Tag: Clinical-Nursing

  • How to Write a Medical Research Paper

    Before you graduate, you’ll undoubtedly need to write at least one college-level medical research paper. It can be intimidating if you’ve never written an excellent research paper. We’re prepared to assist.

    This tutorial shows you how to write a high-quality medical research paper. You can talk to your supervisor or guide if you are new to this field.

    How to write a research paper in medicine

    You need a mentor to assist you if you’re about to create a medical
    research paper
    and are reading this. You’re in luck today, though. Here, you can find the best guidelines for creating a solid medical research paper.

    Identify the task

    Before you begin outlining and writing, you must first ensure that you comprehend the assignment. You will need to organize various types of content, such as books, essays, interviews, articles, etc.

    Select a topic

    You may be given a topic to write on, or you may have to choose one on your own, depending on the assignment.

    Conduct research

    While conducting research is as simple as searching for sources online, the more significant aspect is determining the validity of a source.

    Create a thesis

    Your paper’s main idea is encapsulated in your thesis statement. It must be clear and compelling because it is what you will spend your paper proving. Your research paper’s opening has a compelling hook that draws readers in, followed by a thesis statement.

    Plan your paper

    You can begin outlining your medical research paper now that you have the major parts: your thesis and supporting research. Everyone has their preferred method for creating an outline for papers.

    Body, introduction, and Conclusion

    Do you write the introduction and Conclusion first, and then the Body? Do you reverse the process, though? There isn’t a right or wrong way. In the end, it comes down to personal preference.

     Some students prefer to start by writing their introduction and then utilize it as an outline for the rest of their work. Others like to outline their points in the paper’s Body before drawing conclusions and introductions from those points.

    Cite your sources

    One of the primary distinctions between a research paper and any other academic paper is the requirement to cite your sources. Include a list of sources or a bibliography at the end of your paper. This is vital because your research relies on these sources; thus, you must give them credit.

    Review, edit, and proofread

    As with any work, you should double-check for errors by reading it aloud. You should use your word processor’s grammar and spelling checker and read it aloud to check for problems. If there is time, it will also be a good idea to ask a friend or peer to read your article once.

    Medical research paper topics

    Are you curious about the newest and most intriguing medical advancements? To give you these topics for medical research papers, we spent hours identifying the most recent developments in medical research.

     You need a compelling topic to concentrate on, whether you use a research paper writing service for students or compose the paper yourself. Here is a list of medical research paper topics to choose from:

    Pandemics vs epidemics

    Children’s Health

    The placebo effect in homeopathic medications

    Is it moral to use animals in medical research?

    Artificial organs and tissues

    Brain damage

    Treatment and causes of viral infections

    Vaccination risks and advantages

    uncommon genetic disorders

    Aging and changes in physical and mental health

    Assisted suicide as a technique of therapy for terminal diseases

    Brain injuries and their effects

    The common health problems of puberty

    Eating disorders: anorexia and bulimia

    A quality medical research paper features

    The following are features of a good medical research paper that can assist you in writing an outstanding medical research paper.

    Purposive

    Purposive research is required. It implies that research needs to be carried out with a clear and specific aim, objective, and purpose. Any research should proceed under the direction of its declared goals and aims. The only study with a clear purpose and goal will lead to specific findings and destinations.

    Systematic

    You should follow the medical research procedure in a logical order that leads to the Conclusion. The research method must be sequential and adhere to predetermined and confirmed patterns and pathways. It is required since the standard process would lead to incorrect results and a waste of resources.

    Verifiable and reliable

    Use a valid and verified research methodology and process. It implies that the conclusions reached through research should be accurate and repeated over time while using a similar technique.

    Outline for a medical research paper

    After completing pre-writing exercises and choosing a good research paper topic, an outline is the foundation of your medical research paper upon which the rest of the work is built.

    Each outline is divided into three sections: the Introduction, the Body, and the Conclusion. However, for a successful and high-quality research paper, the more precise the outline, the better. The most basic outline diagram is as follows:

    The introduction

    Every academic work needs an introduction, which is a crucial component. It determines whether a reader will keep reading your essay or just put it down. An introduction must be intriguing, compelling, and educational without giving too much information.

     The following three elements constitute an effective introduction:

    Hook

    The length of a hook can range from one to five sentences, depending on the overall length of your research paper. This is the section that entices readers to read the article. You need to get readers interested in your research paper, so your hook should be intriguing and thought-provoking.

    Research question

    In most cases, you will be given the research question, but in some cases, you will have to do it independently. In general, the research question should be brief and to the point and tell the reader what to expect throughout your work.

    Thesis statement

    You present your case here. You make it obvious what you will talk about and why it’s important. Your argument should be concise and straightforward but never boring. Particularly after the research, you did and the materials you studied, you want the readers to read your paper.

    The Body

    The Body is the most important part of your research paper outline. It has no volume restriction because it is the paper’s largest and most important section. The number of paragraphs for this section is determined by the overall requested volume of the research paper.

    You should place all evidence discovered during your research here. You express each idea clearly and provide adequate evidence. Do not assert something that you cannot prove! Each statement you make must be supported by evidence.

    Remember to include valid references and proper citations following the required paper format. Remember to consider the style and tone of your research paper, as stated in the introduction. Try to explain everything clearly without becoming too dry in the process.

    The Conclusion

    The Conclusion must summarize the supporting evidence so readers can understand and remember the main idea. The Conclusion should not be overly long but include all crucial information to help readers remember the entire paper.

    Help writing medical research papers

    You will undoubtedly be curious about who will help you if you are looking for online medical research paper writing help. Our company hires only professionals with degrees from internationally renowned medical schools.

    They are native speakers with the knowledge and abilities to assist you in finishing your work perfectly and completing all of the college prerequisites. All you have to do is browse the writer profiles, pick the one you like best, and ask them to ‘write my medical research paper.’

    Following this, you may relax knowing that you will complete the research paper on schedule and to the highest standards. If you’re training to be a surgeon or doctor and need help with your medical research paper, we can help.

    A medical research paper structure

    As mentioned before, the proper framework is essential for writing an effective and attractive medical research paper. The title page, abstract, introduction, materials and techniques, results, discussion of the results, and Conclusion make up the basic structure of a medical research paper.

    The paper concludes with a list of references and a list of appreciation.

    The title page

    The title page lets the reader recognize the work simply by reading the title. It is the very first page that any reader will encounter. The title page must include the author’s name, course, teacher, date, and page number.

     Just by reading the title, a person should understand the purpose of writing the research paper. This is the first section of the structure of a research paper.

    Abstract

    You should include an outline of the contents of the research study in the abstract. It contains the study’s objectives, key findings, and summary.

     It is recommended to refer to the abstract as a summary of the paper because it includes tidbits of information from the article. The abstract of an article is always accessible online, regardless of whether you have subscribed to it.

    The introduction

    The introduction to the research follows the abstract. The introduction provides the reader with the key information needed to understand the paper. It must explain the core topic’s concept.

    Explanation of crucial words, historical information, and citation of other research on the subject is required. The introduction should be able to explain why the research done in this piece is unique or how it relates to the discussion.

    Resources and techniques

    The Materials and Methods section explains how the study was carried out. It generally gives the reader information on the equipment, sampling strategy, data-gathering techniques, and analysis methodologies. This material section needs to be detailed, precise, and descriptive.

    Results

    You should specify the conclusions and usefulness of an article’s findings in the article’s results, which should include relevant data. You must provide it unambiguously and factually.

    Discussion

    The “body” of a paper is another name for its discussion. This section emphasizes facts. It is said to be the most challenging section to write. Follow the results by discussion.

    This section must answer questions such as “Does the discussion support the point?” Does the analysis match calculate data? Discuss the findings from this specific area.

    The Conclusion

    The author’s last opinions are revealed in the Conclusion. It is a condensed version of the overall debate. It covers all essential keywords and points in an average of 100 to 200 words.

    It may reiterate what has already been stated in the conversation. It may also make suggestions for further research.

    References

    The reference page enables the author to acknowledge all of the information-gathering sources. The source has to be properly cited. On the website, you can find examples of citations. Avoid referencing any internet resources that the reader will have problems finding or understanding.

    Acknowledgments

    Acknowledgments thank any individuals or organizations who made the research possible. Individuals can thank the listed person or organization for helping them complete the medical research paper on time and mentoring them. This is the final element of the research paper structure.

    Tips for creating an excellent quality medical research paper

    Let’s first define a good quality medical research paper so that you may begin writing one. Medical specialists, academics, and scientists write medical research papers.

    You can talk to your supervisor or guide if you are new to this field. Writing tips for a top-notch medical research paper are:

    Topic selection

    The topic is usually selected based on the author’s interests, although the guides can recommend it. You can choose from numerous themes and decide which is best for you. You can accomplish this by asking yourself many questions, such as, “Will I be able to search for this location?

     Will I be able to locate all of the resources required to complete the search? Will I be able to find all of the information I need in this field?” If you answered “yes” to this type of question, you should choose that topic.

    In most circumstances, you must conduct surveys and visit multiple locations. You may also have to put in a lot of effort to locate all the spikes and falls in the various statistics on that issue. So put your best forward.

    Think like an evaluator

    If you’re puzzled or lacking motivation because the assessors might reject your paper, assess it from their perspective. You can find the answer by trying to comprehend what the reader of your research paper wants to see. Make paper blueprints: Your plan or structure for organizing your thoughts will be the outline.

    Your essay will be logical as a result. However, remember that every item in your outline needs to be connected to your chosen subject.

    Inquire with your guides

    If you are having difficulties with your research, please express your concerns with your guide (if you have one). They will undoubtedly assist you and fix your concerns.

     If you can’t articulate exactly what you need for your job, ask your boss for assistance in coming up with an alternative. They may also provide you with a list of recommended readings.

    Search online for assistance

    Google is a great place to start while writing your paper. It is an amazing search engine where you may have your questions answered. You can discover a sample research paper online or read some responses to the frequently asked question, “How do I write my research paper?”

    Online book downloads are available. Place a high priority on reading, decoding, and analyzing the stated material if you have all the necessary books. Afterward, draft your research paper. Use large images: Use encyclopedias like Wikipedia to find the
    highest-resolution images
    available.

    Reread what you wrote

    Always read what you write, summarize it, and then finalize it.

    Use proper grammar

    Always use good terminology to impress the examiner; good vocabulary does not mean utilizing difficult words. Do not fragment sentences. Remove one-word sentences. Never use a large term when a little one would suffice.

    Organization of information

    A transition should occur at the end of each portion of the main Body, and each section should begin with an opening line. Give only solid and convincing justifications for your position. You can also support your arguments with documentation.

    Never start a paper at the last minute

    Always leave ample time for research. Putting off tasks till the last minute will deteriorate your paper and ruin your work.

    Renew your focus periodically

    Try to rest your thoughts by listening to quiet music or napping in intervals. This will also improve your memory. No matter how brilliant you are, if you surround yourself with like-minded individuals, they will be able to offer you advice that can help your research.

    Report final results

    Use the final results. Filter the results from raw data and then draw conclusions based on measurements and observations. Use the proper amount of decimal places. Parenthetical remarks are not permitted.

     In the end, proofread thoroughly. Finally, provide an outline of your arguments. Identify areas for additional research on the issue. Justify your Conclusion at the bottom, which will most likely include instances.

    Upon Conclusion

    The most crucial step after finishing your research is to share your findings. Presentation is crucial since it is the specific medium through which the rest of the audience will read about your research.

     Your ideas should be carefully organized into categories and presented in a logical, orderly fashion. Since it emphasizes your medical research paper and brings to light all important components of your research, a
    high-quality
    research paper structure is crucial.

    Ideas for medical research projects

    Is your plate overflowing? Are you seeking a professional writer to assist you? Don’t look any further. We will assist you in selecting an excellent topic that your professor will approve of. Finally, you will receive high marks.

    You must choose from excellent medical research project ideas to complete your academic or professional obligations. These are ideas for your medical research paper project.

    Advantages and risks of vaccination

    The most uncommon genetic disorders discovered in kids

    The numerous virus infections causes

    Key contributors to sleep problems

    The most effective technique to administer palliative care

    The effect of a longer life expectancy on healthcare

    The main moral obligations related to cloning

    The effects of safe medical abortion methods

    Neurobiology and Anatomy

    Anesthesiology

    Physiology and cell biology

    Genetics

    Biology of development

    Molecular biophysics and biochemistry

    Gynecology and obstetrics

    Immunology and pathology

    Oncology radiation

    Orthopedic surgery

    Visual sciences and ophthalmology

    Summary of medical research paper

    Medicine is a diverse professional subject, and Health-related concerns have a large scope. Medical students have a wide range of studies. Also, consider the number of researches students need to perform.

    Studying medicine requires a lot of effort and can occasionally be boring. Sometimes the hard work doesn’t pay off, especially when turning in your medical research paper. It feels unfair to fail at something you worked so hard on, especially after conducting hours of experimentation.

    To sum it up                      

    You will surely come across this type of assignment at some time in your academic career because it is typical for students to receive it. You can learn how to create a medical research paper if you attentively read the above recommendations.

    If you need assistance or have questions, don’t hesitate to contact us. The professionals at
    onlinenursingpapers.com
    are here to assist you.

  • Pathophysiology of asthma essay

    Pathophysiology of asthma essay

    You are treating Emily for mild intermittent asthma. In your own words, explain the pathophysiology of asthma. Using your process for prescribing, what medication will you prescribe? Please include ADR’s, monitoring, patient education, and any drug interactions? please use peer-reviewed articles and journals please make sure all references are of a professional sites.

    Discussion: Pathophysiology of Asthma

    Asthma is a common respiratory condition in the US affecting both children and adults. Findings from current epidemiological evidence indicate that the prevalence of asthma across the globe is increasing, especially in the young population (Quirt et al., 2018) Pathophysiology of asthma essay. Knowledge on the pathophysiology of asthma is crucial for nurses as it improves the overall understanding and ability to diagnose and manage asthma.

    BUY A PLAGIARISM-FREE PAPER 

    Asthma is an acute condition that involves reversible inflammation of the airways after exposure to an allergen. Its pathophysiology starts with inhaling an allergen (which can be cold air, pollen, or smoke) which due to hypersensitivity of the bronchial, causes inflammation of the airways and an increase in the production of mucus (Bush, 2019). Ultimately, the resistance of the airways increases, which is best auscultated on expiration. Obstruction of the airways is associated with infiltration of inflammatory cells, hypersecretion of mucus that causes the formation of a mucus plug, and contraction of smooth muscles (Bush, 2019). Pathophysiology of asthma essay Over time, the aforementioned changes may be irreversible due to thickening of the basement membrane, deposition, remodeling of the airways, hyperplasia, and hyperplasia of the airways.

    According to the 2019 GINA guidelines on the management of asthma, clinicians should manage patients diagnosed with mild intermittent ICS with a SABA (short acting beta agonist). This recommendation follows previous research findings that although the management of mild intermittent asthma with a SABA only provides short-term relief of asthma symptoms, it fails to safeguard patients from the risk of exacerbations and subsequent hospitalization (Elward, 2021).  In contrast, combining reliever therapy and single maintenance therapy decreases the risk of potential adverse effects associated with the chronic use of steroids, decreases visits to the ED and simplifies the medication regimen that the patient will use. Therefore, I would prescribe Emily ICS-formoterol and a SABA and educate her to watch out for the following adverse effects; hives, swelling of the eyes, face, lips, and tongue, palpitations, and itching. While taking these medications Emily will have to take daily measurements with a peak flow meter to evaluate her progress and effectiveness of the prescribed drugs (Elward, 2021). The author will educate her about the essence of medication adherence, the correct inhaler technique, breathing techniques, and the need to identify her potential triggers and avoid them. Potential asthma triggers include; dust, mite, insects, pets, cold air, pollen, and dust among others. The most significant drug interaction with formoterol is that of lasix which causes hypokalemia. Subsequently, hypokalemia may result in difficulty breathing, muscle weakness, an irregular heart rhythm, and paralysis Pathophysiology of asthma essay.

    References

    Bush A. (2019). Pathophysiological Mechanisms of Asthma. 
    Frontiers in pediatrics
    , 
    7
    , 68.
    https://doi.org/10.3389/fped.2019.00068

    Elward, K. S. (2021). Asthma Management Guidelines: Focused Updates for 2020. 
    American family physician
    , 
    104
    (5), 446-447.

    Quirt, J., Hildebrand, K. J., Mazza, J., Noya, F., & Kim, H. (2018). Asthma. 
    Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
    , 
    14
    (Suppl 2), 50.
    https://doi.org/10.1186/s13223-018-0279-0 
     Pathophysiology of asthma
    essay

  • What is a mental health assessment?

    Are you a health practitioner or patient trying to familiarize yourself with mental health assessment? The mental health diagnostic assessment is a straightforward process that requires excellent expertise. A large population of individuals is exposed to risky mental health issues globally. Health practitioners strive to deal with these issues through mental health risk assessment.

    Mental health assessment tools are essential in helping nurses and doctors to assess the treatment necessary for their patients. In the article below, we navigate you through different mental health assessment templates to help you conduct mental health assessments online.

    Definition of mental health assessment nursing

    A mental health assessment thoroughly examines all aspects contributing to the patient’s mental health intake assessment history. The information included on the mental health assessment form should be comprehensive and detailed. The assessment influences the patient’s mental health history, medical records, and social background.

    Why is mental health assessment important?

    A mental health assessment gives your clinician a description of how you think, experience, argue, and recall. A series of mental health assessment questions and a physical examination determine your emotional well-being during the full mental health assessment.

    Your doctor will first establish whether you are in danger of injuring yourself or others. A child mental health assessment will be adapted to the child’s developmental stage and age. The main advantage of conducting a mental health assessment is to:

    Identify mental health issues like anxiety, depression, schizophrenia, postpartum depression, eating disabilities, and psychotic conditions

    Distinguish between psychological and physical health issues

    Evaluate an individual referred due to school, work, or home issues.

    Preparation for conducting a mental health evaluation

    It is always essential to consider your reasons for conducting the mental health needs assessment before an appointment. Below are some of the facets you should consider:

    What are the symptoms of your patient’s mental disorder?

    What ideas, feelings, or behaviors have been bothering you?

    Has a specific incident, such as the death of a loved one, triggered these symptoms?

    How frequently do you experience the symptoms, and what do you do when you do?

    How long will the symptoms persist?

    It may be beneficial to record a diary in the days or weeks preceding the patient’s mental health assessment online. It may also be helpful when the patient brings along a friend or
    family member
    who can walk you through the patient’s mental illness symptoms from their point of view. When conducting a child’s mental health assessment, you should make some notes regarding the child’s behavior. It may be beneficial to inquire about any observations made by their professors.

    Make a list of any prescription or illegal drugs used by the patient. Some medicines can alter your patient’s thinking or reasoning, which could explain some symptoms.

    What takes place during a mental health evaluation process?

    The components of your mental health intake assessment will vary depending on your situation. There are a few aspects you have to consider during the mental health evaluation procedure. Below are some of the elements you have to consider:

    •        
    Psychological assessment

    Although there is no need to research or prepare for psychological evaluations, these assessments provide vital information to mental health practitioners during the appraisal. The tests are generally in the form of a questionnaire and might be written or oral. Bringing a friend or relative with you may be beneficial in providing more details about the patient’s symptoms.

    •        
    Patient’s interview

    As part of your evaluation process, you have to interview your patient to know their illness and the source.  You might inquire about the patient’s symptoms and whether they have any worries. The interview will also enable you to assess the patient’s ability to contemplate and recall the information and how they communicate with others.

    •         Medical examination

     Physical and mental health conditions are linked. A basic physical evaluation is an essential component of a mental health assessment. As a health practitioner, you may inquire about your patient’s medical history and any health problems associated with their family. You will certainly ask about any prescriptions the patient might be taking. This will help you test your patient’s reflexes and balance.

    •        
    Laboratory tests

    Urine tests and blood test results are standard components of a mental health assessment. Thyroid function diagnostics or toxicology screens may also be done in rare situations. If a neurological condition is suspected, your doctor may request tests such as an EEG, CT scan, or MRI.

    Expected results of a mental health assessment

    After conducting a thorough mental health assessment, you can determine your diagnosis and choose the best course of therapy for your patient. The patient’s diagnosis and conditions will determine the prescribed treatment plan. Hospitalization may be the best therapeutic choice when the patient is in severe distress or in danger of harming themselves or others. In other circumstances, counseling and perhaps a medication-based treatment plan may be appropriate for the patient’s needs.

    There is no reason for the patient to suffer from the symptoms of mental illness when excellent therapy is available. As a health practitioner, mental health disability assessment provides an accurate view of your emotional and psychological condition, enabling you to choose the best treatment for your patient.  After providing the patient with a diagnosis and treatment plan, they can learn how to manage and deliver mental health self-assessments.

    What is the procedure for mental health assessment?

    As a profound health practitioner, when conducting 
    mental health
    evaluation, you must combine your questions, a physical examination, and a written questionnaire.

    1.      Interview your patient (GP)

    When questioning your patient about their mental illness symptoms, it is always essential to evaluate their physical condition, how they communicate, and how they feel to see if this provides any clues to explain the source of their symptoms. This will be subtle, and your patient will most likely not notice.

    You will also inquire about your patient’s personal history, such as their employment history, marriage history, family history, and present social condition (what supports they have at home). You will inquire about any traumatic situations you have lately or in the past, your upbringing, and any problems with alcohol or drugs. They may inquire about your religious beliefs and goals, and objectives.

    It is always essential for your patient to answer honestly and accurately as possible. This increases the possibility of you achieving an accurate assessment. Depending on their underlying medical condition, some questions may disturb or irritate your patient. Since some mental health conditions are difficult to detect, you may not immediately receive a positive diagnosis or explanation for their symptoms

    2.      Extensive physical examination

    A physical examination is frequently included in a full mental health assessment. As a healthcare practitioner, you will review your patient’s medical history and the medications they are presently taking. You will also inquire about any family history of mental illness or psychiatric illnesses.

    The mental health needs assessment aims to determine physical explanations of existing mental health problems.

    3.      Alternative medical examinations

    If your doctor suspects a specific cause, like anemia or B12 deficiency, they may recommend you take lab tests like a blood or urine test. Your thyroid function or electrolyte levels may be tested. If you are suspected of having a nervous system disorder, you may be sent for magnetic resonance imaging (MRI), an electroencephalogram (EEG), or a computerized tomography (CT) diagnostic.

    You may also be required to complete a predefined written questionnaire or a verbal test. These exams are typically used to evaluate:

    Specific issues like depression

    Your ability to think, explain, and remember

    Your ability to carry out daily life activities like eating, dressing, and shopping.

    Child mental health assessment will vary depending on their age but may include drawing pictures to convey their feelings or glancing at photographs and discussing how the images make them feel.

    4.      Specialist mental health diagnostic assessment

    Some mental health issues are challenging to diagnose, as a health practitioner may be unable to pinpoint the source of your symptoms. Even professionals may require more than one mental health assessment or additional testing to accurately diagnose the patient’s illness.

    Your primary care physician may recommend you to a mental health professional, like a psychiatrist. The psychiatrist may use a variety of standard tests. One good example is the Mini-Mental State Examination (MMSE), a brief assessment used to assess cognitive problems.

    Other assessments are utilized to aid in the
    diagnosis
    :

    Anxiety disorders, schizophrenia, attention deficit hyperactivity disorder, conduct disorder, and bipolar disorder are examples of mental health illnesses.

    Developmental issues such as dyslexia and autism spectrum disorders

    Problems with alcohol and other drugs

    Additional issues like thyroid disorders and brain tumors

    What are mental health assessment tools?

    Assessment tools are materials aimed at assisting individuals in recognizing the need to see a physician or for clinicians to use while speaking with a patient. These materials can be in either paper or mental health assessment form. Assessment tools use a standardized questionnaire to identify an individual’s mental health and whether they constitute a risk to themselves or others.

    What are the perks of conducting mental and behavioral health evaluations and screenings?

    Mental and behavioral health evaluations are useful tools when treating your patient. The main challenge is how these tools operate and what they can do for your profession.

    What is the definition of behavioral health assessment?

    A behavioral health evaluation is a sequence of questionnaires, interviews, and mental and physical examinations used by doctors to understand their patients better. Behavioral health evaluations are not meant to establish a comprehensive diagnosis. They are there to build the basis and frame your patient’s worries. The utilization of behavioral health assessments benefits both children and adults.

    Why are mental health evaluation tools necessary?

    The data gathered by mental health assessment tools provide vital insight into patient health and serve as a starting point for diagnosis and treatment. Standardized mental health assessment techniques allow doctors to grasp better their patients’ difficulties, worries, routines, and behaviors. You can examine these symptoms, habits, and concerns using evaluation tools and assemble them to produce a personalized profile of their situation.

    Assessment tools enable you to develop a broad picture of your patient’s overall health. Online mental health assessment enables the patient and the physician to create and monitor treatment goals.

    Elements of a mental health assessment

    •         Interview

    In primary interviews, you might take note of your patient’s demeanor and presentation. Inquiring into the patient’s symptoms, worries, life situation, and cognitive habits can assist in highlighting early areas to work on.

    •         Physical test

    A physical health assessment may be required to assist in distinguishing between symptoms caused by a mental disease and symptoms caused by a physical ailment. Inquire about your patient’s personal and family health history and any drugs they are currently using.

    •         Lab tests

    Some symptoms may necessitate lab testing or scanning. When evaluating a patient, blood or urine specimens and MRI, EEG, or CT scans

    •         Written or oral health assessments

    You may want to perform a diagnostic to aid in the identification of certain disorders, evaluate specific functions, or better assess a patient’s well-being. By highlighting symptoms and giving vital data, mental and behavioral evaluation tools can aid and steer your mental health assessment process.

    Factors to consider when choosing a mental health assessment tool

    •         Reliability

    Is the test reliable enough to generate consistent results?

    •         Validity

    Is the test reliable enough to distinguish between patients with and without a predicament?

    •         Responsiveness

    Is the test sensitive enough to correctly identify a problem?

    •         Precision

    Is the test accurate enough to select individuals who do not have a problem?

    Choosing a test that meets the above criteria will ensure that your results are as precise and helpful as feasible. When interacting with patients, disorder-specific evaluations are valuable tools, but how do you decide which aspects of testing for? Screening methods can serve as a starting point for identifying these risk areas.

    Top nursing mental health assessment examples of tools used by health professionals

    Mental health assessment tools can help patients (young, old, and in between) with various mental and behavioral health issues. The following are ten facets of mental health tools for adults and children, along with popular examples from each genre.

    1.      Anxiety

    Anxiety assessment tools, like the ones given below, can assist in determining which form of anxiety is most closely related to your patient’s condition, as well as the intensity of those symptoms:

    Depression Anxiety Stress Scale (DASS)

    Generalized Anxiety Disorder Screener (GAD-7)

    Hamilton Anxiety Rating Scale

    Zung Anxiety Scale

    2.      Addiction

    There are various tools available to treat all forms of addiction, including drug, alcohol, and gambling addiction. Among the valuable addiction assessment techniques are:

    Addiction Severity Index (ASI)

    Brief Addiction Monitor

    Drug Abuse Screening Test (DAST)

    Alcohol Use Disorders Identification Test (AUDIT-C)

    South Oaks Gambling Screen Assessment

    3. Mood-associated diseases

    Since the symptoms of various mood disorders can be similar, evaluation techniques can be used to assist in determining which disease your patient most closely resembles. For instance, the Mood Disorder Assessment and the Bipolar Spectrum Diagnostic Scale could be used to identify whether your patient has bipolar disorder rather than borderline personality disorder or anything similar.

    4.      Depression

    Each patient has a unique experience with anxiety and depression symptoms. Depression assessment tools can assist you in tailoring sessions or evaluations to your patient’s requirements. The Geriatric Depression Scale and the Zung Self-Rating Depression Scale are two such instances of depression assessment tools.

    5.      Personality disorders

    The Adult ADHD Self-Report Scale, a popular personality disorder assessment, is used to assess the signs of adults who may have ADHD.

    6.      Suicide

    If a patient exhibits suicidal inclinations, diagnostic methods such as the Columbia Suicide Degree Rating Scale can aid in determining the severity of those characteristics.

    7.      Trauma

    Trauma is divided into various sub-categories. The Post-Traumatic Stress Disorder Checklist and the Kessler Psychological Distress Scale are commonly used for identifying trauma.

    8.      Eating disorders

    When dealing with cases of probable anorexia, bulimia, or binge-eating disease, the Eating Disorder Assessment Scale comes in handy.

    9.      Behavioral

    Behavioral health exams offer a more comprehensive picture of the patient’s home life, mental health, daily activities, habits, and other factors. Data from these exams can be utilized to supplement and interpret information from another test. Here are a few examples of behavioral evaluation tools:

    Wahler Self-Description Inventory

    Daily Living Activities

    Parental Stress Scale

    10.  Children and youth

    Adults are not the only ones who can benefit from mental health evaluation tools. Numerous screening tools are available to assist in diagnosing and treating children and adolescents. Here are several child mental health assessment examples:

    Revised Children’s Anxiety and Depression Scale (RCADS)

    Traumatic Events Screening Inventory for Children (TESI-C)

    Mood and Feelings Questionnaire (MFQ)

    Child PTSD Symptom Scale

    Problem-Oriented Screening Instrument for Teenagers (POSIT)

    Pediatric Symptom Checklist (PSC)

    How is a mental health evaluation performed?

    A mental health assessment often begins with a patient making an appointment with their primary care physician. The GP will perform physical examinations and another medical testing. After ruling out physical sickness, they will send the patient to a mental health expert, performing a quick problem checklist and conducting different mental health assessment forms.

    These assessments will be either formal and standardized or informal and non-standardized. They might be self-reported evaluations performed by the patient or assessments performed by a therapist. Some standard formats for mental health assessments are as follows:

    1.      Observation

    Observation can assist you in determining the condition of the patient. Take note of your patient’s moods, expressions, phrases, and behaviors in diverse settings to grasp better their predicament than what they communicate. Pay great attention to your patient and study them with an expert, neutral demeanor to get the most out of this instrument.

    2.      Interview

    Psychiatric interviews can assist you in building rapport with your patients while gathering information about their symptoms and experiences. Authorize your patients to talk freely and direct their replies with open-ended inquiries. While asking questions, keep diagnostic reasoning in mind. To gain your patients’ trust, make them feel recognized and understood.

    Enabling your patients to express their feelings and experiences can help you identify the causes that are causing their symptoms.

    3.      Interview the patient’s family

    In some cases, mainly when dealing with ill children, it is always important to interview the patient’s family members. Family interviews can provide extra information on a patient’s health condition and help the family comprehend what the patient is going through. Before involving family members, you should read the Health Insurance Portability and Accountability Act.

    4.      Checklists

    Like many screening tools, mental health assessment tools incorporate checklists to provide information about the patient’s mental health status. A focused list can be a quick and effective approach to expanding your knowledge. The DSM-5 includes lists to help you identify and categorize clinical conditions, but you should use them with discretion.

    Checklists do not consider all biological, psychological, social, and cultural elements that may exist in a patient’s life. On the other hand, checklists can be helpful tools when used with different evaluation approaches.

    5.      Scales of assessment

    Rating scales deliver numerical information and assist patients in distilling complex sentiments and emotions into simple reactions. They can be helpful when working with individuals having trouble communicating about their condition or as a comprehensive analysis tool to determine the degree of symptoms at any particular time.

    6.      Questionnaires

    Assessment questionnaires are similar to diagnostic questionnaires in that they provide more information on a specific ailment and its severity. If screening test results indicate the possibility of particular problems, a disorder-specific examination might assist you in gathering additional data. The Global Mental Health Assessment Tool, which can monitor and evaluate many mental health conditions, is an example of a typical comprehensive evaluation. 

    Final remarks

    You can use the above article as your guide in conducting mental health assessments. Thanks to our professional nursing authors, any information included above is well-written and researched from reliable sources. During these evaluations, practitioners take note of a patient’s appearance, behavior, attitude, mood, understanding, cognition, and other characteristics. All the data gathered from health evaluations and mental health assessment tools may now be combined to create a profile that provides a comprehensive picture of your patient’s mental and emotional health status.

    We hope you enjoyed the above article as much as we did writing it. If you need help writing an essay on mental health assessment online, you can contact us at
    onlinenursingpapers.com
    . We have the proper experts to help you out.

  • Gender Dysphoria Assessment Essay

    Gender Dysphoria Assessment Essay

    Describe your approach to an adolescent who was referred to you for suspected gender dysphoria. Describe how you would proceed with the Gender Dysphoria Assessment Essay clinical assessment, and be certain to emphasize key elements associated with sensitivity in the clinical interview.

    Assessment of Gender Dysphoria

    Student’s Name

    Course code, Course Name

    Instructor’s Name

    Date

     

    Gender Dysphoria

    Gender dysphoria is the mental stress accompanying the crisis an individual faces when there is discord between their biological sex and their gender identity (Bonifacio, 2019) Gender Dysphoria Assessment Essay. Approach to such an individual entails a good therapeutic rapport which instills confidence in the patient allowing their complete openness (Schulz, 2018). During the interview, the patient is allowed to discuss their expectations. A comprehensive patient history is important as it aids in the assessment of the most recent patient gender concerns. The history will elicit other aspects of the patient’s life such as their socio-economic status, alcohol and medication use which are important in the provision of a holistic patient evaluation (Bloom, 2021).

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    After the establishment of any gender concerns, a gender assessment will be carried out. Here, there is use of questionnaires that allow for the screening of the extent and range of issues the client faces. Questionnaires used include the Gender Identity Questionnaire, Compulsive Sexual Behavior Inventory, Transgender Identity Surveys among others (Bloom, 2021). Aspects of their identity and the stress levels gain an in-depth analysis at this point. The evaluation follows a stepwise fashion with a gender history being important as it will outline the cross-gender behavior, trans-identity development, dysphoria and presence or absence of support. Additionally, their psychosocial and cognition is evaluated to elicit any delusions a patient may present with that may be significant to the case (Bonifacio, 2019).

    Sensitivity of the interview is determined by its ability to elicit the specific signs and symptoms that will guide a diagnosis as per the DSM-V. Gender Dysphoria Assessment Essay Gender identity gives the clinician a view of how the patient perceives themselves. Gender expression is another aspect that allows one to see the materialization of the patient’s gender identity through actions. Sensitivity is also enhanced through assessment of the patent’s sexuality, perception of others and support sources (Cooper, 2020).

     

    References

    Bloom, T. M., Nguyen, T. P., Lami, F., Pace, C. C., Poulakis, Z., Telfer, M., Tollit, N, A. (2021). Measurement tools for gender identity, gender expression, and gender diverse children and adolescents: a systematic review.
    The Lancet Child &Adolescent Health, 5
    (8), 582-588 Gender Dysphoria Assessment Essay

    Bonifacio, J. H., Maser, C., Stadelman, K., & Palmert, M. (2019). Management of gender dysphoria in adolescents in primary care,
    Cmaj 191
    (3), E69-E75.

    Cooper, K., Russell, A., Mandy, W., & Butler, C. (2020). The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis.
    Clinical psychology review, 80
    , 101875.

    Schulz, S. L. (2018). The informed consent model of transgender care: An alternative to the diagnosis of gender dysphoria.
    Journal of humanistic psychology, 58
    (1), 72-92 Gender
    Dysphoria Assessment Essay
    .

  • How to Write a Nursing Exemplar

    Even though learning how to create a nursing exemplar for your assignment could initially appear challenging, everything becomes easier once you know the objective. As the name implies, the main aim is to describe a specific clinical scenario thoroughly.

    When you know the issue and select a solution, you make predictions before your study begins. This blog may read more about the nursing exemplar, including its features and creation instructions.

    Definition of a nursing exemplar

    A nursing exemplar is a true-life patient tale delivered to demonstrate an RN’s experience. The sample is written in the first person. It goes into great depth on a specific clinical event, including the nurse’s thoughts, feelings, goals, actions,
    critical thinking
    , and decision-making process.

    A clinical practice exemplar is a tale about your clinical practice that reveals something memorable, meaningful, or that comes to mind regularly. “It is a patient tale that reveals something relevant or meaningful to you and reflects your therapeutic practice.”

    How to select a nursing exemplar

    The nursing story chooses you. When a situation is rich with meaning, it sticks out in your memory. The narrative conveys important information or intentions, as well as your idea of outstanding practice or a flaw in practice. You remember these instances often because they stick out in your mind.

    Writing a nursing exemplar   

    The steps below will show you how to write a nursing exemplar that stands out from the crowd.

    Present it as a narrative account

    Present the nursing exemplar as a narrative account. You may use the typically abbreviated telling of the nursing practice situation but write it in first- person.

    Include oral reporting

    The oral narration of the narrative may be beneficial because it is more natural to express ideas, feelings, and concerns. Several double-spaced, typewritten pages should be enough.

    Get a coworker to read your work

    Have a coworker read your account, ideally one who may have assisted in the patient’s treatment. This may aid in capturing the description you need and perhaps fill in any familiar details you may assume are given.

    Edit your story

    Avoid using summary statements or generic terms that don’t convey what happened when editing your story. Avoid phrases like “I examined the potential risks to the patient and took action to mitigate them,” “I provided emotional support,” and “The patient felt better.”

    Instead, explain to the reader how you identified potential hazards, mitigated them, provided emotional support, and, when possible, provided actual outcomes.

    Include dialogue

    When possible, include dialogue to give the reader a first-person account of the incident as it develops. When you take a specific action, mention any worries you had or what you were hoping to happen. This offers your judgment a window.

    Be confident

    To protect confidentiality, change the patient’s name, age, family configuration, or other identifying information.

    Creating nursing exemplars

    Consider whether the narrative represents your existing practice before you begin. Write down as much of the narrative as you remember in as much detail as possible.

    This is how to start:

    Think about your work; list possible stories; tell a story in a group.

    Start writing without worrying about spelling, grammar, wording, or sentence structure.

    Elements to include in a nursing exemplar

    A valuable tool for patient care is a nursing exemplar. Nursing care plans and doctor decisions are influenced by what the nurse documents. As a result, it is vital to make a top-notch nursing exemplar note. The following components must be present in a nursing exemplar essay.

    Date and time

    Date and time entry should come first in every nursing exemplar sample. This part of the note makes finding
    critical facts
    about an event easier and organizes the patient’s record.

    Name of the patient

    Some facilities require that the patient’s name appear on every entry. Others may require the patient’s name and room number to be put at the top or bottom of the page. To avoid documenting the wrong patient, each nurse must ensure that identifying information is on the patient’s chart.

    Personal and objective data

    Subjective data refers to information provided by the patient to the nurse. This information comprises the patient’s symptoms, amount of pain, thoughts, and concerns.

     In contrast to subjective data, objective data is information gathered or observed by the nurse regarding the patient. Accurate data comprises the patient’s appearance, symptoms (grimacing in pain, gripping the wall due to dizziness), vital signs, and test results.

    Assessment

    This part of the nursing exemplar template may include a head-to-toe or a targeted assessment, depending on the reason for the evaluation. Nurses may discuss a patient’s recovery, vital signs, and problems in a post-operative nursing exemplar.

    Interventions

    Record every nursing intervention. For instance, it needs recording if you help someone turn and reposition themselves, offer instruction, or give them medicine.

    Evaluation

    After every nursing intervention, you should evaluate the patient’s response. The evaluation’s informational content will change depending on the patient’s state. It may be sufficient to state, “Patient reports pain medication relieved back discomfort,” when reviewing pain medications.

    Elements to omit in a nursing exemplar

    When creating a nursing exemplar note, omitting specific things is as essential as including pertinent information. This does not mean you should forget information about the patient’s condition, care, or treatment response.

    The following are a few things you should not include in nursing exemplar papers.

    Symptoms without intervention

    When you describe symptoms (objective or subjective), you should provide intervention and follow-up. Do not record symptoms or patient complaints until you have documented the incident.

    Speculations

    You could believe that no one knows your patient as well as you do. Even if you may be familiar with him well, it is not the responsibility of nurses to make assumptions about a patient’s thoughts or feelings. As an alternative, focus on what the patient says and does while recording what you hear and see.

    Terminology that isn’t descriptive or precise

    The nursing exemplar should evoke an image or story in the reader’s imagination. As a result, accurate and detailed vocabulary is required. “Bladder incontinent; adult brief and bed pad changed due to incontinence moisture; peri-care administered; no skin integrity concerns.”

    Untimely charting

    It would be best if you never documented care until it is finished. This is significant because even the best-planned days might have unforeseen events that delay or impede treatment.

    Family or friend information

    When a friend or family member visits your patient, it is okay to note. You may write, “Pt. Alert, spouse and kids by the bedside, no complaints,” for example. To put personal information, such as whether someone was disrespectful to you or the patient or appeared inebriated, is never appropriate.

    How to write a nursing exemplar

    The following is a step-by-step guide to writing an excellent nursing exemplar.

    Be concise and specific

    Nursing examples
    are an excellent way to record comprehensive information about every facet of the patient’s condition and response to available treatments.

    Give the facts

    This is your chance to describe what you hear, see, feel, and do in the nursing exemplar example. While it’s essential to be thorough, don’t go overboard. Simply state the facts to keep it simple.

    Presentation of notes

    Before addressing any supplementary difficulties, it should pinpoint the patient’s main complaint or issue.

    Take note of objective data

    Vital indicators or elements you can visualize are examples of information.

    Keep track of personal data

    After you write down the facts, add the patient’s thoughts and feelings.

    Expert tips for writing an excellent nursing exemplar

    If you document patient care, there is no reason you should not write an exceptional nursing exemplar. The following tips will help you create an excellent nursing exemplar paper.

    Immediately note nursing interventions

    There is a higher likelihood of leaving out crucial information the longer there is a delay between nursing actions, assessments, and documentation.

    Maintain descriptive documentation

    The nursing narrative note should adequately state everything observed or reported to the nurse. Descriptive documentation decreases the possibility of information being misunderstood.

    Be objective

    Keeping an objective point of view when writing narrative nurses’ notes is essential. You can also report personal information, but the things you see (accurate data) are much more critical for making decisions.

    Add additional information whenever it is necessary

    Creating a nursing exemplar and signing it does not ensure your patient’s status or doctor’s order. Create a new record containing the date, time, and other relevant information whenever something new occurs.

    Provide enough details to make your point

    It can be necessary to write more extensive narrative nursing notes occasionally. Without writing an exemplar, present enough material to deliver the message and address the patient’s state, needs, treatment, and emotions.

    Make confident that your handwriting is legible

    This recommendation is especially crucial if your facility still employs paper notes. Remember that the patient’s chart can be used as a legal document. If anything regarding your patient’s care is ever questioned, you’ll want to ensure your records are readable so that information is not misunderstood.

    What do you write in a nursing exemplar?

    In a nutshell, you document everything you observe as a nurse and any essential medical information. In a detailed summary, the nursing exemplar gives information about how the patient feels, what they require, and what’s going on with their health.

    When you put all the information together, ensure that everyone who needs to know about a patient’s treatment has quick and easy access to it.

    A better submission

    After writing your exemplar, have it reviewed by several persons (both clinical and non-clinical). Then, request that they describe your model in their own words. By doing this, you will be able to evaluate whether everything you tried to say was obvious and straightforward to understand.

    Make sure to spellcheck and grammar check your nursing exemplar. Remember that you are submitting your chapter for an award, so make it outstanding!

    Nursing exemplars to support student writing

    Sometimes, professors’ explanations of writing principles and ideas do not go as intended. Some students may struggle to understand the concepts mentioned or require more guidance. Depending on the size of the class and the necessary level of assistance, this may not always be achievable.

    This is when a nursing exemplar might come in handy. A model can be a helpful tool in assisting a student in grasping crucial concepts and abilities, as well as evaluation requirements. As we all know, for learning to be effective, students must have a genuine connection to the material being taught.

    Exemplars contribute to the strengthening of that bond. Annotating the exemplar can help students by demystifying the process, making implicit what professionals know, and presenting a model to aspire for. There will be notes highlighting the essential elements.

    Students gain from not only seeing but also deconstructing exemplar responses. In conclusion, consider using annotated exemplars to assist your students with their
    writing assignments
    .

    Final thoughts

    Developing outstanding nursing exemplars is one of the most crucial things you can accomplish. We decided to address the issue of how to write a nursing exemplar for that reason.

    You can produce a top-notch, expert nurses’ exemplar using the examples and writing instructions provided in this article. Keep in mind that it is always preferable to document excessively than insufficiently.

  • Fundamentals of nursing assignment help

    If you are a nursing student struggling with your assignments, you are not alone. Many students find the workload challenging and the concepts difficult to grasp. That’s where nursing assignment help comes in.

    Nursing assignment help can take many forms. You may need help understanding the concepts, developing a plan for your paper, or writing the article itself. Whatever form of service you need, our resources are available to you. This article will help you understand the fundamentals of nursing and its importance.

    What are the fundamentals of nursing

    Nursing is a profession that requires both theoretical knowledge and practical skills. Fundamentals of nursing are the basic principles that nurses need to know to provide quality care.

    To provide quality care, nurses need to have a strong foundation in the fundamentals of nursing. These principles include infection control, patient safety, communication, and critical thinking. By understanding and following these basic guidelines, nurses can ensure that they provide the best possible care for their patients.

    Infection control

    One of the most critical aspects of nursing is infection control. This is necessary to prevent the spread of disease and maintain a
    clean environment
    for patients. Nurses must always practice good hand hygiene and use personal protective equipment when working with patients.

    Patient safety

    Patient safety is a top priority for all nurses. To provide safe care, nurses must know the potential risks and hazards associated with their patient’s conditions. They must also be vigilant in monitoring their patients for any signs of complications or changes in their condition.

    Communication

    Good listening skills involve being able to actively listen to what patients and their families are saying, taking the time to understand their needs and concerns, and providing them with the opportunity to express themselves fully.

    Speaking skills involve clearly explaining information to patients and their families in a way that is easy for them to understand. When communicating with patients, it is essential to use language appropriate for their level of understanding and avoid medical jargon.

    Importance of fundamentals of nursing

    As a nurse, it is vital to have a strong foundation in the fundamentals of nursing. This includes knowledge of human anatomy and physiology and the principles of infection control and pharmacology. A solid understanding of these concepts is essential in providing safe and effective patient care.

    In addition to the technical aspects of nursing, it is also essential to communicate effectively with patients and their families. You must be able to explain procedures and provide emotional support during difficult times. Good bedside manner can make a big difference in the patient’s quality of care.

    The fundamentals of nursing provide the foundation for everything else that nurses do. Nurses can provide better care for their patients and positively impact the healthcare system by having a solid understanding of these concepts.

    Critical thinking

    Critical thinking
    is the ability to analyze information and make decisions based on observations. This is a crucial skill for nurses, as you will often be required to make quick decisions in potentially life-threatening situations.

    Fundamentals of nursing practice questions

    Nursing practice questions are an essential part of the nursing process. They help nurses to assess their patient’s needs and to plan care accordingly. Nursing practice questions can be divided into three main categories:

    assessment questions

    diagnosis questions

    prognosis questions

    Assessment questions

    Assessment questions help nurses identify the patient’s problem or need. Regarding nursing assessment, there are a few key questions that nurses must ask to provide the best care possible.

    Ask about the patient’s symptoms and medical history

     This information will help you determine what type of care the patient needs.

    Assess the patient’s current physical condition

    This includes taking vital signs and observing any physical changes that may have occurred since the last assessment.

    How long have they been experiencing these symptoms

    Ask about the patient’s psychological state

    This helps the nurse understand how the patient copes with their illness or injury and if they are at risk for developing mental health problems.

    Diagnosis questions

    Nursing diagnosis questions play an essential role in the nursing process. They help nurses to assess a patient’s condition and to plan and implement appropriate interventions. There are questions that you can ask when trying to make a diagnosis. First, you need to consider the patient’s symptoms.

    What are they experiencing?

    Look at the patient’s medical history.

     What conditions have they been diagnosed with in the past?

    Take into account any medications the patient is taking

     These can sometimes interact with each other and cause new or different symptoms.

    Prognosis questions

    A prognosis is a medical opinion regarding a disease’s likely course and outcome. It is typically based on the patient’s medical history, symptoms, and test results. The prognosis for a particular patient may be optimistic, pessimistic, or somewhere in between. Patients often have questions about their forecast. Some common questions include:

    1.      What is the chance that my condition will improve?

    2.      How long will I live?

    3.      What are the chances that my condition will worsen?

    4.      What are the chances that my condition will become chronic?

    5.      What are the side effects of treatment?

    6.      What are the risks and benefits of treatment?

    7.      Will I need to take medication for the rest of my life?

    Fundamentals of nursing potter

    In their textbook, Fundamentals of Nursing, Potter, and Perry (2014) state that nursing is fundamental to providing care to promote and restore health. They identify four main principles that guide nursing practice: caring, communication, collaboration, and critical thinking.

    Caring is the cornerstone of nursing and sets it apart from other healthcare professions. It is the foundation upon which nurses build relationships with patients and families and provide quality care.

    Communication is essential for effective nursing care. It allows nurses to gather information about patients’ needs and preferences, communicate instructions and education, and provide emotional support.

    Collaboration is essential in nursing because it ensures that patients receive coordinated and comprehensive care. Nurses must work together with other members of the healthcare team to plan and implement treatment plans.

    Critical thinking is a crucial component of quality nursing care.

    How to pass fundamentals of nursing

    To pass the fundamentals of nursing, there are a few key things that you need to do.

    Ensure that you understand the material.

    This means going through your textbook and notes and doing any outside research that you need to to fill in any gaps in your knowledge.

    Don’t wait until the last minute to study.

    Cramming for exams is never a good idea, and it’s imperative to avoid doing so for a course like the fundamentals of nursing, where the material is complex and there is much information to remember.

     Practice

    Take online practice quizzes or make flashcards. By testing yourself on the material, you’ll be able to remember it better during test time.

    Get plenty of rest before your fundamentals of nursing exam

    You must be well-rested to think clearly and focus on the task.

    How to study for fundamentals of nursing

    To be successful in
    nursing school
    , you must study hard and put in the effort. To ace nursing school, you must first understand how you learn best. Some students are visual learners and need to see information to retain it.

    Others are auditory learners and need to hear information to remember it. And finally, some are kinesthetic learners and need to interact with the material to understand it physically. Once you know your learning style, you can tailor your studying accordingly.

    For example, if you’re a visual learner, try using flashcards or coloring-coded notebooks. If you’re an auditory learner, try listening to lectures on your way to class or reading out loud.

    Fundamental of nursing assignment help

    You can get help with your coursework from experienced nursing professionals who can guide you through the material and ensure that you understand it. Our reputable writers and company have experience helping students with their nursing studies.

    We are renowned for delivering quality work that meets and exceeds the professors’ expectations. We also complete your assignments successfully and deliver before the deadline.

    With a little effort, you can get the help you need to succeed in your fundamentals of nursing course at an affordable price. We have helped thousands of nursing students worldwide with various nursing assignment papers.

    Our services and guarantees

    Fundamentals for nursing help service has helped many students complete their nursing assignments. There are many reasons why students use our service, but the most common reason is that they need help with their nursing assignments.

    Nursing assignments can be tricky, and many students find it challenging to complete them independently. If you struggle with your nursing assignment, consider using our fundamentals of nursing assignment help service.

    Why choose our services

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  • NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

    NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

    Question 1

    Which of the following medications are approved by the FDA for treating generalized anxiety disorder in children ages 7–17?

    A.

    Sertraline

    B.

    Quetiapine

    C.

    Duloxetine

    D.

    Clomipramine

     

    Question 2

    Which of the following is true about social skills training with teens?

    A.

    Social skills training is used to teach social problem solving.

    B.

    Social skills training is more potent in a one-to-one setting.

    C.

    Social skills training is more potent in a group setting due to the peer influences.

    D.

    A and C

     

    Question 3

    The clinician asks an adolescent “Have you felt persistently sad or gloomy for more than a year?” to assess for which of the following common diagnostic possibilities?

     

    A.

    Bipolar disorder

    B.

    Substance use disorder

    C.

    Major depressive disorder

    D.

    Persistent depressive disorder

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    Question 4

    Examples of atypical features in a patient with Major Depressive Episode include which of the following?

    A.

    Overeating and oversleeping

    B.

    Loss of appetite

    C.

    Insomnia

    D.

    Sleep walking

     

    NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam Question 5

    The ARNP working with a 5-year-old child in a busy pediatric practice is seeking to use Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in this situation?

    A.

    These easy-to-use screens can be filled out prior to coming in for a formal evaluation to expedite assessment of this child

    B.

    These Level 1 and Level 2 assessments can help the practitioner identify the presenting problem for this child.

    C.

    Systematic use of the Level 1 and Level 2 cross cutting assessments will provide measurable outcomes for this child.

    D.

    There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.

     

    Question 6

    The principle that competent mental health care and a full array of services should be available for all children, adolescents, and their families address which of the following domains in the American Academy of Child and Adolescent Psychiatry Code of Ethics?

    A.

    Justice

    B.

    Fidelity

    C.

    Autonomy

    D.

    Nonmaleficence

     

    Question 7

    Which of the following is inconsistent with what is known about prolonged sleep deprivation?

    A.

    Prolonged sleep deprivation leads to death.

    NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

    B.

    Prolonged sleep deprivation leads to severe physical impairment.

    C.

    Prolonged sleep deprivation leads to severe cognitive impairment.

    D.

    Prolonged sleep deprivation while annoying and frustrating is not life threatening.

     

     

    Question 8

    Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges:

    A.

    Ages 0–5

    B.

    Ages 6–12

    C.

    Ages 13–18

    D.

    Ages 18+

     

     

     

    Question 9

    A 15-year-old girl presents with symptoms that include restrictive eating and food avoidance, with a desire to avoid obesity, which persists despite negative consequences. This presentation is consistent with which of the following diagnoses?

    A.

    Bulimia nervosa

    B.

    Anorexia nervosa

    C.

    Encopresis

    D.

    Autism spectrum disorder

     

    Question 10

    Strategies that enhance therapeutic engagement include which of the following?

    A.

    Engage the child/adolescent in a manner to encourage them feeling noticed, heard, and appreciated.

    B.

    Make sure that the parent/caregiver is always in the room.

    C.

    Start off with targeted diagnostic questions to save time.

    D.

    Always take the child/adolescent’s side if there is disagreement with caregiver.

     

     

     

    Question 11

    According the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics, the provider is obligated when providing care to which of the following individuals? NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

    A.

    The child or adolescent

    B.

    The child/adolescent’s guardian(s)

    C.

    Only the guardian(s) for children under 7

    D.

    A and B

     

     

     

    Question 12

    During the evaluation of a patient with a history of Bipolar I Disorder, who is manic, the patient states that she is actually the Queen of England and quite wealthy. This is an example of which of the following?

    A.

    Mood-congruent manic delusion

    B.

    Mood-incongruent manic delusion

    C.

    Mood-congruent manic hallucination

    D.

    Mood-incongruent manic hallucination

     

     

    Question 13

    Which of the following is NOT true about symptomatology of anorexia nervosa?

    A.

    Most aberrant behaviors directed toward losing weight occurs in secret.

    B.

    All patients have an intense fear of gaining weight and becoming obese.

    C.

    Most patients with anorexia nervosa will have no difficulty eating with their family in public places.

    D.

    Fear of gaining weight and becoming obese frequently contributes to the individual’s lack of interest in and resistance to therapy/treatment. NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

     

    Question 14

    Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?

    A.

    Relaxation therapy

    B.

    Social skills training

    C.

    Motivational Interviewing

    D.

    Applied behavioral analysis

     

    Question 15

    Principles to be considered when using a rating scale to assess for mood and anxiety disorders include which of the following?

    A.

    Choose a rating scale with fair diagnostic reliability.

    B.

    A longer rating scale will provide better diagnostic specificity.

    C.

    Use a broad-based rating scale to investigate a particular problem.

    D.

    Select scales that are research validated for age, condition, and (ideally) culture.

     

     

    Question 16

    Ethical standards set forth by the APA are which of the following?

    A.

    They are guidelines for psychologists.

    B.

    They are enforceable rules for psychologists.

    C.

    They are an exhaustive list of professional standards.

    D.

    They are standards that apply to professional and private conduct of psychologists.

     

     

    Question 17

    Which of the following is NOT consistent with what is known about socioeconomic and cultural factors related to mood disorders?

    A.

    No correlation has been found between socioeconomic status and major depressive disorder.

    B.

    A higher-than-average incidence of Bipolar I disorder is found among the upper socioeconomic groups.

    C.

    Bipolar I disorder is more common among persons who graduated from college.

    NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

    D.

    The prevalence of mood disorder does not differ among races.

     

     

    Question 18

    A variant of Bipolar I disorder characterized by episodes of major depression and hypomania is known as which of the following?

    A.

    Bipolar II Disorder

    B.

    Dysthymic Disorder

    C.

    Cyclothymic Disorder

    D.

    Bipolar I Disorder, hypomanic type

     

    Question 19

    Which of the following would be an initial screening question for a child with sleep problems?

    A.

    Do worries keep you awake?

    B.

    What is your routine before going to bed?

    C.

    Do you startle easily or get frequent nightmares?

    D.

    Do you feel tense, restless or worried most of the time?

     

    Question 20

    When
    assessing
    a child who has presented with concerns of being anxious and worried, the provider asks the child “Do you get sudden surges of fear that make your body feel shaky or your heart race?” to screen for which of the following common diagnostic possibilities?

    A.

    Obsessive -compulsive disorder

    B.

    Posttraumatic stress disorder

    C.

    Panic disorder

    D.

    Separation anxiety disorder

     

     

     

    Question 21

    Which of the following is important to realize when treating a child with an anxiety disorder?

    A.

    Anxiety disorders are commonly diagnosed in families.

    B.

    Repeated exposures to feared situations will always help the child to unlearn the fear response.

    C.

    Parents should encourage avoidance of feared situations as this will help the fear dissipate.

    D.

    SSRI’s are the MOST effective treatment in relieving symptoms of anxiety.

    NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

     

     

     

     

    Question 22

    Which of the following is true regarding the cultural formulation interview with a child and caregiver?

    A.

    Asking about a child and caregiver’s cultural understanding is an efficient way to build a therapeutic alliance.

    B.

    While cultural understanding is important, it is important not to personalize the diagnosis.

    C.

    While obtaining cultural information is important, it may increase bias and thus decrease accuracy of the assessment.

    D.

    Engaging in a discussion about culture, while interesting and engaging, is a distraction from the problem that brought the child and caregiver to the provider.

    Question 23

    Major depressive disorder, eating disorders, and substance use disorders predominate at which of the following ages?

    A.

    Ages 0–5

    B.

    Ages 6–12

    C.

    Ages 13–18

    D.

    Ages 18+

     

    Question 24

    A distinct period of an abnormally and persistently elevated, expansive or irritable mood lasting at least a week or requiring hospitalization is consistent with which of the following?

    A.

    A manic episode

    B.

    A hypomanic episode

    C.

    Cyclothymia

    D.

    Bipolar II Disorder

     

     

    Question 98

    The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following? NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

    A.

    4–6 weeks

    B.

    3–6 months

    C.

    1–2 years

    D.

    8–10 years

     

     

    Question 99

    Which of the following should first be considered when assessing a child with sleep problems?

    A.

    Poor sleep habits

    B.

    Insomnia disorder

    C.

    Major depressive disorder

    D.

    Generalized anxiety disorder

     

     

     

    Question 100

    Which of the following is the most common eating disorder?

    A.

    Bulimia nervosa

    B.

    Anorexia nervosa

    C.

    Binge eating disorder

    D.

    Night eating syndrome

    NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

  • NRNP 6645 Midterm Exam Questions and Answers Walden University

    NRNP 6645 Midterm Exam Questions and Answers Walden University

    Question 1

    When treating a family in which a child has been sexually abused the primary goals include which of the following? 
    Check all that apply.

    A.

    Ensure the abuse doesn’t recur

    B.

    Reduce the long-term effects of the trauma

    C.

    Preserve the integrity of the family at all cost.

    D.

    A and B

     

    Question 2

    A situation in which a person’s zeal to avoid feared abandonments is such that the person inadvertently creates the very situation that he or she is trying so hard to avoid is an example of what is clinically known as which of the following?

    A.

    Resistance

    B.

    Transference

    C.

    Self-fulfilling prophecy

    D.

    Cyclical psychodynamics

    Question 3

    The change agent in relational psychodynamic therapy is which of the following?

    A.

    Insight

    B.

    Mindfulness

    C.

    Wish/defense conflicts

    NRNP 6645 Midterm Exam Questions and Answers Walden University

    D.

    Emotional communication and affect regulation

    ORDER HERE

    Question 4

    In a family session a teenager whose parents deny him a night out states angrily “See they never let me do anything!” The advanced practice psychiatric nurse using a Cognitive Behavioral Family Therapy framework recognizes this as cognitive distortion known as:

    A.

    Labeling and mislabeling

    B.

    Overgeneralization

    C.

    Personalization

    D.

    Magnification and minimization

    NRNP 6645 Midterm Exam Questions and Answers Walden University

    Question 5

    Which of the following is consistent with Cognitive-Behavioral Therapy (CBT)? 
    Check all that apply.

    A.

    CBT is a system of psychotherapy based on a theoretical framework which maintains how an individual structures one’s experiences largely determines how one feels and behaves.

    B.

    Maladaptive thoughts relating to the “cognitive triad” are rooted in irrational or illogical assumptions.

    C.

    By changing one’s thoughts, emotions and behaviors can be changed.

    D.

    A and C

     

    Question 6

    According to Bowen, lack of differentiation in a family may be manifest as

    A.

    Emotional overinvolvement

    B.

    Emotional distance

    C.

    Reactive Children

    D.

    A and C

    E.

    A, B, and C

     

    question 69

    Which of the following is true about Automatic Thought Records (ATR)? 
    Check all that apply.

    A.

    The ATR is a key component of CBT

    B.

    This is a homework technique in which troubling situations and resulting emotions and thoughts are captured.

    C.

    The therapist and patient work on clarification and development of “rational” responses to challenge the original responses.

    D.

    All the above

     

    Question 70

    Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages?

    A.

    Autonomy vs. self-doubt

    B.

    Industry vs. inferiority

    C.

    Identity vs. role confusion

    D.

    Intimacy vs. isolation

     

    Question 71

    The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy?

    A.

    Workbook exercises are only an adjunct to treatment.

    B.

    Workbook exercises simplify the real work in therapy.

    C.

    Treatment manuals consistently correlate positively with treatment outcome.

    D.

    Use of workbook exercises and approaches promotes creativity and flexibility in the therapeutic process.

     

    Question 72

    Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy?

    A.

    Brief psychotherapy is more effective than long-term psychodynamic psychotherapy.

    B.

    Long-term psychodynamic psychotherapy is more effective than brief psychotherapy.

    C.

    There is no qualitative difference between brief and long-term psychodynamic psychotherapy.

    D.

    Brief and long-term psychodynamic psychotherapy cannot be compared.

     

    Question 73

    Common ancestry through which individuals have evolved shared values and customs is known as which of the following?

    A.

    Culture

    B.

    Ethnicity

    C.

    Cybernetics

    D.

    Constructivism

     

    ‘Question 74

    According to Benner’s role acquisition model, the advanced practice psychiatric nurse with 2-5 years of experience, who coordinates complex care and sees situations as wholes with long-term solutions, is functioning at which level of competency?

    A.

    Novice

    B.

    Advanced beginner

    C.

    Competency/proficiency

    D.

    Expert

     

    Question 75

    Which of the following is true about working with dreams?

    A.

    Dream interpretation is a left-brain endeavor.

    B.

    Dreams represent past conflicts and work is on past conflicts

    C.

    Dreams are the brain’s attempt to process and integrate daily information.

    D.

    Dream symbol books are useful for dream work due to universal meaning of dreams.

     

    Question 76

    Which of the following is not consistent with evidence-based research on psychodynamic therapy?

    A.

    Research demonstrates psychodynamic therapy is not effective.

    B.

    Research reflects inherent difficulties in experimental controlled design for this approach.

    C.

    Most psychodynamic research consists of case studies which limits the ability to generalize to other situations and populations.

    D.

    Psychodynamic techniques do not lend themselves to the precision required for a clinical trial. NRNP 6645 Midterm Exam Questions and Answers Walden University

     

    Question 78

    The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient’s safety and realizes which of the following are ethical options?

    A.

    It is incumbent on the therapist to ensure that treatment continues.

    B.

    Stop treatment immediately.

    C.

    Attempt to work out a payment plan with the patient.

    D.

    A and C

    NRNP 6645 Midterm Exam Questions and Answers Walden University

     

    Question 79

    Which of the following is not consistent with clinical practice guidelines for use of psychodynamic therapy for various psychiatric disorders?

    A.

    Panic-focused psychodynamic psychotherapy is recommended as an initial treatment for Panic Disorder

    B.

    No RCTs support use of psychodynamic therapy for Obsessive-Compulsive Disorder.

    C.

    Psychodynamic therapy is considered a first-line treatment for Schizophrenia

    D.

    Psychodynamic therapy is a therapeutic treatment option for Major Depressive Disorder.

     

    Question 80

    According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes?

    A.

    Psychosis, addictions, depression

    B.

    Paranoia, obsessions, compulsions

    C.

    Phobias, psychosomatic disorders

    D.

    Inertia, creative inhibition

     

     

    Question 89

    Which of the following best describes the difference between standards of care and practice guidelines?

    A.

    Practice guidelines are legally binding while standards of care are not.

    B.

    Standards of care are legally binding while practice guidelines are not.

    C.

    There is no difference between standards of care and practice guidelines.

    D.

    Practice guidelines should be followed as written while standards of care are more flexible.

     

    Question 90

    Which of the following is true about the therapeutic benefit of groups in the development of socializing techniques?

    A.

    Social learning is a therapeutic factor that operates in all therapy groups.

    B.

    Groups permit members to understand there is a huge discrepancy between their intent and their actual impact on others.

    C.

    Social skills learned in therapy groups can serve individuals well in future social interactions outside of the group setting.

    D.

    All of the above

     

    Question 91

    Object relations theorists work from a framework which includes which of the following?

    A.

    The central motivating force in development is the drive for gratification.

    B.

    Primary maternal preoccupation will lead to development of a false sense of self.

    C.

    The central motivating force in development is that people are primarily motived to seek other people.

    D.

    The good enough mother creates a dynamic in which the person feels never good enough in relationships.

     

    Question 92

    Factors that distinguish psychodynamic therapy from cognitive behavioral therapy include which of the following factors.

    A.

    Emphasis on the past; Focus on expression of emotion; Emphasis on transference

    B.

    Focus on here and now, focus on current relationships, exploration of intra psychic issues.

    C.

    Emphasis on here and now; exploring and working with resistance to treatment, the working alliance.

    D.

    Identification of patterns in actions, thoughts, feelings, experiences; Focus on current relationships.

    Question 93

    The therapist using a CBT approach says to the patient: “You say you become depressed. Explain to me what depressed feels like to you.” This is an example of what question type in Socratic Dialogue?

    A.

    Memory question

    B.

    Translation question

    C.

    Application question

    D.

    Interpretation question

     

    Question 94

    When working with a client of unfamiliar culture the advanced practice psychiatric nurse asks the client how he or she feels about working with you. This demonstrates which of the following?

    A.

    Insecurity on the side of advanced practice psychiatric nurse and confuses the focus of the relationship.

    NRNP 6645 Midterm Exam Questions and Answers Walden University

    B.

    Respect and may open up a dialogue about the experience for the patient.

    C.

    Ignorance on the side of the advanced practice psychiatric nurse and undermines the therapeutic relationship

    D.

    A novice mistake, the patient should be transferred to a provider of similar culture

     

    Question 96

    Cognitive Behavioral Therapy (CBT) interventions focus on

    A.

    The person’s relationships and family dynamics

    B.

    The person’s thoughts, beliefs, or behaviors

    C.

    The person’s understanding of how the past gets triggered and plays out in the present

    D.

    The person’s body, beliefs, images, and emotions to process trauma

     

    Question 97

    Recognizing that many factors may have contributed to a patient’s current situation is an example of which of the following?

    A.

    Biomedical model

    B.

    Psychosocial framework

    C.

    Overdeterminism

    D.

    Resiliency

     

    Question 98

    A group of co-occurring, relatively invariant symptoms found in a specific cultural group, community or context, which may or may not be recognized as an illness within the culture but such cultural patterns of distress and features of illness may be recognizable by the outside observer is known as which of the following?

    A.

    Cultural syndrome

    B.

    Cultural formulation

    C.

    Cultural idiom of distress

    D.

    Cultural explanation or perceived cause

     

    Question 99

    Over the past 40 years many controlled studies of psychotherapy outcome have demonstrated which of the following?

    A.

    The outcome from group therapy is virtually identical to that of individual therapy.

    B.

    The outcome from group therapy is slightly less than outcome of individual therapy.

    C.

    The outcome from group therapy is significantly better than outcomes of individual therapy

    D.

    The outcome from group therapy is significantly less than outcomes of individual therapy.

     

    Question 100

    During the initial contact with an individual seeking family therapy it is important for the family therapist to:

    A.

    Identify the presenting problem and arrange a consultation with everyone living in the family household.

    B.

    Identify the presenting problem and arrange a consultation with the caller to ensure family therapy is really necessary.

    C.

    Identify the presenting problem and arrange to meet with the caller and the family member that is creating most of the problem.

    D.

    Identify the presenting problem and arrange a consultation with the parents of the family to develop a therapeutic alliance and strategy for fixing the problem.

    NRNP 6645 Midterm Exam Questions and Answers Walden University

  • NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

    Question 1

    The Patient Protection and Affordable Care Act of 2010 (ACA) made it so that:

    A.

    All insurance companies have the same copays for patients.

    B.

    Private insurance companies could not deny claims for preexisting conditions.

    C.

    Each state had to enforce insurance regulations the same way.

    D.

    Children could stay on their parents plan as long as they remained unmarried.

     

    Question 2

    Regarding sexual development, a five-year old should:

    A.

    Not yet have any idea where babies come from.

    B.

    Use slang words for sexual body parts.

    C.

    Not yet understand about saying no to unwanted touch.

    D.

    Know that “sex talk” is for private times at home.

    ORDER EXAM OR WRITTEN WORK HERE

    Question 3

    The largest organ of the body is the:

    A.

    Heart

    B.

    Lung

    C.

    Skin

    D.

    Liver

     

    Question 4

    A teratogen is:

    A.

    A chromosomal disorder

    B.

    A genetic disorder

    C.

    An agent that results in, or increases the incidence of, a congenital malformation * (pg. 1151)

    D.

    A term meaning a hand with only four fingers

     

    Question 6

    The movement with nystagmus may be:

    A.

    Horizontal

    B.

    Vertical

    C.

    Rotary

    D.

    A and B

    E.

    A, B, and C

     

    Question 7

    A child should be excluded from the childcare setting if he/she:

    A.

    Is HIV positive

    B.

    Has an exanthem but no fever or behavioral changes

    C.

    Has diarrhea that is not contained by diapers or toilet use

    D.

    Has nits that are being treated

     

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam Question 28

    A herald patch is present in 70% of the presentation of:

    A.

    Tinea corporis

    B.

    Roseola

    C.

    Pityriasis rosea

    D.

    Psoriasis

     

     

    Question 29

    The CDC recommends initial universal screening for congenital or birth-related hearing loss:

    A.

    As a newborn

    B.

    At the age of 6 months

    C.

    At the one year well exam

    D.

    Upon entering kindergarten

     

    Question 30

    Of the following topical corticosteroids, which is the highest potency?

    A.

    Clobetasol propionate 0.05%

    B.

    Triamcinolone acetonide 0.1%

    C.

    Hydrocortisone 1%

    D.

    Betamethasone dipropionate 0.05%

     

     

    Question 31

    Cora is a first-time mother. Her baby was born at 40 weeks and weighed 8 pounds, 1 oz. Cora is breastfeeding her baby. The baby is voiding 6-8 wet diapers every 24 hours and is stooling 3-5 times/day. She brings her baby in for a 1 week check up and her baby weighs 7 lbs., 15 oz. Cora is upset at the weight loss. You explain to her:

    A.

    It is indeed concerning. Babies need to gain weight steadily.

    B.

    This is not something to worry about. Babies typically lose 5-8% of birth weight but should regain it by 10-14 days.

    C.

    Babies do lose weight initially, but she should at least be back to birth weight by now. I will need to do a weight check tomorrow.

    D.

    This is extremely concerning. We need to admit your baby back into the hospital.

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

     

     

     

     

    Question 32

    A developmental red flag for a six-year-old is:

    A.

    Difficulty holding a pencil with penmanship

    B.

    Problems throwing a ball

    C.

    Unable to print name

    D.

    Picture of self includes less than 8 parts

     

     

     

    Question 33

    Adelaide comes in to see you because she is concerned about her breast. She is breastfeeding her 8-week-old and her left breast is very sore. She has also noticed a “lump” in the lower outer quadrant of the breast that is warm and slightly red. She also feels very tired and “flu-like”.
    You
    examine the area and note the lump and that there is some reddish streaking on the breast by the lump. It is very painful to her when you touch the area. You tell her it appears she has mastitis, which is an infection of the breast that can occur anytime during lactation. You advise her to:

    A.

    Stop breastfeeding or the bacteria may pass to the baby and make her very ill.

    B.

    Nurse or pump more frequently to “empty” the breast.

    C.

    Use warm compresses on the area.

    D.

    B and C

     

     

    Question 48

    Otitis externa is:

    A.

    A diffuse inflammation of the external auditory canal.

    B.

    An infection of the tympanic membrane.

    C.

    Also known as an infection of the labyrinthine

    D.

    Commonly known as “swimmer’s ear”.

    E.

    A and D

     

    Question 49

    Monosymptomatic nocturnal enuresis is defined as:

    A.

    Involuntary urination at an age when toilet training should be complete.

    B.

    Involuntary urination during waking hours only.

    C.

    Nighttime wetting when child has normal daytime elimination with no concerns.

    D.

    Involuntary stooling at nighttime only.

     

    Question 50

    In a child, the normal heart sounds are:

    A.

    S1 and S2

    B.

    S1, S2, aortic closure

    C.

    S1, S2, S3, and S4

    D.

    Mitral, aortic, pulmonic

     

     

    Question 51

    A hordeolum is also known as a:

    A.

    Stye

    B.

    Wen

    C.

    Sebaceous cyst

    D.

    Chalazion

     

    Question 52

    The mode of transmission for shigella is:

    A.

    Respiratory

    B.

    Fecal-oral

    C.

    Skin contact

    D.

    Contact with blood, urine, or saliva

     

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam Question 53

    The World Health Organization (WHO) recommends handwashing for:

    A.

    10 seconds

    B.

    20-30 seconds

    C.

    40-60 seconds

    D.

    2 minutes

     

    Question 54

    An absolute contraindication to swimming is:

    A.

    Otitis externa

    B.

    Otitis media

    C.

    Tympanic membrane perforation

    D.

    A and C

     

    Question 55

     

    At birth, a newborn can see:

     

    About 8-12”

     

    With 20/20 vision

     

    Across a room

     

    About 20 feet

     

     

    Question 56

    Jonathan comes in with a wart on his finger. In discussing this with his parent, a decision is made to proceed with cryotherapy. When discussing the procedure with Jonathan and his mother, you tell them:

    A.

    When I complete the procedure, the wart will be gone but you will need to keep the area covered for 48 hours to reduce the risk of infection.

    B.

    There is a chance that one treatment may not completely resolve the wart and it may need to be retreated.

    C.

    When you leave, the wart will not be gone. A blister will form over the next 1-2 days and it should gradually resolve.

    D.

    B and C

     

    Question 57

    In a child with pectus excavatum, clinical findings may include:

    A.

    Posterior depression of the sternum and costal cartilage

    B.

    More protuberant abdomen

    C.

    Anterior bowing of the sternum

    D.

    A and B

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

     

    Question 58

    Justine has a three-month-old baby. She is breastfeeding and all has been going well. The baby is voiding 6-8 times every 24 hours, but Justine is concerned because the baby only has a bowel movement every 3-4 days. She is curious if the baby is chronically constipated. The baby is alert and appears happy. Exam is unremarkable. You tell Justine:

    A.

    That is quite odd. We need to start the baby on some laxatives to get things moving.

    B.

    This is common in babies. As many as 40% of infants do not stool every day.

    C.

    This is quite uncommon in breastfed babies. We should do an abdominal ultrasound to see if there is an anatomical problem.

    D.

    I am going to prescribe some glycerin suppositories for the baby to soften things up and get things moving.

    B

     

     

    1 points   

     

    Question 59

    Characteristics that are unique to multiple birth children include:

    A.

    They function with more dependence and need more parental attention

    B.

    Display less sibling rivalry than other types of families

    C.

    Develop a special sibling relationship marked by loyalty and cooperative play

    D.

    None of the above

     

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam Question 97

    The guidelines for indication of a tonsillectomy are:

    A.

    At least one serious throat infection a year for five years in a row

    B.

    At least three throat infections in the past year

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

    C.

    More than seven episodes of throat infections in the past year, or more than five episodes of throat infection in the past two years, or at least three episodes per year for the past three years

    D.

    One episode in the past six months of Strep throat

    BUY EXAM OR ESSAY HERE

    Question 98

    A Grade VI heart murmur is:

    A.

    Barely audible.

    B.

    Moderately loud; no thrill.

    C.

    Loud and present over a widespread area; no thrill.

    D.

    Heard without a stethoscope.

     

     

    Question
    99

    A fungal infection of the nails is called:

    A.

    Onychomycosis

    B.

    Herpetic whitlow

    C.

    Paronychia

    D.

    Tinea cruris

     

     

    Question 100

    A common name for a pertussis infection is:

    A.

    Polio

    B.

    Whooping cough

    C.

    Chicken pox

    D.

    Diphtheria

    NRNP 6541: Primary Care of Adolescents and Children Midterm Exam

  • Clinical decision-making in nursing

    Clinical thinking is a skill that all nurses should have, to deliver quality services. The nurse’s clinical decision-making usually influences the patient’s outcomes. As a nursing student, you will have the opportunity to learn different clinical decision-making theories they implement throughout your career.

    A slew of advantages accrues when you are given the responsibility to make clinical decision-making in nursing that adheres to best practices. When patients enjoy better results, nurses are more satisfied with their jobs, and the medical institution also benefits by increasing patient care metrics and lowering their risk levels. With the help of different clinical decision-making models,
    nursing students
    can acquire the necessary skills and deliver quality nursing care.

    Our experts have taken this opportunity to take you through the clinical decision-making process. Let’s begin by defining what clinical decision-making entails and its roots.

    What is clinical decision-making?

    Nurses are professionals when it comes to delivering patient care services. They grasp a patient’s current situation better than doctors and hospital practitioners. They are the first to notice when a patient is in pain or worsening their condition. Nurses must be problem solvers and decision-makers when determining patient outcomes.

    Clinical decision-making in nursing is an active method of evaluating a patient’s status and making a clinical judgment based on the evidence. It’s a team effort, with a group of healthcare professionals weighing in and deciding on the best approach. Patients and families are also included in the clinical decision-making process, which sees patients as their greatest advocates and specialists on their physical and emotional health issues.

    Critical thinking abilities, cooperation, communication, engagement, and awareness of quality standards require clinical decision-making models. Nurses, colleagues, and patients maintain open channels of communication. This ensures everyone is on the same page regarding the decisions made and care for patients based on evidence.

    Examples of clinical decision-making in nursing

    1.      COVID-19 initiatives

    During a pandemic, the health of hospitalized COVID-19-infected victims could lead to severe problems. Experienced nurses used their understanding of patient care and an assessment of COVID-19 patients they’d previously treated to select patients most likely to require immediate treatment. Nurses primarily relied on their healthcare facilities and experience rather than rules-based decision-making, enabling them to react to complicated and constantly changing information faster.

    2.      Diseases related to catheter

    From research conducted by various scholars, Boston Medical Center recognized Foley catheters as the source of 9% of hospital-acquired diseases in its patients. A task force was formed by the medical center, which included nurse managers, nurse educators, urologists, and other practitioners in the organization. This group discovered the problems and implemented infection-prevention education initiatives. Between 2013 and 2017, the campaign resulted in an 83% decrease in catheter-related infections.

    3.      Patient falls

    Inpatient injuries are frequently caused by falls. Researchers investigate the efficacy of a
    data analytics application
    for fall prevention among the elderly and other patients. This is well highlighted in a 2021 study context in the Journal of Medical Internet Research. The findings displayed that using the data analytics tool raised nurses’ understanding of fall risk and reduced the overall number of falls. Such findings contribute to the body of evidence that supports clinical decision-making.

    Why is clinical decision-making essential for nursing students?

    Clinical decision-making provides numerous benefits to hospitals, patients, and nurses. The approach is founded on the methodology of science (hypothesis, test, repeat). Instead of following a set procedure or checklist, nurses can utilize their medical skills, education, and professional expertise in patient care. Considering nurses are clinicians, they should make medical judgments. Healthcare institutions in the following methods support nursing judgment and critical thinking:

    ·         Best patient results

    The examples above demonstrate how clinical judgment and decision-making can enhance patient outcomes. Nurses evaluate patients, collaborate with colleagues, connect with patients and their families, and evaluate patient health needs. They can make decisions based on research and facts. They can employ
    critical thinking
    to determine when a patient’s treatment should be changed. According to the research, clinical decision-making by nurses can increase the quality of care delivered and patient satisfaction.

    ·         Hospital benefits

    Patient outcome measurements are becoming more relevant as healthcare payment systems shift from fee-for-service to value-based treatment. This is because medical institutions and practitioners will soon be compensated mostly based on the quality of treatment they deliver rather than the process. Medicare penalizes hospitals based on statistics like hospital-acquired infections, falls, and readmissions. Enabling nurses to apply clinical judgment can aid in increasing hospital income.

    ·         Full job satisfaction

    Nurse turnover has drastically increased as a result of COVID-19. Nurses claim that when their superiors grant them clinical decision-making power, they are more likely to feel satisfied with their careers. They may be less prone to fatigue and more likely to continue providing nursing services. Employers who treat nurses as clinicians are more likely to maintain personnel, which can help relieve the healthcare system’s statewide nursing deficit.

    The two common clinical decision-making models

    Clinical decision-making can be considered a multidisciplinary process. It can be used at the patient level since it considers the perspectives of all experts participating in a patient’s treatment plan. It is also applicable at the organizational level, as executives can use all clinical and administrative staff members’ experience and expertise when formulating operational decisions.

    ·         Coordinated healthcare decision-making

    The coordinated care approach is a cornerstone of clinical decision-making at the patient level. It connects healthcare professionals (doctors, nurses, and support workers). It ensures that everyone interacts at different levels, including when patients are transferred to health practitioners or other caregivers or for the duration of their medical problem.

    ·         Organizational decision-making

    Nurses, health practitioners, clinicians, executives, top-level nurses, and chief medical leaders are all involved in the clinical decision-making process at the organizational level. This proved extremely useful during the pandemic. The American Association of Critical Care Nurses reports that patient care nurses, nursing executives, and organizational leaders banded together to enhance clinical care best practices at all levels, beginning with the
    nursing process
    .

    Best practices regarding clinical judgment and decision making for nursing students

    ·        
    Create safe opportunities that test critical thinking abilities while reassuring them that they are appreciated

    In the healthcare setting, patient health conditions, and actual and perceived data can come at you easily and fast. Two methods for incorporating critical analysis into the curriculum include case studies in the educational environment and interactive simulation or skills lab beyond repeated demonstrations. Frequent and repeated chances to make mistakes outside the hospital might boost student confidence as they observe themselves effectively negotiating challenging settings.

    ·        
    Provide an opportunity for reflective feedback

    Enabling students to communicate what went well and, more crucially, what went wrong in a safe atmosphere can significantly boost student confidence. This self-esteem greatly impacts 
    clinical judgment and decision-making
    for nursing students. It gives you time to interact, debate with each other and solve problems as scholars before seeking your professor’s opinion.

    ·        
    Don’t be afraid to push yourself beyond your comfort zone

    Your professor will assign you different nursing assignments to complete. It will help them  identify the students who constantly want to monitor or choose the “safe patient.”

    ·        
    Preparation is essential

    Ensure that students are oriented to a team and, if possible, that they are introduced to their instructor or other professional nurses operating during the clinical training. This can be accomplished during a casual meet-and-greet. Set up a day and space before the clinical assignment for students to assemble in a break or meeting room and ask nurses to engage with students over the cafeteria or field. After investing time on the ground with students, use a treasure hunt to find essential items and regions. All of this helps to lessen ecological fears of the unknown.

    ·        
    Pre-clinical evaluation of students

    Preparations are critical since students inevitably want to “hit the deck,” often without understanding what they do not yet comprehend or are not prepared for. Students should be able to describe the patient’s diagnosis, predict the presentation, collect data prioritization, and conduct treatments. “What if” scenarios can be an effective pre-clinical conference tactic. Educate students about short-patient situations they must use in the
    clinical decision-making process.

    ·        
    Make yourself known in the clinical context

    Students must understand that they have a prominent figure supporting them and that you are available to them when they need your input.

    ·        
    Do not undervalue the importance of the post-clinical meeting

    This should be the safest area for students to express what was effective and what was not. Work to establish a setting where students may express their difficulties and evaluate their strengths and flaws. Motivate students to find solutions among themselves before you step in to address the situation. You are promoting their potential to understand one another in this way. This boosts student confidence and, as a result,
    clinical judgment and decision-making
    .

    In summary

    From the above article, it is evident how crucial clinical decision-making skill is in the nursing profession. This guide is superb for professors and students to help them understand the clinical decision-making process. As a professor, you can use it to pepper your students with vast knowledge; as a student, it can help you navigate your career.

    If you have been assigned a task on theories of clinical decision-making, you can use our nursing writer’s brains. Consult us at onlinenursingpapers.com for quality
    nursing essay writing services
    .