NSG416 Phoenix Autism Theoretical Foundations & Development

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NSG416 Phoenix Autism Theoretical Foundations & Development

Theories are made up of ideas attempting to structure thinking around a specific happening. Your readings for this

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week introduce the ideas of phenomena, concepts, propositions, and assumptions. This assignment is designed to help you think about those four aspects and explain the connections between each to help strengthen your understanding of the foundations and working parts of theory.

Define the following four terms in your own words, citing at least one source: phenomena, concept, preposition, and assumptions.

Review your definitions and think of an example from your day-to-day life or your practice experience that includes each of the four ideas.

For example, falls in clinical practice is a phenomenon you encounter. The idea that dementia patients are at greater risk for falls is a related concept. The related proposition is that dementia is related to falling in some way. An underlying assumption is that patients with dementia don’t intend to fall.

Explain how all four aspects of your example work together to form the basis for a testable theory.

Cite a minimum of two sources in-text and in an APA-formatted reference page or slide.

Format your assignment as one of the following:

15- to 20-slide presentation with detailed speaker notes
1,050- to 1,225-word paper
**(please note: I used to work as a private duty nurse at a pediatric home health, an adult rehabilitation hospital, as a case manager at a home health agency and a pediatric care manager at an MCO

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Response to Anna Valdez DQ1

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Response to Anna Valdez DQ1

Description

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There are a lot of risk factors that contribute to adolescent pregnancy. These factor can be classified as individual, social and family risk factors. Individual risk factors include drug and alcohol use, poor school performance, being the victim of sexual abuse, lack of knowledge about sex or contraception, negative attitude towards using contraception, lack of goals for the future and having sex at a young age. Social risk factors include pressure from peers to have sex, poor peer relationships, dating at an early age and dating older people. Family risk factors include limited communication between parents and teen, single-parent families, poor parental supervision, negative family interactions and family history of teenage pregnancies. Even though the exact cause is unknown the teen pregnancy rate in my state has decreased. The teen birth rate in Florida declined 73% between 1991 and 2017 and the teen pregnancy rate, which includes all pregnancies rather than just those that resulted in a birth, has also fallen steeply, by 66 % between 1988 and 2013. Some resources available at my state and community include the Teen Age Parenting Program (TAPP), Women, Infant and Children Program (WIC), and community pregnancy clinics .TAPP is a step-by-step educational and hands on program providing prenatal well-care education for expecting mothers, parenting techniques for future parents and for parents with children 0 -5 years old. WIC is a supplemental food and nutrition education program funded by federal and state governments to make nutritious foods available to women, infants and children. Community Pregnancy Clinics includes services such as: pregnancy testing, ultrasound exams, pre-natal education classes, material assistance, and STI screening.

Resources:

Martin, J.A., Hamilton, B.E., Michelle, J.K., Driscoll, A.K., & Drake, P. (2018). Births: Final Data for 2017. National Vital Statistics Reports, 67(8), 1-50. Retrieved from https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_08-508.pdf.

Centers for Disease Control and Prevention (CDC). (2016). Natality Public-Use Data on CDC WONDER Online Database, for years 2007-2014 [Interactive Data Tables]. Available Februray 2016 from https://wonder.cdc.gov/natality.html.

Kost, K., Maddow-Zimet, I., & Arpaio, A. (2017). Pregnancies, Births and Abortions Among Adolescents and Young Women in the United States, 2013: National and State Trends by Age, Race and Ethnicity . New York: Guttmacher Institute. Retrieved from: https://www.guttmacher.org/report/us-adolescent-pregnancy-trends-2013.

Morin, A. (2018). Risk Factors for Teen Pregnancy. VeryWellFamily . Retrieved from https://www.verywellfamily.com/teen-pregnancy-risk-factors-2611269

****** please response to discussion above, add citation and references 🙂 *******

Healthcare Nursing Discusion Building A Health History

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Healthcare Nursing Discusion Building A Health History

Discussion: Building a Health History

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Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients:

76-year-old Black/African-American male with disabilities living in an urban setting
Adolescent Hispanic/Latino boy living in a middle-class suburb
55-year-old Asian female living in a high-density poverty housing complex
Pre-school aged white female living in a rural community
16-year-old white pregnant teenager living in an inner-city neighborhood
To prepare:

With the information presented in Chapter 1 in mind, consider the following:

How would your communication and interview techniques for building a health history differ with each patient?
How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?
What risk assessment instruments would be appropriate to use with each patient?
What questions would you ask each patient to assess his or her health risks?
Select one patient from the list above on which to focus for this Discussion.
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select one of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a description of the interview and communication techniques you would use with your selected patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

 

I do not have access to Chapter 1 or 26 at this time. May be able to find some information by searching online for Chapter 1 or Chapter 26 of the Seidel’s Guide to Physical Examination text, or use another tool like it states.

Response to Mayzie Smith DQ1

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Response to Mayzie Smith DQ1

Research has shown that in the last few years teen pregnancy has been decreasing (Morin, 2018). It has not yet been

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determined why teen pregnancy has decreased, but there are still risks factors that put certain individuals at an increased risk. Some individual risk factors are alcohol/drug use, sexual activity at a young age, low self-esteem, lack of knowledge about contraception, and being a victim of sexual abuse. There can also be peer pressure about having sex, or pressure when dating an older person (Morin, 2018). The adolescent pregnancy rate has slowly gone down, but from ages 18-19 it has increased by a few digits. I think some of the decrease is due to the increase in education in school systems; schools are providing more information about contraception, and different contraception options are being offered for free. There are various resources available to pregnant adolescents, one of the resources is called hope squared, and it offers shelter, life skills training, counseling and mentoring services. Another resource is the Centers for Disease Control and Prevention (CDC). The CDC provides a variety of resources on their websites that concerns parents and pregnant adolescents. The websites helps prevent pregnancy, as well as providing resources for gestation.

References

Morin, A. (2018, October 23). The Biggest Risk Factors That Contribute to Teen Pregnancy. Retrieved from https://www.verywellfamily.com/teen-pregnancy-risk…

 

******* please respond to the discussion above, add citation and references 🙂 ********

Response to Caroline Rivera DQ1

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Response to Caroline Rivera DQ1

Adolescent pregnancy can be a very challenging obstacle for patients and health care providers. Teen pregnancies

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are generally viewed as stressful, it is difficult to become an adult on demand and this can be taxing for the mother, father, and baby as well as the support system surrounding them. Although teen pregnancy can happen to anyone there are several risk factors associated with a higher risk; socioeconomic status, education, home environment, being a child of teen parents, prevalence of substance abuse within the household, and low self-esteem (Youth.gov). Because teen pregnancy has detrimental affects on the individual, the individual’s support system/family, and the community, it is important to be knowledgeable about available resources through the community and state. According to Powertodecide.org, as of 2013 there were 10,160 pregnancies among teens age 15 to 19 in New Jersey or 36 teen pregnancies to every 1000 teen girls; this is a 23% drop since 2011 and a 68% drop since 1988. Changes in statisitcs can be attributed to an increase in available resources as well as access to smart phones and the internet. Resources are available for teen parents in the community as well as state-wide. On the State of New Jersey website, NJParent Link provides teen parents with access to resources; a list of available resources specific to this population is available and provides information such as, adolescent and young adult support services and New Jersey’s Paternity Opportunity Program (POP) which facilitates paternity establishment for babies born to unmarried parents. Through NJParent Link there is information available for specific counties in New Jersey, one in particular is the availability of Family Success Centers throughout the state; these centers are considered a “one-stop” shop and they provide resources and supports for families before they find themselves in crisis. Family Success Centers bring together community residents, leaders, and community agencies to address the problems that threaten the safety and stability of families and the community (Department of Children and Families, 2019).

References

Response to Jazmin Bueno DQ2

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Response to Jazmin Bueno DQ2

In addition some coping mechanisms for adolescents can be: to talk about problems with others. Take deep breaths,

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accompanied by thinking or saying aloud, “I can handle this.” Set small goals and break tasks into smaller, manageable chunks. Exercise and eat regular meals. Get proper sleep. Practice consistent, positive discipline. Visualize and practice feared situations. Focus on what you can control (your reactions, your actions) and let go of what you cannot (other people’s opinions and expectations). Work through worst-case scenarios until they seem amusing or absurd. Accept yourself as you are; identify your unique strengths and build on them. Give up on the idea of perfection, both in yourself and in others. Give yourself permission and cultivate the ability to learn from mistakes.

Reference:

Managing Stress in Teens and Adolescents: A Guide for Parents. (n.d.). Retrieved from https://www.bradleyhospital.org/managing-stress-te…

*****Please response to the discussion above add citation and references 😉 ********

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Response to Shonna Andrews DQ2

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Response to Shonna Andrews DQ2

There are many stressors that affect Adolescents in today’s society. One of the most common external stressor is the Peer/Social Stressors. Included in this type of stressor is the Rejection and Peer Pressure. The Rejection stressor takes place when there is a break-up between a boyfriend and girlfriend. Peer Pressure is the influence from someone in their peer group or circle of friends (Cincinatti Childrens, 2019). These two stressors are very well defined by adolescents. When these stressors occur, there is an increase in risk-taking behaviors, such as, Depression, Suicidal Ideation, Isolation, Anorexia, Binge Dating, Sexual Activity, Drug and Alcohol abuse, and/or Criminal Mischief. It is always best to have a good support group and be able to identify with coping techniques for any stressor that may occur; have a person to confide in, praying, attending church, leaving the situation, exercise, listening to music, journaling, and hanging out with positive people (Elmore, 2018).

Sources
Cincinatti Childrens. (2019). Surviving the Teens. Retrieved from Cincinatti Childrens: https://www.cincinnatichildrens.org/service/s/surv…

Elmore, T. (2018, December 20). Psychology Today. Retrieved from Four Healthy Coping Mechanisms Teens Can Use: https://www.psychologytoday.com/us/blog/artificial…

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Response to Michelle Tellier DQ2

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Response to Michelle Tellier DQ2

Adolescents have many stresses, and some that are more prominent in youth are bullying, especially cyberbullying,

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and peer pressure from friends or romantic partners. With the rise of social media, there has been a rise in cyberbullying. Bullying in any form tends to lead to depression which can lead to teen suicide (Falkner, 2018). Peer pressure is another form of stress that is more prominent in younger children and teens. In teens it can lead to pressure to have early sexual experiences and substance abuse.

Nurses, especially school and public health nurses are poised to give help to these special patients by developing trusting relationships with them, working with their parents, and providing resources and education to the teen (Falkner, 2018). School districts can buy programs that teach prevention programs to reduce the incidence of cyberbullying and teen suicide (Falkner, 2018). Substance Abuse and Mental Health Services Administration (SAMHSA), can provide many mental health services to teens and their families regarding substance abuse and suicide prevention (Falkner, 2018). Parents should be taught to monitor social media accounts and teen phones to help prevent these issues from occurring (Falkner, 2018). Nurses and schools should be giving teens proper sex education to help them prevent undesirable consequences of sex and sexual relationships (Falkner, 2018).

Reference

Falkner, A., (2018). Adolescent assessment. In Health assessment: foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/3

 

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MN506 Purdue The Legal Implications of Acceptance or Refusal of an Assignment

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MN506 Purdue The Legal Implications of Acceptance or Refusal of an Assignment

Topic: The Legal Implications of Acceptance or Refusal of an Assignment

After reviewing the ANA position statement on “Rights of Registered Nurses when Considering a Patient Assignment,” discuss the legal and ethical implications of accepting assignments. When delegating assignments to unlicensed personnel, what considerations need to be considered? What insurance issues come into play? Analyze the legal principle of Respondeat Superior.

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MN506 Purdue Case Study: Malpractice Action Brought by Yolanda Pinellas

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MN506 Purdue Case Study: Malpractice Action Brought by Yolanda Pinellas

Using the information from the case study below, discuss the following issues from the perspective of an Advanced

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Practice Nurse (APN)

Practitioner
Standards of care – what were the standards of care that were violated? Who was responsible for the violations?

In your role as an educator, administrator, or practitioner, what risk management steps needs to be taken before or after the incident to alleviate the issue?

Page length should be 3-4 pages exclusive of cover page and references.

Support your paper with a minimum of three scholarly references.

Case Study: Malpractice Action Brought by Yolanda Pinellas

Yolanda Pinellas is a 21-year-old female student studying to be a music conductor. She was admitted for chemotherapy. The medication Mitomycin was administered by intravenous infusion through an infusion pump.

During the evening shift the infusion pump began to beep. The RN found that the IV was dislodged and discontinued the infusion, notified the physician and provided care to the infusion site. The patient testified that a nurse came in and pressed some buttons and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. The documentation in the medical record indicates that there was an infiltration to the IV.

Two weeks after the event, the patient developed necrosis of the hand and required multiple surgical procedures, skin grafting, and reconstruction. She had permanent loss of function and deformity in her third, fourth, and fifth fingers. The patient is alleging that because of this, she is no longer able to perform as a musical conductor.

The risk manager had noted when doing chart reviews over the last 3 months prior to this incident that there were issues of short staffing and that many nurses were working double shifts, evenings, and nights then coming back and working the evening shift. The risk manager also noted a pattern of using float nurses to several units.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

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.
Please use 4 peer reviewed Nursing evidence based articles or references that are within the past 3 years. Thank you very