MN506 Purdue Ethical Dilemma on a Patient

MN506 Purdue Ethical Dilemma on a Patient

Case Scenario:

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Identify the ethical dilemma, legal violation, and moral issue in the scenario from an APN perspective as an educator, an Advance Nurse practitioner

Assignment Guidelines:

Using the options below based on your specialization, create an ethical and legal decision-making dilemma involving an advanced practice nurse in the field of a nurse practitioner:

Practice Dilemma – Honesty versus Withholding Information
Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.

Describe one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.

Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.

List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented. Support your paper with a minimum of three scholarly references.

This Assignment should be 3–4 pages in length, exclusive of cover page and references.Using only Evidence Base Practice Nursing scholarly journals that are recent.

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
utilize spelling and grammar check to minimize errors; and
review APA formatting and citation information found in the Writing Center, online, or elsewhere in the course.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.)
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th edition formatting and citation style.

MN 507 Purdue Polypharmacy and Policy Process

MN 507 Purdue Polypharmacy and Policy Process

The incidence of PolyPharmacy, or the use of five or more medications on a daily basis, is common in the US particularly among the elderly population. It occurs for a variety of reasons, including the need to treat multiple conditions, the patient obtaining treatment from numerous physicians, and a lack of communication among those physicians about medications prescribed. PolyPharmacy increases the risk of adverse drug effects and increased costs to patients. Formulate a policy to reduce the practice of multiple drug prescriptions. What tools might be included in the design phase of the policy process to increase the probability of success? What research from other countries could be helpful in addressing this issue? Support your reasoning.

Needs to be 1 page. with 3 references from Evidence base practice journals. Articles from the past 3 yrs

Thanks

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MN507 Purdue Global Health Care Reform Law Issues

MN507 Purdue Global Health Care Reform Law Issues

Course Outcome covered in this Assignment:

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MN507-1: Analyze U.S. healthcare policy structures and the role of the nursing leader as a change agent at the public policy table.

Directions

You will decide on a policy issue that needs to be addressed. You may choose a policy issue that interests you. Below are suggested topics for proposed policy change, however if you wish to address another topic please contact your instructor for approval:

Health care reform..
You will write a letter using professional business format to one of your Federal legislators outlining what the issue is and why it is important. The letter will address:

The current policy structure.
The need for the change.
The suggested change.
Cost implications if the change is implemented.
The role the nurse as a change agent will take at the policy table.
Assignment Requirements

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA formatting and citation s
Please use evidence base scholarly journals, with recent references from the past 3 yrs

analyzes a healthcare policy issue relevant to the role of the nurse leader. Work clearly identifies the issue, explains the importance of the issue, proposes appropriate change, outlines the costs of the change, and advises the role the nurse leader will have with this change. Content is supported appropriately, and work displays a high level of critical thinking.

Culture in nursing

Culture in nursing

from the list of cultural and sociocultural groups, you select Heritage and prepare a PowerPoint presentation that is due at the end of week 8. Preparation for the presentation will include synthesizing the information from readings, scientific literature, Internet resources and other sources. This presentation should address the following: History, values, and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, the degree of assimilation or marginalization from mainstream society, and health behavior and practices. In addition to describing these characteristics, the presentation must include: a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups b) a discussion of differential approaches needed by health care professionals The assignment will be posted in Turnitin for grading and verify originality, The assignment must be presented in an APA format, PowerPoint, Times New Roman 12 font attached to the forum in the assignment tab and discussion board title “Population presentation”
Purchase answer to see full attachment

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The Effectiveness of The Healthcare System

The Effectiveness of The Healthcare System

What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference

500 words, 2APA reference

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Health Care and The Affordable Care Act

Health Care and The Affordable Care Act

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

Key Features of the Affordable Care Act
Health Care Transformation: the Affordable Care Act and More
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

2 APA reference, 500 words.

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Healthcare Delivery system in The United States

Healthcare Delivery system in The United States

Research the current health care delivery system in the United States: it’s impact on health care of Americans, it’s impact on nursing practice and education and it’s impact on nursing leadership and management.

1 page, 2 references at least

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PSYC 6717 Discussion: Behavior and Environment

PSYC 6717 Discussion: Behavior and Environment

PSYC 6717 Discussion: Behavior and Environment

Behavior is a natural situation and it is an option exclusively for creatures to participate in it. At the end of the day, it is an organic entity’s association with the climate. A behavior that I engage in regularly is an exercise on a weekly schedule. I engage in exercise because I like the results that I gain from it. Which is, staying in shape and mental clarity, and positive reinforcement. The reaction is a response to a particular inquiry or experience. It can come in many designs which incorporate addressing an inquiry, enthusiastic response, or answering. It is a specific example of conduct. Some examples of response and response classes are:

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Model: Monica opens the rice pot grabs a hand full of rice and throws it at her parents PSYC 6717 Discussion: Behavior and Environment

Response class: attention

Model: Alisia is walking down the sidewalk and she unexpectedly stumbles over a ball and falls. Her first reaction is to holler ouch.

Response class: attention

Reaction Class is a gathering of reactions wherein it creates a similar result on the climate. It is a bunch of practices that look disparate yet fills the example need for the individual or the climate. To put it plainly, it is a few practices that have a similar capacity.

Model: Cleaning the dishes utilizing a wipe or a dishwasher is a gathering of reactions that might create the equivalent or similar outcomes which are needing to clean the dishes. PSYC 6717 Discussion: Behavior and Environment

Reference:

Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson.

 

Discussion: Behavior and Environment

Photo Credit: Joaquin Corbalan – stock.adobe.com

“Behavior analysis is characterized by a functional analysis of the effects of the behavior on the environment. A response class is a group of responses with the same function (that is, each response in the group produces the same effect on the environment)” (Cooper et al., 2020, p. 27) PSYC 6717 Discussion: Behavior and Environment.

The infographic below provides three examples of response class. For example: scream, throw, hit head, and name call are specific instances of behavior, or responses. Because they are a group of responses intended to produce the same effect on the environment—attention—the response class is attention.

 

In this Discussion, you will consider your own behavioral repertoire and identify and define examples of behavior, response, and response class.

Reference:
Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson.

To Prepare
Review the Learning Resources for this week, including the required weekly media, to gain an understanding of the relationship between behavior and environment, and related terminology.
Consider your own behavioral repertoire and identify examples of behavior, response, and response class. Review the interactive media in the Learning Resources, “Response and Response Class.”
By Day 4 of Week 7
Post a definition and an example of each of the following from your own behavioral repertoire:

Behavior
Response
Response Class
Read your colleagues’ postings.

Note: For this discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the To Participate in this Discussion link, then select Create Thread to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking on Submit!

By Day 6 of Week 7
Respond to at least two colleagues’ posts by expanding on their examples of behavior, response, and response class.

Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources PSYC 6717 Discussion: Behavior and Environment.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

Submission and Grading Information

Behavior is an individual’s interaction with their environment involving the movement of some part of their body, Cooper, J., Heron, T., & Heward, W., (2019). The behavior that I perform everyday is walking on the treadmill. The definition of a response is an action of an organism’s effector (p. 27). Three times a week after walking on the treadmill, I lift weights to keep my body toned. A response class is group of responses with the same function that produces the same effect on the environment, Neuringer, (2009, p.27). An example of a response class in my behavioral repertoire is cooking dinner for the family.

 

Reference

Cooper, J. O., Heron, T. E., Heward, W. L. (20190626). Applied Behavior Analysis, 3rd Edition.

Neuringer, A. (2009). Operant variability and the power of reinforcement. The Behavior Analyst Today, 10, 319–343 PSYC 6717 Discussion: Behavior and Environment.

PSYC 6717 Discussion: Respondent and Operant Conditioning

PSYC 6717 Discussion: Respondent and Operant Conditioning

Respondent conditioning is also known as Pavlovian conditioning and classical conditioning. It can occur when formerly neutral stimuli can acquire the ability to elicit respondents. Operant conditioning refers to the process and selective effects of consequences on behavior. Operant conditioning introduces the concepts of reinforcement and punishment and how it affects the acquisition of behavior (Cooper et. al, 2020). Respondent conditioning is unable to work for certain behaviors because it doesn’t take into account the fact that individuals still have free will and abstract minds. This type of conditioning cannot predict the future due to the mind being such a complex place that can yield various responses to one set of stimuli. For example, a child being shocked by a socket may scare then from touching one ever again or encourage them to become an electrician. However, respondent conditioning may work for behaviors that involves an individual conforming to a group around them. Classical conditioning states that nurture is more important than nature PSYC 6717 Discussion: Respondent and Operant Conditioning. If a disruptive student is placed in a classroom of honor students who don’t laugh or pay attention to their disruptive behavior, odds are the disruptive student will conform to the other students around them. Operant conditioning may not work for behaviors that don’t require such structured methodologies. There may be a parent struggling with a misbehaving child and decides to evoke a reinforcement/punishment procedure for acceptable/unacceptable behavior. However, if the parent simply stopped to talk to the child about why their behaviors were changing and what they could do a s a team to help the child, the results from this method may produce more efficient results. A more suitable behavior that would do well with operant conditioning is potty training a puppy. PSYC 6717 Discussion: Respondent and Operant Conditioning

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Cooper, J.O., Heron T.E., & Heward, W.L. (2020). Applied behavior analysis (3rd ed.). Pearson PSYC 6717 Discussion: Respondent and Operant Conditioning.

Discussion: Respondent and Operant Conditioning

Photo Credit: GoodIdeas – stock.adobe.com

Operant and respondent (classical) conditioning are both used to establish and modify behaviors. These concepts originated in the field of behavioral psychology and share similarities and differences. Perhaps the clearest example of the difference between the two concepts is whether the behavior to be modified is automatic (i.e., involuntary) or under the subject’s conscious control (i.e., voluntary). PSYC 6717 Discussion: Respondent and Operant Conditioning

A thorough understanding of the similarities and differences between respondent (classical) conditioning and operant conditioning can provide you clarity about which would be most appropriate to apply in a given learning situation.

For this Discussion, you will contrast operant conditioning and respondent (classical) conditioning in the acquisition of a behavior and a rationale for the use of each. You will also identify behaviors that could be established using each technique PSYC 6717 Discussion: Respondent and Operant Conditioning.

To Prepare

  • Review the Learning Resources for this week.
  • Contrast operant conditioning and respondent conditioning in the acquisition of a behavior and consider why each works with some behaviors and not with others.
  • Select two behaviors, one that could be established through operant conditioning and one that could be established through respondent conditioning.
  • Review the interactive media in the Learning Resources, “Respondent or Operant Conditioning?”

By Day 4 of Week 8

Post an explanation contrasting operant conditioning and respondent conditioning in the acquisition of a behavior. Be sure to identify why each works with some behaviors and not with others. Then, explain why each of the two behaviors you chose is more appropriate for respondent or operant conditioning.

Read your colleagues’ postings.

Note: For this discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the To Participate in this Discussion link, then select Create Thread to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking on Submit!

By Day 6 of Week 8

Respond to at least two colleagues’ posts by expanding on each of their explanations of how their chosen behaviors are more appropriate for respondent or operant conditioning PSYC 6717 Discussion: Respondent and Operant Conditioning.

Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or the internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments. PSYC 6717 Discussion: Respondent and Operant Conditioning

 

Operant conditioning refers to a behaviour that is initiated by receiving a reward for changing a behaviour, “Cooper, et al, 2020 “. Cleaning my room as a child to go out with friends was a reward for me. I continued to increase this behaviour to continue to meet with friends. Respondent conditioning differs from operant conditioning as the behaviour occurs when it is triggered. For example, listening to different songs, each song will trigger different behaviours. Another example can be hearing a cell phone ring in the home that is familiar and you check your phone to answer but the phone ringing is from someone else in the home. There are negative behaviours that cannot be rewarded or repeated. For example, my children have tantrums all the time, I do not reward those behaviours. Respondent conditioning are also behaviours we do not fully have control over.

 

Resources

 

Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson PSYC 6717 Discussion: Respondent and Operant Conditioning. PSYC 6717 Discussion: Respondent and Operant Conditioning

PSYC 6717 week 9 Discussion: Contingencies

PSYC 6717 week 9 Discussion: Contingencies

PSYC 6717 week 9 Discussion: Contingencies

The educator’s behavior plan isn’t working since she’s utilizing discipline as a way of fixing Randy’s forceful verbal behavior. Albeit the educator has applied discipline to keep Randy from acting in an undesirable way, as indicated by Skinner’s Operant Conditioning, it doesn’t let him know what he ought to do because there was no sure preparation. In this way, I figure the instructor ought to use uplifting comments rather as her homeroom the executive’s methodology. At the point when a boost is acquainted with work on the probability of a particular behavior happening, this is known as encouraging feedback. Thus, first, the educator ought to learn and see how Randy needs to get acclaim for sure rewards are satisfying to him. Then, at that point, the instructor should give Randy positive guidelines on the most proficient method to act well during class and be conscious of his schoolmates. If Randy stayed on doing this for 30 minutes or all through the whole class, the educator then, at that point, should give him the prize that is compensating to Randy. I accept this will impact as indicated by Skinner’s hypothesis, encouraging feedback is the best technique for trimming exercises into desirable behaviors PSYC 6717 week 9 Discussion: Contingencies. PSYC 6717 week 9 Discussion: Contingencies

Reference

Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson.

 

Discussion: Contingencies

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Changing behavior is a primary goal of applied behavior analysis and it is the role of the behavior analyst to determine interventions that systematically increase desirable behaviors and decrease undesirable behaviors. This effort typically begins by analyzing the relationship of contingency; that is, what operation (i.e., reinforcement or punishment) will develop a desired behavior for a given antecedent stimulus. With this knowledge, a behavior analyst might craft a behavior plan wherein the student understands clearly that receiving the reinforcer (or punisher) is “contingent” on the behavior PSYC 6717 week 9 Discussion: Contingencies.

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The effectiveness of contingency depends on the operation being consistently applied. While reinforcement is generally recommended soon after the desired behavior is exhibited, there are behavioral goals for which delaying the reinforcement may be the intent. PSYC 6717 week 9 Discussion: Contingencies

In this Discussion, you will examine a scenario in which a teacher’s behavior plan for a student displaying aggressive verbal behavior is not working. Through the lens of behavioral contingency, you will examine why you believe the teacher’s behavior education plan is not working and what you could do to fix the situation.

To Prepare

  • Review the Learning Resources for this week to gain an understanding of contingencies, including the “Contingencies” video and the “Contingencies Scenario” interactive media.

By Day 4 of Week 9

Based on the interactive media scenario provided in the Learning Resources:

Post an explanation of why you believe the teacher’s behavior education plan is not working and what you could do to fix the situation.

Read your colleagues’ postings.

Note: For this discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the To Participate in this Discussion link, then select Create Thread to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking on Submit!PSYC 6717 week 9 Discussion: Contingencies

By Day 6 of Week 9

Respond to at least two colleagues’ posts by expanding on each colleague’s explanation of why the behavior education plan is not working and their suggested remedy for the situation.

Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or the internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

 

 

I believe that Miss Marsh’s focus is too much on negative reinforcement and punishment.
I realize that Randy’s aggressive behavior is troubling, and it is easy to assume that managing the aggressive behavior is to punish him. However, in this particular example, we imagine that Ms. Marsh could not unearth Randy’s original reason behind the aggressive behavior. Maybe if Marsh had taken the time to talk and listen to Randy’s perspective, they could resolve the child’s aggressive behavior quicker. Sometimes, people tend to react instantly to a specific moment without finding in themselves to give a person a chance to fix it first or to ask for help.

 

Reference

Walden University, LLC. (2021). Contingencies scenario [Interactive media]. Walden University Blackboard. https://class.waldenu.edu

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sample 3

Ms. Marsh has a student, Randy, who exhibits aggressive, verbal behaviors in class. The behavior is increasing in frequency. Ms. Marsh has tried scolding him, moving his seat to the front of the classroom, and giving him extra assignments. She then decides to send him to principal’s office as a consequence to his aggressive, verbal behavior. There are times when the principal is busy, and Randy must sit outside his office. This allows for opportunity for him to receive attention from students as they walk by him.

Ms. Marsh has not had success in decreasing Randy’s behavior. One reason for this may be because she has tried multiple different ways, rather than choosing one consistent method for responding to Randy’s behavior. It is important when developing an intervention plan, to determine the best strategy to implement and follow through with consistently utilizing this strategy to reduce behavior. Additionally, it is important to recognize that it takes time to see change in a child’s behavior, which is why consistency is so crucial. A second reason why Ms. Marsh’s plan has not been working is because, although she is attempting to discipline him, Randy is receiving attention from her and from others nearby (i.e. when students talk to him outside the principal’s office). This would suggest that his behavior, at least in part, is attention seeking PSYC 6717 week 9 Discussion: Contingencies.

To assist Ms. Marsh, there are a few strategies I would recommend. The first would be to observe the antecedents that occur before Randy’s behavior to identify the function as well as potential triggers. This will help determine the best strategy to implement. Next, given that it was attention seeking behavior, I would work with teacher and class to implement planned ignoring for at least two weeks. I would also implement reinforcement for appropriate alternative behavior. In other words, I would suggest Ms. Marsh offers verbal praise for any verbal comment Randy makes that is appropriate and/or positive. PSYC 6717 week 9 Discussion: Contingencies

 

response

I enjoyed reading your post!  It was very insightful!

You made a good point that I didn’t think of; Ms. March has tried multiple ways in an attempt to decrease Randy’s behavior instead of trying and sticking with one intervention.  I think by continually changing her responses to Randy’s disruptive behavior, she’s not allowing the time to find the intervention that works for his situation.

I think this is where positive reinforcement comes into play.  “This strategy is usually built on the ABC (antecedent, behavior, consequence) model, which aims to reinforce the notion of positive results stemming from positive actions. Over time, the positive reinforcement that ultimately drives this model may cause negative behaviors to stop (Regis College, 2021)”.

 

Reference

How aba interventions promote positive behavior. Regis College Online. (2021, April 23). Retrieved October 31, 2021, from https://online.regiscollege.edu/blog/how-aba-interventions-promote-positive-behavior/.PSYC 6717 week 9 Discussion: Contingencies