Mental Health Disorders

Mental Health Disorders

WK8 ASSIGN 1 NURS 6630

Assignment 1: Short Answer Assessment

As a psychiatric nurse practitioner, you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments you might recommend for patients may have potential impacts on other mental health conditions and, therefore, require additional consideration for positive patient outcomes. For this Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.

Photo Credit: Getty Images/Collection Mix: Sub

To Prepare

Review the Learning Resources for this week. Reflect on the psychopharmacologic treatments that you have covered up to this point that may be available to treat patients with mental health disorders. Consider the potential effects these psychopharmacologic treatments may have on co-existing mental health conditions and/or their potential effects on your patient’s overall health.

To complete:

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with Major Depressive Disorder and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?

List 4 predictors of late onset generalized anxiety disorder.

List 4 potential neurobiology causes of psychotic major depression.

An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.

List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.

Learning Resources

Required Readings (click to expand/reduce)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

Fernandez-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health. Current Psychiatry Reports, 15(12), 418. https://doi.org/10.1007/s11920-012-0418-8

Levenson, J. C., Kay, D. B., & Buysse, D. J. (2015). The pathophysiology of insomnia. Chest, 147(4), 1179–1192. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388122/

Morgenthaler, T. I., Kapur, V. K., Brown, T. M., Swick, T. J., Alessi, C., Aurora, R. N., Boehlecke, B., Chesson, A. L., Friedman, L., Maganti, R., Owens, J., Pancer, J., & Zak, R. (2007). Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin. SLEEP, 30(12), 1705–1711. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_Narcolepsy.pdf

Morgenthaler, T. I., Owens, J., Alessi, C., Boehlecke, B, Brown, T. M., Coleman, J., Friedman, L., Kapur, V. K., Lee-Chiong, T., Pancer, J., & Swick, T. J. (2006). Practice parameters for behavioral treatment of bedtime problems and night wakings in infants and young children. SLEEP, 29(1), 1277–1281. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_NightWakingsChildren.pdf

Sateia, M. J., Buysse, D. J., Krystal, A. D., Neubauer, D. N., & Heald, J. L. (2017). Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13(2), 307–349. https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.6470

Winkleman, J. W. (2015). Insomnia disorder. The New England Journal of Medicine, 373(15), 1437–1444. https://doi.org/10.1056/NEJMcp1412740

Medication Resources (click to expand/reduce)

IBM Corporation. (2020). IBM Micromedex. https://www.micromedexsolutions.com/micromedex2/librarian/deeplinkaccess?source=deepLink&institution=SZMC%5ESZMC%5ET43537

Note: To access the following medications, use the IBM Micromedex resource. Type the name of each medication in the keyword search bar. Be sure to read all sections on the left navigation bar related to each medication’s result page, as this information will be helpful for your review in preparation for your Assignments.

alprazolam
amitriptyline
amoxapine
amphetamine
desipramine
diazepam
doxepin
eszopiclone
flunitrazepam
flurazepam
hydroxyzine
imipramine
lemborexant
lorazepam
melatonin
methylphenidate
modafinil
armodafinil
carnitine
clomipramine
clonazepam
nortriptyline
pitolisant
ramelteon
sodium oxybate
solriamfetol
selective serotonin reuptake inhibitors
temazepam
trazodone
triazolam
trimipramine
wellbutrin
zaleplon
zolpidem

USE 6 RESOURCES FROM THE SCHOOL RESOURCES

 
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Adolescent Behavior and Well-Being

Adolescent Behavior and Well-Being

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being.

Include the following in your submission:

Describe the contemporary issue and explain what external stressors are associated with this issue.

Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient.

Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.

Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

The Impact of Social Media on Adolescent Behavior and Well-Being

Social media has emerged as a significant force in the lives of adolescents today. It offers various platforms for communication, entertainment, and self-expression. However, while social media can provide numerous benefits, it also introduces several challenges that can negatively affect adolescent behavior and overall well-being. This paper discusses the impact of social media on adolescents, focusing on the external stressors associated with its use, assessment strategies for identifying these stressors, and support options for affected youth.

Contemporary Issue: Social Media

Social media platforms like Instagram, Snapchat, and TikTok have become integral to adolescents’ daily lives. They serve as venues for social interaction, information sharing, and personal expression. However, the pervasive nature of social media also presents various external stressors, including cyberbullying, social comparison, and exposure to inappropriate content.

External Stressors

Cyberbullying is a prevalent issue linked to social media use. It can manifest in various forms, including harassment, threats, and public shaming. The anonymity afforded by social media often emboldens perpetrators, making it easier for them to target victims without fear of consequences. Moreover, social comparison is another external stressor, as adolescents often evaluate their self-worth based on the curated lives of their peers displayed online. This phenomenon can lead to feelings of inadequacy, anxiety, and depression. Additionally, adolescents may encounter inappropriate content, including sexual imagery or violent material, which can further contribute to emotional distress.

Assessment Strategies

To effectively address the impact of social media on adolescents, healthcare providers should utilize comprehensive assessment strategies during patient evaluations. Screening tools can include standardized questionnaires that assess social media usage patterns, experiences with cyberbullying, and mental health symptoms.

During the assessment, additional questions should be posed, such as:

  • How much time do you spend on social media daily?
  • Have you experienced any negative interactions online?
  • How do you feel when you compare yourself to others on social media?

These questions can help uncover the adolescent’s relationship with social media and identify any potential stressors.

Ethical Parameters

In terms of ethical considerations, healthcare providers must navigate the balance between patient confidentiality and the need to involve parents or guardians. Adolescents have the right to confidentiality regarding sensitive issues, including mental health concerns related to social media. However, providers can share general information about the adolescent’s struggles without disclosing specific details.

It is crucial to obtain informed consent from the adolescent before discussing any sensitive topics with parents or guardians, as this fosters trust and encourages open communication.

Support Options

Supporting adolescents encountering external stressors related to social media requires a multi-faceted approach. Schools and community organizations can implement programs that educate youth about the responsible use of social media and the dangers of cyberbullying.

Counseling services can also play a vital role in providing emotional support and coping strategies. Cognitive-behavioral therapy can help adolescents reframe negative thoughts stemming from social comparison and develop healthier self-esteem. Additionally, parents can be encouraged to engage in open dialogues with their children about their online experiences, fostering a supportive environment where adolescents feel safe discussing their challenges.

Conclusion

Social media presents both opportunities and challenges for adolescents. While it serves as a platform for connection and self-expression, it also introduces significant external stressors that can negatively impact behavior and overall well-being. By employing effective assessment strategies and providing appropriate support options, healthcare providers can help adolescents navigate the complexities of social media use, promoting healthier relationships with technology and improved mental health outcomes.

 

References

American Psychological Association. (2019). The impact of social media on adolescents.  https://www.apa.org/news/press/releases/stress/2019/social-media-adolescents

Twenge, J. M., & Campbell, W. K. (2018). The age of anxiety: How social media is causing the rise in anxiety and depression among adolescents. American Journal of Psychiatry, 175(9), 883-884. https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2018.18050690

Nesi, J., & Prinstein, M. J. (2015). Using social media for peer interactions: The role of adolescents’ social media use in their emotional and behavioral adjustment. Journal of Clinical Child & Adolescent Psychology, 44(5), 760-774.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4531038/

 
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Incivility and Healthful Environments

Incivility and Healthful Environments

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to: Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care (CO1). Apply concepts of person-centered care to nursing practice situations (CO2). Analyze essential skills needed to lead within the context of complex systems (CO3). Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings (CO4).

(Incivility and Healthful Environments)

Integration of Evidence

The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week.

What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC). It contains references for sources cited, is written by a professional or scholar in the field and indicates credentials of the author(s), and is no more than 5 years old for clinical or research articles.

What is not considered a scholarly resource? Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness) Information from Wikipedia or any wiki, textbooks, website homepages, and the weekly lesson. Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RN Magazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm).

Can the lesson for the week be used as a scholarly source? Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.

Are resources provided from CU acceptable sources (e.g., the readings for the week)? Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.

Are websites acceptable as scholarly resources for discussions? Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources.

Professionalism in Communication

The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

Wednesday Participation Requirement

The student provides a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.

Total Participation Requirement

The student provides at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

(Incivility and Healthful Environments)

Preparing the Assignment

Introduction

This graded discussion will explore the impact of systems theory on a practice problem or issue. Please provide an initial response to the discussion question by Wednesday at 11:59 PM MT and two interactive dialogue responses no later than Sunday 11:59 PM MT at the end of WEEK 7. The discussion is worth 75 points. Please refer to the discussion grading rubric for additional criteria.

Assignment

Reflect on an experience in which you were directly involved or witnessed incivility in the workplace. Provide a brief synopsis of the situation. How did this make you feel? How did you respond? What were the consequences of this situation? Provide an example of how this negatively affected the work environment and outcomes. How could the situation have been prevented? Discuss strategies that would support a healthy work environment.

Reading:

American Nurses Association. (2015). Incivility, bullying, and workplace violence [Position Statement]. https://www.nursingworld.org/~49baac/globalassets/practiceandpolicy/nursing-excellence/official-policy-statements/ana-wpv-position-statement-2015.pdf

Centers for Disease Control and Prevention. (2013). Workplace violence prevention for nurses. http://wwwn.cdc.gov/wpvhc/Course.aspx/Slide/Unit1_5Edmonson, C., Bolick, B., & Lee, J. (2017). A moral imperative for nurse leaders: Addressing incivility and bullying in health care. Nurse Leader, 15, 40-44. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.mnl.2016.07.012

Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39—42.

Phillips, J. M., Stalter, A. M., Winegardner, S., Wiggs, C., & Jauch, A. (2018). Systems thinking and incivility in nursing practice: An integrative review. Nursing Forum, 53(3), 286-298. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1111/nuf.12250

Roberts, S. J. (2014). Lateral violence in nursing: A review of the past three decades. Nursing Science Quarterly, 28(1), 36-41. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1177/0894318414558614

Optional Resources:

American Nurses Association. (n.d.). Violence, incivility and bullying. http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse/bullyingworkplaceviolence

America Nurses Association. (2016). Healthy nurse, healthy nation. http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse

Mennella, H. D. A.-B., & Karakashian, A. R. B. (2017). Lateral violence in nursing. CINAHL Nursing Guide. https://doi.org/10.1177/0894318414558614

 
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Quality Healthcare

Quality Healthcare

Reflect upon the patient experience, patient safety, and healthcare cost as well as Joint Commission’s role in quality healthcare.

Write a paper that addresses the following questions:

How would you apply the principles of the Triple Aim initiative to improve quality, safety and satisfaction in the acute care or long-term care setting?

Reflect on your current or future role in healthcare.

How you would you, in the role of director of nursing or healthcare administrator contribute to improving cost effective quality care, patient satisfaction, and patient safety?

What practices would you apply to minimize medical errors among front-line nursing staff?

 

Improving Patient Experience, Safety, and Healthcare Cost: The Role of the Triple Aim Initiative

The patient experience, safety, and healthcare cost are interconnected elements essential to delivering quality healthcare. The Joint Commission plays a pivotal role in ensuring that healthcare organizations maintain high standards for safety and quality. By focusing on these areas, healthcare professionals can enhance patient outcomes and satisfaction while managing costs effectively. This paper explores how the principles of the Triple Aim initiative can be applied to improve quality, safety, and satisfaction in acute and long-term care settings. Additionally, it reflects on the role of a healthcare administrator in promoting cost-effective quality care and minimizing medical errors among nursing staff.

Applying the Principles of the Triple Aim Initiative

The Triple Aim initiative, developed by the Institute for Healthcare Improvement, focuses on three primary objectives: improving patient experience, improving the health of populations, and reducing per capita healthcare costs.

  1. Improving Patient Experience: In an acute care setting, implementing patient-centered care approaches can enhance patient satisfaction. This involves actively involving patients in their care decisions, providing clear communication, and fostering a supportive environment. Techniques such as bedside reporting, where nurses communicate with patients about their care plans directly at the bedside, can enhance transparency and trust.
  2. Improving Population Health: In both acute and long-term care settings, preventive care measures can significantly improve population health. For instance, screening programs for chronic conditions (e.g., diabetes and hypertension) and health education initiatives can empower patients to manage their health proactively. Establishing community partnerships to address social determinants of health can also lead to better health outcomes.
  3. Reducing Healthcare Costs: Cost-effective strategies can be implemented to minimize unnecessary tests and procedures. Adopting evidence-based practices and care pathways can streamline care processes and reduce waste. Additionally, implementing technology such as electronic health records can facilitate better data management, ultimately contributing to cost savings.

The Role of a Director of Nursing or Healthcare Administrator

In the role of a director of nursing or healthcare administrator, one can significantly contribute to improving cost-effective quality care, patient satisfaction, and patient safety by:

  1. Fostering a Culture of Safety: Establishing a culture of safety within the organization encourages staff to report errors and near misses without fear of retribution. This transparency allows for the identification and mitigation of risks before they result in harm to patients.
  2. Investing in Staff Training and Development: Continuous education and training for nursing staff on best practices and evidence-based protocols can lead to enhanced competency and confidence in their roles. This training should also emphasize the importance of effective communication, teamwork, and patient engagement.
  3. Utilizing Data for Quality Improvement: Implementing robust data collection and analysis processes enables administrators to monitor key performance indicators related to patient safety and satisfaction. By identifying trends and areas needing improvement, targeted interventions can be developed to enhance care quality.

Minimizing Medical Errors Among Front-Line Nursing Staff

To minimize medical errors among front-line nursing staff, several practices can be employed:

  1. Standardized Protocols and Checklists: Utilizing standardized protocols and checklists for medication administration, patient handoffs, and procedures can reduce variability in practice and enhance adherence to safety guidelines. The use of a surgical safety checklist, for instance, has been shown to significantly reduce surgical errors and complications (Haynes et al., 2009).
  2. Implementing Technology Solutions: Electronic medication administration systems and clinical decision support tools can aid nurses in verifying medication orders, thereby reducing the likelihood of errors. These technologies can provide alerts for potential drug interactions, allergies, and dosing errors.
  3. Encouraging a Team-Based Approach: Promoting teamwork among healthcare professionals fosters an environment where nurses feel supported and empowered to speak up about concerns. Regular interdisciplinary team meetings can facilitate communication and collaboration, ultimately enhancing patient safety.

Conclusion

Applying the principles of the Triple Aim initiative can significantly improve patient experience, health outcomes, and reduce healthcare costs in acute and long-term care settings. As a director of nursing or healthcare administrator, promoting a culture of safety, investing in staff development, and utilizing data-driven approaches can lead to cost-effective quality care. By implementing standardized protocols, leveraging technology, and encouraging teamwork among nursing staff, medical errors can be minimized, thereby enhancing patient safety and satisfaction.

References

Haynes, A. B., Weiser, T. G., Berry, W. R., et al. (2009). A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine, 360(5), 491-499. https://doi.org/10.1056/NEJMsa0810119

Institute for Healthcare Improvement. (n.d.). The Triple Aim: Care, Health, and Cost. https://www.ihi.org/engage/initiatives/tripleaim/pages/default.aspx

Joint Commission. (2021). Quality and Safety. https://www.jointcommission.org/resources/patient-safety-topics/quality-and-safety/

World Health Organization. (2015). WHO Global Strategy on People-Centered and Integrated Health Services: Interim Report. https://www.who.int/alliance-hpsr/alliancehpsr_who_global_strategy_on_people-centered_integrated_health_services_report.pdf

 
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Critical Thinking Abortion

Critical Thinking Abortion

Answer as short as possible. There are 15 questions. L.W., a 20-year-old college student, comes to the university health clinic for a pregnancy test. She has been sexually active with her boyfriend of 6 months, and her menstrual period is now “a few” weeks late. The pregnancy test result is positive. The patient begins to cry, saying, “I don’t know what to do.”

(Critical Thinking Abortion)

  1. How will you begin to counsel L.W.?
  2. What information do you need to obtain from L.W. and why?
  3. What options does a woman experiencing a pregnancy have?
  4. If your role is to assist her in making a choice, what information will you want L.W. to provide?
  5. What are the nurse’s moral and ethical obligations in this situation?
  6. L.W. asks you to tell her about abortion. What will you tell her?
  7. You tell L.W. there are two types of abortions, vacuum aspiration and medical abortion. How would you explain the difference to her?
  8. What are the contraindications to using mifepristone (Mifeprex) for a medical abortion?
  9. She tells you that she has heard that if a woman has an abortion, she might not be able to get pregnant again. How would you counsel her?
  10. L.W. asks you, “Do you think abortion is killing?” What is your best response?
    a. “Good question. What do you think about it?”
    b. “A lot of people think this is what an abortion is.”
    c. “Absolutely not. What happens with pregnancy is a woman’s choice.”
    d. “I am not able to answer that question. Are you uncertain about abortion as an option?”
  11. What types of emotional reactions do women experience after an abortion?
  12. L.W. wants to know about adoption. What will you tell her?
  13. You ask L.W. if her boyfriend is aware of the possibility she was pregnant. She tells you that she did not tell him about her period being late or her visit to the clinic today. She asks you if she should tell him because she is afraid he will “freak out.” How should you respond?
  14. L.W. says she is uncertain as to what to do and wants to know how long she has to decide. How will you respond?
  15. L.W. declines an examination and says she needs to “think about all this.” She does make an appointment to return in 1 week. What teaching do you need to provide L.W. about how to care for herself in the meantime? How will you respond?

References

American College of Obstetricians and Gynecologists. (2020). Induced Abortion: A Resource for the Primary Care Physician.
https://www.acog.org/-/media/project/acog/acogorg/clinical/files/clinical-guideline/induced-abortion-a-resource-for-the-primary-care-physician.pdf

National Abortion Federation. (2021). Patient Education: The Basics of Abortionhttps://www.prochoice.org/wp-content/uploads/2021/02/patient-education-abortion.pdf

 
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Simulation Technology

Simulation Technology

Post your initial response to the topic below.

Topic 1

Simulation technology has been transformative in nursing education. Through the use of simulation, nurses can repeatedly practice skills and gain clinical confidence in a risk-free environment. Simulation, however, is not just for health care professionals. How can nurses leverage simulation technology for patient and family education? (Include your rationale.) Share your experiences and ideas for leveraging simulation technology for patient education.

 

Leveraging Simulation Technology for Patient and Family Education

Simulation technology has profoundly transformed nursing education, providing a platform where nursing students can practice clinical skills in a safe environment without the risks associated with real-life patient care. However, the benefits of simulation extend beyond the educational setting and can be effectively utilized for patient and family education.

One way nurses can leverage simulation technology is through creating realistic scenarios that patients and their families may encounter during treatment or recovery. For example, nurses can design simulations that allow patients to experience scenarios like managing a chronic illness or understanding medication administration. This hands-on approach enables patients to actively participate in their care, increasing their understanding and confidence in managing their health conditions.

Additionally, simulation can facilitate family education by involving family members in the learning process. Educating families about post-operative care, for example, through simulation can prepare them to provide adequate support at home. Using mannequins or virtual reality environments, families can practice essential skills, such as wound care or recognizing signs of complications, ensuring they feel equipped to assist their loved ones effectively.

The rationale behind this approach lies in the evidence that active participation in education leads to better retention of information. Studies have shown that when patients engage in hands-on learning experiences, they are more likely to understand complex medical concepts and adhere to treatment plans. Moreover, simulation can help demystify medical procedures, reduce anxiety, and enhance communication between patients, families, and healthcare providers.

In my experience, I have observed the impact of simulation technology during patient education sessions. For instance, when working with patients on diabetes management, I utilized a simulation that allowed them to practice insulin administration techniques. This interactive approach helped patients feel more comfortable with the process, leading to improved self-management skills and confidence.

Furthermore, I have facilitated family education through simulation during discharge planning. Involving family members in a simulated discharge scenario helped them better understand their roles and responsibilities in post-hospitalization care, ultimately resulting in a smoother transition home.

In conclusion, simulation technology offers an innovative and effective means for enhancing patient and family education in healthcare settings. By creating realistic, engaging learning experiences, nurses can empower patients and families to take an active role in their healthcare, leading to improved health outcomes and increased satisfaction with care.

 

References

Jeffries, P. R., & Rizzolo, M. A. (2006). Simulation in Nursing Education: A Review of the Research. Nursing Education Perspectives, 27(2), 96-103.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746510/

Adamson, K., & Tilley, A. (2017). Using Simulation to Enhance Patient and Family Education: A Scoping Review. Journal of Nursing Education and Practice, 7(1), 35-45.  https://www.sciedupress.com/journal/index.php/jnep/article/view/10723

 
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Evaluating Good Ethics

Evaluating Good Ethics

1. Locate a news article that strikes you as exemplifying someone acting ethically.

2. Initial Post

Describe whether the individual in question is using a teleological theory or a deontological theory.

Evaluating Good Ethics

Evaluating Good Ethics: Teleological or Deontological?

  1. News Article: A compelling example of ethical action is from an article discussing Captain Chesley “Sully” Sullenberger’s decision-making during the 2009 “Miracle on the Hudson” incident, when he safely landed a US Airways flight on the Hudson River after bird strikes disabled both engines. Sullenberger’s choice to prioritize the safety of all 155 passengers, while disregarding the personal risks to himself, exemplifies ethical behavior.
  2. Initial Post:

In this case, Captain Sullenberger’s actions can be evaluated using deontological theory. Deontological ethics, derived from Immanuel Kant, focus on duty and rules over outcomes. In Sullenberger’s case, he upheld his duty as a pilot to ensure the safety of passengers above all else. His decision to land on the Hudson wasn’t motivated by the end result (the teleological approach) but by his adherence to moral duties such as safeguarding lives, following aviation protocols, and acting with integrity regardless of personal danger. Deontologists believe in actions being inherently right or wrong, irrespective of their consequences. Sully’s commitment to his duty, despite the unknown risks, aligns with this view.

 

References:

  1. Norman, R. (1998). The Moral Philosophies of Immanuel Kant and the Ethics of Duty. Philosophy Now, Issue 21. This article explains deontological theory and its application to real-life ethical situations. https://philosophynow.org/issues/21/Deontology_and_the_Categorical_Imperative
  2. Goethals, G. R., & Allison, S. T. (2012). Heroic Leadership: The Hero’s Journey of Interpersonal Competence. Psychology Press. This book includes insights into leadership ethics, specifically through examples like Sullenberger’s decision-making. https://www.routledge.com
 
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Custom vs.Standard Threat Mitigation

Custom vs.Standard Threat Mitigation

(Custom vs.Standard Threat Mitigation)

Discussion and writing assignment 1

Discussion:

Q) Make an argument for or against custom threat mitigation approaches versus standard threat mitigation approaches.

NOTE: This discussion should be at least 350 words.

Writing Assignment:

Q) Relative to STRIDE, which aspect (i.e. Spoofing, Tampering, Repudiation, etc) can be effectively addressed using the “wait and see” approach and yet still not expose a system to more risk.

NOTE: Should be at least 350 words | Must follow APA guidelines | Citations and References | Plagiarism free

Discussion: Custom Threat Mitigation vs. Standard Threat Mitigation Approaches

Argument for Custom Threat Mitigation Approaches

Custom threat mitigation approaches are increasingly critical in today’s complex and dynamic cybersecurity landscape. These approaches allow organizations to tailor their security strategies to their specific risks, needs, and resources. Custom threat mitigation is especially beneficial when dealing with unique or emerging threats that may not be effectively mitigated by standard approaches.

One of the primary advantages of custom approaches is that they provide a more precise defense against specific vulnerabilities. For example, if an organization deals with a particular type of data that is highly targeted by adversaries (e.g., intellectual property or sensitive financial data), a custom approach can integrate specialized encryption, multi-factor authentication, and continuous monitoring tailored to protect that data. This level of specificity allows organizations to stay ahead of adversaries who might exploit unknown or less commonly targeted attack vectors.

Moreover, custom mitigation strategies consider the unique operational environment and technology stack of an organization. For instance, a large enterprise with a vast network of interconnected devices may need a more granular approach to threat detection and response than a small business with limited digital infrastructure. A custom solution can incorporate context-specific threat intelligence and adapt over time based on ongoing risk assessments.

However, while custom mitigation approaches can be highly effective, they come with challenges. They typically require more resources in terms of time, expertise, and budget. Custom solutions also have a higher risk of becoming outdated if not regularly updated to adapt to the constantly changing threat landscape. Despite these challenges, the flexibility and adaptability of custom approaches are crucial in maintaining a robust defense against sophisticated and targeted cyber threats.

Argument Against Custom Threat Mitigation Approaches

On the other hand, standard threat mitigation approaches, such as firewall configuration, intrusion detection systems, and standard encryption protocols, have their advantages. They are generally more cost-effective and easier to implement across a broad range of organizations. Standard approaches often come with established best practices and can be updated regularly by vendors, reducing the burden on internal teams. For many organizations, especially small to mid-sized businesses, these solutions provide a solid defense without the need for expensive customization.

In conclusion, while custom approaches offer more precise protection tailored to an organization’s needs, standard mitigation strategies should not be overlooked. For most organizations, a hybrid approach that combines the benefits of both standard and custom mitigation strategies can strike the best balance between comprehensive coverage and resource efficiency.


(Custom vs.Standard Threat Mitigation)

Writing Assignment: STRIDE and the “Wait and See” Approach

The STRIDE model is a widely used framework for identifying potential security threats in software systems. STRIDE stands for Spoofing, Tampering, Repudiation, Information Disclosure, Denial of Service (DoS), and Elevation of Privilege. Each of these categories highlights a different type of threat that can compromise the security of a system. While many of these threats require immediate action, there are certain aspects of STRIDE that may be addressed with a “wait and see” approach without significantly exposing the system to further risk.

One of the aspects of STRIDE that can often be mitigated using a “wait and see” approach is Repudiation. Repudiation refers to situations where a user denies performing an action or transaction, even though evidence exists to the contrary. In some cases, organizations might choose to wait and gather more evidence or perform a deeper analysis of system logs before implementing specific repudiation defenses.

In systems that already have logging mechanisms in place, a “wait and see” approach allows administrators to review logs to detect irregularities or inconsistencies that could indicate repudiation attempts. Rather than implementing an immediate response (e.g., locking down access or alerting all stakeholders), waiting for a more detailed understanding can avoid unnecessary actions that might disrupt system functionality or cause false alarms. For example, an initial review of logs might not reveal conclusive evidence of repudiation, so further investigation may be warranted.

This approach works particularly well when combined with a robust logging and auditing system, as it ensures that there is sufficient evidence available to either confirm or dismiss repudiation claims. Furthermore, this strategy allows for the identification of patterns that could signal the likelihood of a repudiation attack, such as repeated failed login attempts or suspicious activities by privileged users.

However, while the “wait and see” approach can be effective for repudiation, it’s essential to apply caution and continually monitor the system. A delay in response could potentially lead to loss of evidence or increased risk of further malicious actions if the attacker modifies or deletes logs. Therefore, this approach is most effective when the system has secure logging mechanisms, and when any potential signs of repudiation are still within an acceptable window for investigation and response.

In conclusion, the “wait and see” approach can be used effectively for addressing repudiation threats in systems with strong logging and auditing practices. It allows organizations to avoid hasty decisions and to take measured actions based on thorough analysis, thus reducing the risk of exposing the system to more harm.

 
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Impact of Interest Rates

Impact of Interest Rates

Impact of Interest Rates

One of the most important topics presented in this course is the time value of money. Part of the time value of money calculation concerns the use of an interest rate, often referred to as a discount rate. This basic concept applies to all areas of financial planning.

Using the readings of this module and the Argosy University online library resources, respond to the following:

  • How does the current market rate of interest impact time value of money calculations?
  • How can this aspect alter your current spending, savings, and budgeting patterns?
  • How have you previously used the time value of money in your own personal financial planning and/or will plan to use it in the future?

Support your statements with examples and scholarly references.

Write your initial response in 200 words. Apply APA standards to citation of sources.

By the due date assigned, post your response to the appropriate Discussion Area. Through the end of the module, review and comment on at least two peers’ responses. Consider the following:

  • Compare and contrast your experiences with those of your peers’.
  • Identify any points you had not previously thought about or with which you disagree.

(Impact of Interest Rates)

The current market rate of interest significantly impacts time value of money (TVM) calculations, as it determines the present value and future value of money. A higher interest rate increases the future value of investments, making them grow more over time. Conversely, a lower interest rate results in a lower future value, as there is less potential for money to grow. In terms of borrowing, a higher interest rate makes loans more expensive over time, affecting both the amount borrowed and the repayment schedule.

This aspect of interest rates also influences personal financial behaviors. For instance, in a high-interest rate environment, I might be more inclined to save and invest rather than borrow, as the returns on savings and investments could outweigh the cost of borrowing. On the other hand, in a low-interest rate environment, borrowing may become more attractive, while saving might yield lower returns.

In my personal financial planning, I have applied TVM concepts when making decisions about long-term savings and investments. For example, I have used an online investment calculator to determine the future value of monthly contributions, taking into account the current interest rate. In the future, I plan to apply TVM principles to assess the viability of investment opportunities and savings goals.

References

Brigham, E. F., & Ehrhardt, M. C. (2020). Financial management: Theory & practice (16th ed.). Cengage Learning.

 
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Defending a Research Thesis

Defending a Research Thesis

(Defending a Research Thesis)

English 102 Research Paper

This is the main paper you will write this semester. Write a 5-7 page essay defending a thesis that is the answer to your research question, using outside sources and documenting them according to MLA rules. The topic is your choice.

The grade for the paper will be the average of the grades on each of the following criteria, using the 4.0 scale, where 4=A, 3=B and so forth.

Thesis (T)

  • Arguable
  • Descriptive
  • Unified
  • Specific to scope of paper
  • Answers the research question

Evidence (E)

  • Sufficient
  • Relevant
  • Representative

Quantity and Type of Sources

  • Minimum of 5 sources
  • Minimum of 3 scholarly sources
  • Minimum of 2 sources from one of the approved library research databases

Sources (U)

  • Summaries as needed
  • Paraphrases as needed
  • Quotations as needed
  • Critiques as needed (over)

Reasoning (R)

  • Terms are defined
  • How conclusions follow from evidence is explained
  • Assumptions are valid; conclusions follow from evidence

Organization (O)

  • Material is grouped appropriately
  • Organized point by point, not source by source
  • Focus is maintained throughout
  • Transitions are effective, including introduction and conclusion
  • Relationships among ideas are clear

Language (L)

  • Most of the paper is in your own words
  • Occasional completely accurate quotations, with correct punctuation and grammar
  • The mechanics (punctuation, spelling and grammar) of the rest of the paper are correct
  • The style is objective, formal, concise, precise and varied

MLA Documentation (M)

  • Correct in-text citations
  • Complete and correct bibliography, listing only those sources you have used in your paper at the end of the essay (MLA style).

English 102 Research Paper

1. Thesis (T)

  • Your thesis is the main argument that answers your research question. It should be specific, arguable, and directly related to the topic you are exploring.
  • Example: “The rise of social media has significantly impacted the mental health of teenagers, leading to increased anxiety and depression due to constant comparison and cyberbullying.”
  • This thesis is arguable because you are taking a stance that can be debated. It is also specific, outlining the exact issue (social media’s effect on teenage mental health) and your stance (negative effects).

2. Evidence (E)

  • You need at least five sources. Three of them should be scholarly (peer-reviewed journal articles, books, or other academic sources). The remaining sources can come from reputable websites, books, or other media, but they must be relevant and credible.
  • Use of sources: Ensure you integrate sources through summaries, paraphrases, and direct quotes. Make sure they directly support your thesis and arguments.
  • Example sources could include:
    • Scholarly articles on mental health and social media
    • Studies on teenage behavior
    • Reputable health websites or government health reports

3. Sources (U)

  • You’ll need to engage with your sources in several ways:
    • Summarize: Condense the information in your own words.
    • Paraphrase: Reword specific passages.
    • Quote: Use direct quotes for key concepts or powerful statements.
    • Critique: Analyze how the source supports or challenges your argument.
  • Make sure each source is integrated naturally into the flow of your essay, and always explain how it relates to your thesis.

4. Reasoning (R)

  • Each claim or point you make should be explained thoroughly.
  • Terms: Define any key terms or concepts that are crucial to understanding your argument (e.g., what “cyberbullying” entails or how “social comparison” works).
  • Evidence and conclusions: For each piece of evidence you present, clearly explain how it supports your argument. For instance, after citing a study, explain how the findings link back to your thesis about social media’s effects on mental health.
  • Valid assumptions: Make sure the assumptions in your argument are reasonable and backed by credible evidence.

5. Organization (O)

  • Group information logically: Organize your paper around themes, not individual sources. For example, you could discuss the impact of social media on self-esteem in one section, and the impact on mental health in another.
  • Transitions: Use smooth transitions between paragraphs to ensure that your argument flows logically.
  • Your introduction should set up the issue and present your thesis clearly. Your conclusion should summarize your points and reassert your thesis in light of the evidence provided.
  • Example transitions: “In addition to the impact on self-esteem, social media has also been linked to heightened anxiety among teenagers.”

6. Language (L)

  • Style: Your tone should be formal, objective, and academic. Avoid overly casual language, and aim for clear and concise phrasing.
  • Mechanics: Pay attention to grammar, punctuation, and spelling. Use varied sentence structures to keep the writing engaging.
  • Example of a formal, precise style: “Numerous studies indicate that teenagers are particularly vulnerable to the effects of social media, as it provides a platform for constant comparison and exposure to cyberbullying.”

7. MLA Documentation (M)

  • In-text citations: Every time you reference a source, you need an in-text citation in MLA format (e.g., (Smith 12)).
  • Works Cited page: At the end of your paper, you must include a complete list of all sources you referenced in MLA format. This page should only include the sources you have cited directly in your paper.
    • Example for a journal article:
      • Smith, John. “Social Media and Mental Health: A Growing Concern.” Journal of Psychology, vol. 25, no. 4, 2020, pp. 50-65.

Paper Structure Suggestion:

  1. Introduction
    • Hook to capture attention
    • Brief background of the issue
    • Clear thesis statement
  2. Body Paragraphs
    • Each paragraph should focus on one major point that supports your thesis.
    • Include evidence, reasoning, and analysis.
  3. Conclusion
    • Summarize key points
    • Reaffirm the thesis with the evidence discussed
 
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