examples of this component. How do they align with the future of health care? Clinical Performance.

DQ2

Describe the concept of third party payers. Name at least two and explain how effective each is in the delivery of services within the health care system.

WEEK 5

Identify one of the three categories that make up the framework of the vulnerability model. Describe and provide an example of this category, including the most efficient way to address it.

DQ2

Evaluate at least two initiatives undertaken by the federal government to decrease health care delivery disparity. Are they working? Why or why not?

WEEK 6 DQ 1

Define health disparities. Where and how do they exist? Identify at least three contributing factors.
DQ2

Describe the historical aspects and methods for identifying underserved populations. Discuss how you would improve these methods, track a population’s progression, and/or determine whether a population is no longer underserved Clinical Performance.

WEEK 7 DQ 1

What were the driving factors for the implementation of the current U.S. health care system? Are these still the predominant factors in the process for change?

DQ2

Trace your profession back to the early years. What are some events that were part of its beginning? Clinical Performance.  Clinical Performance Assignment Paper

HM1030 – Accounting Paper

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HM1030 – Accounting Paper

HM1030 – Accounting

Question 1:

How does the use of bank accounts ensure control of cash? 8 points

Directions to complete Question 1:

• TIP 1: Consider using an introductory paragraph explaining:

a. What is an internal control measure?

b. What is the importance of an internal control measure?

c. How is a bank account considered an internal control measure?

• TIP 2: See page 240 in your Principles of Financial Accounting textbook > Basic Bank Services: Bank Accounts, Bank Deposits and checking contributes to the Control of Cash.

• TIP 3: See Chapter 8 Highlights – Banking activities as controls

• Use short responses, in complete sentences with proper grammar and spelling

• Your answer should be no less than 8 sentences. HM1030 – Accounting Paper

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Question 2:

How does the use of bank accounts improve management’s decision making? 8 points

Directions to complete Question 2:

• TIP 1: Think about your experiences with Banking. What does it help you to do?

• Use short responses, in complete sentences with proper grammar and spelling

• Your answer should be no less than 8 sentences.

Question 3:

How does the bank reconciliation reduce the likelihood of theft and fraud? 8 points

Directions to complete Question 3:

• TIP 1: See page 243: non-sufficient funds, errors

• Use short responses, in complete sentences with proper grammar and spelling

• Your answer should be no less than 8 sentences. HM1030 – Accounting Paper

Question 4:

Maxtel had net sales of $4,235 million and ending accounts receivable of $775 million. Its days’ sales uncollected equals

Question 5:

A company borrowed $10,000 by signing a 180 ? day promissory note at 11%. The total interest due on the maturity is?

Question 6:

A company had net sales of $600,000, total sales of $750,000 and an average accounts receivable of $75,000. Its accounts receivable turnover equals. HM1030 – Accounting

Residential Care Assignment paper

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Residential Care Assignment paper

Article Review
For this assignment, choose a peer-reviewed article to review. Choose the article from one of the following topics:
statistics in health care
data collection related to health care
ambulatory care
residential care
The purpose of this assignment is for you to practice reviewing articles that contribute to the industry. The authors of these articles are researchers and professionals who have shared or experimented with ideas that demonstrate potential to improve the industry. As a professional in the industry, it is in your best interest to review the literature and trends. This provides you with the opportunity to read about what was successful and how it was accomplished. Plus, it allows you to analyze what was unsuccessful, how you can improve it, or at least how you can avoid repeating the mistakes of others. Use these skills to contribute to research papers and other scholarly writings. If you have not already, hopefully, you will contribute to the industry by publishing an article and sharing with your community of peers. Residential Care Assignment paper

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As you read the article you choose for this assignment, consider the following questions: How could the topic of this article apply to your personal or professional life? How could it apply to an organization you have observed?
The article you choose must meet the following requirements:
be peer reviewed, relate to the concepts within this course, and be at least ten pages in length.
The writing you submit must meet the following requirements:
Be at least two pages in length, identify the main topic/question, identify the author’s intended audience, and summarize the article, analyze the article, evaluate how the article is related to your topic, and explain what you learn from this article.
Format your Article Review using APA style. Use your own words, and include citations and references as needed to avoid plagiarism. Residential Care Assignment paper

VARK Analysis Paper

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VARK Analysis Paper

VARK Analysis
Complete “The VARK Questionnaire: How Do I Learn Best?”

http://vark-learn.com/the-vark-questionnaire/

Click “OK” to receive your questionnaire scores.
Once you have determined your preferred learning style, review the corresponding link to view your learning preference. (MY LEARNING STYLE IS MULTIMODAL)
Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
Compare your preferred learning strategies to the identified strategies for your preferred learning style.
Appraise how this awareness of learning attributes influences your perceptions of teaching and learning.

In a paper (750-1,000 words), summarize your analysis of this exercise. Include the following:

Provide a summary of your learning style. VARK Analysis Paper
List your preferred learning strategies.
Compare your preferred learning strategies to the identified strategies for your preferred learning style.
Discuss how the awareness of individual learning styles, preferences and strategies influence teaching (those who are in a position to teach) and learning (those who are in a position to learn).
Cite a minimum of three references in the paper.

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Although the topic of this assignment refers to your individual learning style, avoid the use of first person voice (words such as, “I, we, our”) in your essay.

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.

You are required to submit this assignment to Turnitin. VARK Analysis Paper

SBAR template Paper

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SBAR template Paper

SBAR template

Choose an experience from your nursing practice. Using the \”SBAR\” template, explain the situation in detail, followed with background information. Then explain your immediate assessment and recommendations you have for the provider.

Include the following in the \”SBAR\” template:
1.Be sure to include three or four evidence‐based references, not older than 5 years.
2.When giving your recommendation discuss how you would educate the client using evidence‐based research and guidelines. How would you deliver your recommendation in various learning environments? SBAR template

APA style is not required, but solid academic writing is expected.

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

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SBAR

 

 

Situation  

 

 

 

 

 

 
Background  

 

 

 

 

 

 

 

 
Assessment  

 

 

 

 

 

 

 

 

 
Recommendation 

SBAR template

  

 

 

 

 

 

 

 

 

 

 
References  

 

 

 

 

 

 

 

 

 

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SBAR

As a nurse it is not uncommon to experience situations requiring the use of SBAR an abbreviation for situation, background, assessment and recommendation method SBAR template. An experience with the use of SBAR that standards out occurred during a night shift in the medical ward. In this case, I was attending to a patient who was admitted into hospital for treatment and observation. Her situation worsened during the course of the night and it was deemed necessary to call the attending physician. During the call, the first step was to explore the situation (S) in which I presented a brief and clear description of the situation. I reported that the patient was experiencing increasing shortness of breath and was complaining of chest pains. The second step was to report on the case background (B) in which I offer relevant and clear background information on the patient. I reported that the patient had back surgery three days ago. About three hours ago, he indicated shortness of breath and recklessness, complained of chest pain, blood pressure reading is 128 over 54, and pulse is 120. The third step was to report an assessment (A) that indicated a professional nursing conclusion of the case based on the situation and background information. I made the assessment and reported that the patient could be having a pulmonary embolism or cardiac event. The final step was to make a recommendation (R) on the case by stating what is required from the physician in a relevant and clear manner. SBAR template The recommendation made was that the physician should see the patient immediately, and that he should be started on oxygen to relieve the breathing difficulty. The case makes it clear that SBAR facilitates communication between medical personnel through offering accurate and timely reports about patients thereby preventing the precipitation of adverse events in clinical routine, and improving patient safety and care outcomes (Müller et al., 2018; Shahid & Thomas, 2018) SBAR template. SBAR template Paper

References

Müller, M., Jürgens, J., Redaèlli, M., Klinberg, K., Hautz, W. & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open, 8(8), e022202. doi: 10.1136/bmjopen-2018-022202

Shahid, S. & Thomas, S. (2018). Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care – a narrative review. Safety in Health, 4, 7. doi: 10.1186/s40886-018-0073-1 SBAR template

NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

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NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

Question 1

The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke.  The therapist recognizes this interruption as which of the following?NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

A. Introjection
B. Projection
C. Deflection
D. Retroflection
 

Question 2

A patient whose husband had recently died suddenly expresses remorse regarding an argument they  had shortly before his death. The Gestalt Therapist would likely use which of the following techniques to complete unfinished business?

A. Focusing
B. Dreamwork
C.  Empty-chair dialogue
D. Language of responsibility
 

Question 3

In child psychotherapy consideration of systems that promote a child’s ongoing development include which of the following? NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

A. Peers
B. Family
C. School
D. Community

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Question 4

Which of the following is a philosophical approach to psychotherapy which deals with universal  themes of life?

A. Gestalt Therapy
B. Psychoanalysis
C. Existential psychotherapy
D. Person-Centered Psychotherapy

Question 5

The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following?

A. Validate the patient ‘s frustration while encouraging and reinforcing use of skills.
B. Analyze the behaviors and consequences of the behaviors with the patient.
C. Focus on behavioral control and management with emotions as a contextual element.
D. All of the above

 

Question 7

Which of the following is not consistent with Eye Movement Desensitization and Reprocessing (EMDR) literature in treating PTSD?

A. Treatment effects are long lasting.
B. EMDR involves extended exposure
C. EMDR treatment for trauma is less time intensive.
D. The aim is to reduce the subject distress and strengthen adaptive beliefs related to the traumatic event.

 

Question 8

In working with an older adult female patient, the advanced practice psychiatric nurse notices that the patient starts bringing her baked goods, and says “You remind me so much of my daughter, you are so easy to talk to.” The advanced practice psychiatric nurse recognizes this as

A. Gerotranscendence
B. Transference
C. Countertransference
D. Time for termination

 

Question 9

The situation in which increasing amounts of a substance is needed to achieve the same desired effect  is known as which of the following? NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

A. Addiction
B. Tolerance
C. Withdrawal
D. Dependence

 

Question 10

Which of the following therapeutic approaches would be a better choice for an older adult who presents with chronic depression, mild cognitive impairment expressing concerns about a negative life event and perceives himself as helpless?

A. Interpersonal Psychotherapy (IPT)
B. Cognitive Behavioral Therapy (CBT)
C. Cognitive Behavioral Therapy for Mild Dementia (CBT-MD)
D. Reminiscence Therapy (RT)

D

Question 11

Stigma of mental illness in the elderly:

A. Has contributed to psychiatric symptoms being expressed with physical symptoms.
B. Is much more severe in baby boomers than in other elderly cohorts.
C. Is much less an issue in baby boomers than in other elderly cohorts
D. Leads to more discussion of emotions in primary care settings.

 

Question 12

The person-centered therapist who is genuine and authentic during the therapy session is exhibiting       which psychological condition?

A. Congruence
B. Actualizing tendency
C. Belief of human nature NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
D. Accurate empathic understanding

 

Question 13

Which of the following is not consistent with a family-centered approach in child therapy?

A. In family-centered treatment, the family is the focus of treatment.
B. Family- centered treatment is appropriate to improve family interactions.
C. Family-centered treatment is appropriate to keep families engaged in services
D. Family-centered treatment is appropriate to increase family knowledge about mental health.

 

Question 14

Which of the following does the advanced practice psychiatric nurse need to consider when treating older adults with Substance Use Disorders?

A. Co-existing medical or psychiatric disorder
B. Age-related physiological and psychological changes
C. Collaboration with primary care providers
D. All of the above NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

 

Question 15

Which of the following is true about the therapeutic alliance when working with children?

A. The therapeutic alliance is a core factor that creates change in therapy.
B. The therapeutic alliance/bond with the child is all that is really needed.
C. The advanced practice psychiatric nurse must develop a strong therapeutic alliance with the child’s parents prior to attempting to engage the child in therapy.
D. As the therapy is really about the child, parents/family, the advanced practice psychiatric nurse focuses on facilitating healthy family interactions.

 

Question 16

The underlying assumptions of Trauma Resiliency Model therapy include which of the following? NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

A. Human response to threat are subcortical in nature.
B. Response to trauma is likely transient and should go away with or without treatment.
C. The mind has no bias; thus, we make sense of the world in a symmetrical manner.
D. Current psychiatric concepts adequately account for the impact of multiple or long-term

Question 17

The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following?

A. The support is provided through case management
B. The support is designed to focus on clinical issues of the patient
C. The DBT therapist in solo practice does not need a consultation group for support.
D. The support includes a consultation group to treat the therapist by using the same skills the patient is asked to use.

 

Question 31

The advanced practice psychiatric nurse realizes which of the following with respect to individuals with personality disorders of traits?

A. Often these individuals will see their problems as independent of their own behaviors.
B. These individuals will often describe themselves as a victim.
C. These individuals often present for treatment at the request of a significant other or other external pressure.
D. All the above.

 

Question 32

Addiction is now recognized as which of the following?

A. A preventable personality disorder
B. A family disorder due to poor parenting
C. A volitional behavior that can be managed independently’
D. A primary disease of the brain’s neurocircuitry.

 

Question 40

Which of the following are psychotherapeutic techniques used in person centered psychotherapy?

A. A highly structured approach is used.
B. Process interventions are widely used.
C. Directive, interpretive techniques are used.
D. A nondirective-facilitative counseling approach is used.

 

Question 41

When referring a patient to a 12-step group the advanced practice psychiatric nurse realizes which of the following supports successful patient engagement in 12-step group participation?

A. Provide an overview of the 12-step approach, explain the concept of powerlessness and spirituality within the 12-step tradition.
B. Use MI to contract for attendance at several different groups to find the right “fit” and encourage attendance.
C. Encourage patient to not worry about going to the groups because due to high attrition rates, most groups have many new patients at each session.
D. A and B only

 

Question 42

The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following?

A. This indicates the change(s) really did not take
B. The patient is unconsciously sabotaging the therapy.
C. This indicates process is trying to force a change too fast.
D. As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.

 

Question 43

Which of the following medications may be recommended for patients with insomnia due to PTSD?

A. Any antidepressant can offer as first-line treatment in adults for PTSD.
B. Non-benzodiazepines such as trazodone (Desyrel)
C. Prazosin (Minipress) may be helpful if nightmares are present.
D. B and C

 

Question 44

Which of the following is not true about self-regulation as it applies to therapy with children?

A. Self-regulation is a developmental milestone of childhood in which the child controls behavior in the service of socially desirable conduct.
B. Self-regulation is a pivotal developmental process of integrating emotion, memory and behavior.
C. Self-regulation mechanisms from a neuroscience perspective are basic mechanisms predominantly located in the globus pallidus.
D. Self-regulation issues are often seen in various child psychopathology.

 

Question 45

Stress inoculation therapy (SIT) can be helpful for patients with phobic avoidance due to trauma. The advanced practice psychiatric nurse using SIT would do which of the following?

A. Artistic endeavors such as sculpting, drawing painting.
B. Movement therapies such as dance.
C. Tapping on acupressure points
D. Cognitive skills such as thought stopping and guided self-dialogue.

 

Question 48

The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following?

A. Invite the patient to new ways of viewing a situation
B. Guiding patient to develop more skills to achieve a greater quality of life.
C. Engage the patient in change talk
D. A and B

 

Question 55

Which of the following is not consistent with the Dialectical Behavior Therapy approach to boundary maintenance?

A. Clarify explicitly the boundaries of the therapeutic relationship.
B. The therapist will maintain confidentiality within the limits of the law and ethical practice.
C. Explain a professional relationship is based on mutual respect and the desire to help the patient.
D. Maintain a rigid distant relationship with the patient to avoid any mixed messages to the patient.

 

Question 98

One of the problems when meeting with children individually is that it can create secrets. Which of the following responses would the advanced practice psychiatric nurse do to address this concern?

A. Do nothing, maintaining the child’s privacy protects the therapeutic relationship.
B. Decide what the parents need to know and give them a summary of the individual session in with the child in the room.
C. Decide what the parents need to know and give them a summary privately to avoid any awkwardness for the child.
D. Discuss with the child what he or she wants to share with the parents and facilitate the process as needed.

D

Question 99

Sleep disturbances are common for those who have experienced trauma. Which of the following  would not be recommended when teaching patients about good sleep hygiene?NRNP 6645: Psychotherapy with Multiple Modalities Final Exam

A. Regular daily exercise
B. Avoid napping during the day.
C. Maintain a quiet cool bedroom
D. Put bedroom TV on a timer so it will automatically go off after you are asleep.

 

Question 100

Which best describes gerotranscendence?

A. Erik Erikson’s ninth stage of development
B. Emphasizes ongoing growth over decrements
C. Focuses on the transition to old-old (80 years and older). NRNP 6645: Psychotherapy with Multiple Modalities Final Exam
D. Focuses on letting go and coming to terms with end of one’s life NRNP 6645: Psychotherapy with Multiple Modalities Final Exam. NRNP 6645: Psychotherapy with Multiple Modalities Final Exam