Discuss the application of Middle Range Theories and Nursing Practice.

 

Self-Assessment Discussion

  • Reflect on topics they have covered over the last 15 weeks
  • Discuss the application of Middle Range Theories and Nursing Practice.
  • Discuss the impact of mentors during the course

Student Learning Outcomes (Outcome 1-3, &, 4)

After completing this course, the learner should be able to:

  • Critically analyze the philosophical underpinnings of nursing theories.
  • Critique nursing’s conceptual models, grand theories, and mid-range theories.
  • Examine the influence that nursing models and theories have upon research and practice.
  • Apply nursing theory or theories to nursing research.

Please use APA 7th Edition. 400 words. Attached Word document with course topic.  Scholarly references (Within 5 years) if applicable.

Define of PMHNP role with current reference source

PMHNP Portfolio

  • General cover letter for prospective PMHNP employer (letter directly into Webpage, not as an attached document)

 

  • Professional Statements ( into Webpage, do not upload documents):
    • Definition of PMHNP role with current reference source (Hyperlink to appropriate websites)
    • Scope of Practice with current reference source (Hyperlink to appropriate websites)
    • Personal Philosophy of Nursing (Please see resource below for example)
      • Indeed Editorial Team. (2021, January 27). How to write a powerful personal statement Links to an external site.. Indeed. https://www.indeed.com/career-advice/resumes-cover-letters/how-to-write-a-personal-statement
    • Professional Statement (Please see resource below for example)
      • Paul, M. (n.d.). How to your own philosophy of nursing Links to an external site.. Clipboard Academy. https://clipboardacademy.org/how-to-create-your-own-nursing-philosophy/

 

Example to follow

 

Answer & Explanation

Solved by verified expert

Answered by LieutenantDonkey2714

Introduction 
This portfolio is a collection of documents and other materials that serve as an introduction to my background and skills as a prospective PMHNP. It contains documents such as a cover letter, resume, professional statements, and certifications. Additionally, it includes examples of my practice and teaching, such as SOAP notes and class presentations. This portfolio is intended to showcase my knowledge and experience in the PMHNP field. It is a reflection of my commitment to providing quality care to my patients and to professional excellence.

Cover Letter

Dear Prospective Employer,

I am writing to apply for the position of PMHNP at your organization. I am passionate about the work I do in this field and I am committed to providing quality care to my patients.

I graduated with a Master of Science in Nursing from ABC University in 2020 and am a board certified PMHNP. I have experience in a variety of clinical settings, including inpatient, outpatient, and long-term care facilities. I am proficient in a wide range of clinical skills, including pharmacology and physical/psychosocial assessments. In addition, I have experience in conducting psychotherapy, developing treatment plans, and providing psychoeducation.

I am passionate about providing evidence-based, compassionate care to my patients. I believe in a holistic approach to mental health care and strive to treat the whole person, not just their symptoms. I am committed to advocating for the mental health of my patients and I am passionate about reducing stigma and increasing access to quality mental health care.

I am confident that my experience and skills make me an excellent candidate for this position. I am excited at the prospect of joining your team and look forward to hearing from you.

Sincerely,

[Your Name]

 

Resume 

[Link to Document]

Professional Statements
Definition of PMHNP Role

A Psychiatric Mental Health Nurse Practitioner (PMHNP) is a registered nurse (RN) with advanced education and training in the assessment, diagnosis, and treatment of mental health conditions. PMHNPs are trained in psychopharmacology and psychotherapy and provide care to individuals, families, and groups. They work with patients to develop individualized treatment plans and provide medication management, psychotherapy, and psychoeducation. PMHNPs collaborate with other mental health professionals, such as psychiatrists, psychologists, and social workers, to provide comprehensive care.

 

Source: American Nurses Association. (n.d.). Psychiatric-Mental Health Nurse Practitioner (PMHNP) Links to an external site.. ANA. https://www.nursingworld.org/practice-policy/nursing-excellence/psychiatric-mental-health-nurse-practitioner/

 

Scope of Practice

 

The scope of practice for PMHNPs varies by state. Generally, they are able to conduct physical and psychosocial assessments, diagnose mental health conditions, develop treatment plans, provide psychotherapy, and prescribe medications. They may also provide case management, crisis intervention, and mental health education.

 

Source: American Nurses Association. (n.d.). Psychiatric-Mental Health Nurse Practitioner (PMHNP) Links to an external site.. ANA. https://www.nursingworld.org/practice-policy/nursing-excellence/psychiatric-mental-health-nurse-practitioner/

 

Personal Philosophy of Nursing

 

My philosophy of nursing is rooted in the belief that all people deserve access to quality, compassionate care. I believe in a holistic approach to health care that focuses on treating the whole person, not just their symptoms. I strive to provide evidence-based care that is individualized to meet the needs of each patient. I believe in the power of the therapeutic relationship and I strive to create a safe and supportive environment for my patients.

I am committed to advocating for my patients and working to reduce stigma and increase access to quality mental health care. I am passionate about empowering my patients to take an active role in their care and to become advocates for their own health and wellbeing.

 

Professional Statement

 

I am a PMHNP with a passion for providing quality, compassionate care to my patients. I believe in a holistic approach to health care that focuses on treating the whole person, not just their symptoms. I strive to provide evidence-based care that is individualized to meet the needs of each patient. I am committed to advocating for my patients and working to reduce stigma and increase access to quality mental health care.

I am passionate about empowering my patients to take an active role in their care and to become advocates for their own health and wellbeing. I am committed to creating a safe and supportive environment for my patients and I strive to build trusting relationships with them. I value collaboration with other healthcare providers and I am dedicated to providing the best care possible to my patients.

 

Practice

 

All certifications done in previous courses: NU670, 671, 672, and 673

NU672: Preventing Adverse Childhood Experiences (ACEs) Web-based

This certification course focuses on recognizing and preventing ACEs. It includes topics such as the epidemiology of ACEs, the impact of ACEs on health and wellbeing, screening and assessment for ACEs, and interventions for preventing ACEs.

 

Teaching

 

Two SOAP notes

These SOAP notes were developed as part of a teaching assignment in NU671. They include a subjective assessment of the patient’s condition, an objective assessment, a plan of care, and an evaluation of the patient’s response to treatment.

 

Class Presentations

 

As part of my coursework in NU673, I gave two presentations. The first was on the use of adjunctive therapies in mental health care and the second was on the use of medication in the treatment of mental health conditions. Both presentations included an overview of the topic, relevant research, and a discussion of best practices.

 

Conclusion

This portfolio is an introduction to my background and skills as a PMHNP. It includes documents such as a cover letter, resume, professional statements, and certifications. Additionally, it includes examples of my practice and teaching, such as SOAP notes and class presentations. This portfolio is intended to showcase my knowledge and experience in the PMHNP field. It is a reflection of my commitment to providing quality care to my patients and to professional excellence.

 

Thank you for taking the time to review my portfolio. I look forward to hearing from you.

Step-by-step explanation

A PMHNP Portfolio is a professional tool used by Psychiatric Mental Health Nurse Practitioners (PMHNPs) to showcase their skills and experience in the field of mental health. The portfolio is intended to provide evidence of the practitioner’s proficiency in the areas of assessment, diagnosis, treatment, and management of psychiatric disorders. It is also used to demonstrate the PMHNP’s commitment to providing quality care for patients in their community.

The portfolio includes two main components, the first being the PMHNP’s professional qualifications and experience, such as their education, licensure, certifications, and any other relevant professional credentials. The second component includes documentation of the PMHNP’s clinical practice, including a description of their patient population, the services they provide, and the results of their treatment. The portfolio should also include letters of recommendation from colleagues and supervisors, as well as any other relevant documents or artifacts.

 

When creating a PMHNP portfolio, it is important to focus on the accomplishments that make the practitioner stand out from their peers. These accomplishments may include awards, publications, presentations, or other professional activities. The portfolio should also include a copy of the PMHNP’s curriculum vitae.

 

The PMHNP portfolio should be organized in a way that is easy to read and understand. It should be clear and concise, with each section clearly labeled and the contents listed in chronological order. It should also include a summary of the PMHNP’s professional accomplishments, such as awards, publications, presentations, or other professional activities.

 

When creating a PMHNP portfolio, it is important to include evidence of the practitioner’s clinical experience and expertise. This can include case studies, treatment plans, documentation of patient results, and other clinical documentation. It is also important to include letters of recommendation from colleagues and supervisors.

 

The PMHNP portfolio should also include a statement of purpose, which should explain why the practitioner is interested in the field of psychiatric mental health and what they hope to accomplish in their practice. The statement should be concise and should explain why the practitioner is a suitable candidate for the job.

 

The PMHNP portfolio should also include a list of references, which should include the names and contact information of people the practitioner has worked with in the past. The reference list should include the names of the supervisors, colleagues, and mentors who can verify the practitioner’s professional qualifications and experience.

 

The PMHNP portfolio should also include a list of any continuing education courses the practitioner has taken, such as professional development seminars or workshops. This listing should include information about the course content and the instructor, as well as a description of the practitioner’s experience in the course.

 

Finally, the PMHNP portfolio should include copies of any relevant licenses and certifications held by the practitioner. This may include the PMHNP’s nursing license, state license, and certification by the American Nurses Credentialing Center (ANCC). The portfolio should also include any medical or psychiatric certificates and diplomas held by the practitioner.

 

By creating a comprehensive PMHNP portfolio, the practitioner can demonstrate their qualifications and experience in the field of psychiatric mental health, as well as their commitment to providing quality care for their patients. The portfolio also helps to create a positive impression of the practitioner, which can be beneficial when seeking employment or other professional opportunities.

 

Analyze nursing history to expand thinking and provide a sense of professional heritage and identity.

Unit 8 Discussion – Reflection. 800w.

Please respond to the following questions based upon these course objectives:

 

Analyze nursing history to expand thinking and provide a sense of professional heritage and identity.

Understand other health professions’ scopes of practice to maximize contributions within the healthcare team.

Use leadership skills to teach, coach, and mentor other members of the healthcare team.

Articulate a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role and scope of practice of the advanced practice nurse.

 

For each of the learning objectives, provide an analysis of how the course supported each objective.

Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.

How are girth measurement and skinfold thickness affected by age?
  1. What waist girth in men and women is related to an increased obesity-related risk of disease?
  2. What are the average waist-to-hip ratios in young (20-29 years old) men and women?
  3. What is the value of waist-to-height ratio used to distinguish between higher and lower risk of disease?
  4. How are girth measurement and skinfold thickness affected by age?
  5. What is the rationale for using girth measurements to estimate percent body fat?
  6. How well do percent body fats estimated by skinfolds correlates with those measured hydrostatically?
  7. How is BMI defined?
  8. How is BMI calculated? and What are the limitations?
  9. How is BMI used by epidemiologist (Study Populations)?
  10. Compare and contrast various body composition assesments and how accurate are they? (Hand Held BIA/Standing BIA and % error).
  11. What values of BMI correspond with the different classification of body composition? (Explain in detail)
  12. How is BMI related to Cardiovascular disease and mortality?
  13. If a sedentary patient/client with a BMI of 33 with a medical history of Asthma, Hypertension, and Arthritis wants to start exercising to lose weight. What intensity and duration would you have them start off at? and what life style modifcations would you reccommend and why? (Use Powerpoints Provided Under Readings)
  14. Based off your client/ athetlet’s BMR (3,000 kcal) and his Marcos at 55% Carbs, 30% Fats and 15% Protein. How many calories of each should your client/athetlet be eating to maintain/lose/gain weight? Hint Protein & Carbs 4kcal per 1g and Fat is 9kcal per 1g.
  1. Why is muscular Strength important?
  2. Performing the 1RM what are some limitations that may have cause erroneous readings?
  3. How can a person’s level of fitness/ athleticism affect 1RM results?
  4. How do the male and female results differ when examining absolute weight lifted? Relative weight lifted?
  5. Based on Individual data, how do you compare with the class averages?
  6. What muscles are involved in sprinting/Jumping?
  7. What energy system dominate and how do the energy systems contribute to sprinting/Jumping?
  8. What type of activity is best performed in preparation for sprinting/Jumping? What kind of warm up?
  9. The power generated during the vertical jump test depends on what three components of the jump? and explain the anatomy/muscles that are recruited during the concentric and eccentric porotions.
  10. Explain what energy system is predominantly used during static jump and countermovement jump and how long does it last?
  11. What are the key difference for the static jump and countermovement jump and how might they make a difference?
  12. How are the vertical jump and body mass used to derive leg power?
  13. Why was the Forestry Step Test developed and by whom was it developed?
  14. What metabolic pathway is dominate during the Aerobic Step Test, and explain why not one pathway is 100% dominate.
  15. Why is a Vo2Max of 45 required for Wilderness firefighters?
  16. What was the rationale behind the Forestry Step Testa and The Queens College Step Test?
  17. What is the step cadence for the Forest Step Test and what are the step heights for men and women?
  18. What is the effect of age on Vo2Max estimated for the Forest Step Test?
  19. How does a higher Vo2Max dictate perfromance? and What is meant by economy of effort ?
  1. Compare and contrast the various sit and reach test and how they might effect flexibility.
  2. What is the effect of sex/gender on sit and reach flexibility tests?
  3. What are the expected ROM for Shoulder Flexion, Elbow Flexion, Hip Flexion, knee flexion, Ankle dorsiflexion, and Ankle plantarflexion?
  4. What problems can tight hamstrings/ Hip Flexors cause?

-Explain in detail incorporating the Anatomy and Physiology of the muscles   (Origin/Insertion).

– Design a Exercise/stretching program to improved hamstring flexibility. Explain you reasoning for selecting the exercise/stretches (What muscles do they target and how are they effected?)

  1. What is the expected shoulder ROM, what are common shoulder pains and shoulder problems

Explain in detail incorporating the Anatomy and Physiology of the muscles   (Origin/Insertion).

– Design a Exercise/stretching program to improved hamstring flexibility. Explain you reasoning for selecting the exercise/stretches (What muscles do they target and how are they effected?)

How is Isometric or static strength defined?

How well does handgrip strength correlated with total body strength?

In what unit is handgrip strength (force) described?

Does grip strength differ when measured in standing position versus the sitting position?

Does arm position (elbow angle) affect grip strength?

What is a sufficient rest interval between trials of grip strength measurement?

During which decade in life does grip strength appear to begin to decline?

Are bilateral differences in grip strength observed and why?

 

 

What challenges might the researcher encounter in collecting data from these sources? Explain.

Topic 3 DQ 1
A doctoral learner has decided to do a qualitative descriptive study for his/her proposed dissertation research study topic because it is believed to be the best approach to address the research questions. The researcher’s choices of data sources for this particular study are to conduct interviews, to create and administer an open-ended questionnaire, and to review journal entries of the participants in the sample. Will these data sources generate the breadth and depth of the data necessary for this design? Why or why not? What challenges might the researcher encounter in collecting data from these sources? Explain.

Post an explanation of how the use of CBT in groups compares to its use in family or individual settings.

DISCUSSION

COGNITIVE BEHAVIORAL THERAPY: COMPARING GROUP, FAMILY, AND INDIVIDUAL SETTINGS


There are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in individual, group, and family settings, consider challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.

To prepare:

  • Review the videos in this week’s Learning Resources and consider the insights provided on CBT in various settings.

 

BY DAY 3

Post an explanation of how the use of CBT in groups compares to its use in family or individual settings. Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.

Use at least 3 evidence based resources for your post

 

RESOURCES

 

How does venlafaxine differ from tricyclic antidepressants (TCAs)?

Answers to the 6 questions. Provide your responses and rationales. Support your rationales with high level evidence. (See Post Expectations)

Mrs. William, a 75-year-old patient is with her daughter for a follow-up visit. At her previous office visit, her daughter expressed concerns of her mother’s increasing forgetfulness. You send Mrs. William for neuropsychiatric testing. She is diagnosed with mild dementia, and the patient and family would like to discuss treatment options.

Q1. Name a drug for each of the two classes of medication that is currently available for the treatment of dementia, and their adverse effects. (Trade and generic names).

Q2. Mrs. William’s daughter is concerned about the behavioral disturbances that can be associated with progressive dementia. Discuss at least two disturbances that are associated with progressive dementia and their treatment recommendations. Please provide one medication, trade and generic name for each of the behavioral disturbances you list.

Mr. Lacy is a 65-year-old man diagnosed with Parkinson’s disease (PD) five years ago. His disease has progressed over the years, and it is recommended that he be treated with levodopa.

Q3. What is levodopa, and how is it used in the treatment of Parkinson’s disease? What are the adverse effects of levodopa that might be expected in this patient?

Q4. What drug is most commonly combined with levodopa and why?

Q5. What other drugs can be used for the treatment of PD?

A 50-year-old man has developed depression after the death of his wife. He is prescribed venlafaxine (Effexor XR) 75 mg PO once a day.

Q6. How does venlafaxine differ from tricyclic antidepressants (TCAs)? What adverse effects might this patient expect with venlafaxine?

 

 

 

Expectations

Initial Post:

APA format with intext citations

Word count minimum of 250, not including references.

References: 2 high-level scholarly references within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

 

 

 

How will you measure the effectiveness of your career development program?

Assignment Instructions

CAREER DEVELOPMENT PROGRAM PLAN

Your site supervisor at RCCC wants your help to secure agency funding for a career development program to serve your clients and community. You will design a career development program plan to be reviewed by the administration at the RCCC for funding consideration.

In this assignment, you will identify a diverse population for whom you need to design a career development program.

The following are examples of populations that may be used:

  • Specific racial minorities or ethnic groups.
  • Individuals from specific religious affiliations.
  • Different generations in the workforce.
  • Veterans or military families.
  • People with a particular disability or mental disorder.
  • LGBTQI+ individuals.
  • People who were previously incarcerated.
  • At-risk youth.
  • International refugees/asylees.
  • People with limited English proficiency.

Be creative and explore a population about which you know little and/or want to learn more. Your population can be situated in a hypothetical agency, school, or counseling center.

Using the Career Development Program Plan Template [DOCX], address the following:

  • Define the diverse population, its characteristics, and its needs related to career development (one page).
  • Career Development Program Planning (one page).
    • Program goal: What is the overarching goal of your program?
    • Objectives: Write three measurable objectives to meet the needs of your population.
    • Address how the program will be delivered (face-to-face or online/group or individual/frequency [how many sessions] and duration [number of days/weeks/etc.] of program).
    • Define personnel and budget needs.
    • Describe how you will promote the career program to target relevant participants.
  • Career Development Program Implementation (1–2 pages).
    • Detail the timeline for your program, session topics, and specific strategies/activities.
    • Use the table in the provided template to ensure all aspects of program implementation are met.
  • Career Development Program Evaluation (0.5 page).
    • How will you measure the effectiveness of your career development program?
      • Process-oriented data: Include an objective assessment that clients would take to measure progress towards your identified objectives. Utilize information from Week 4 on Assessment. (School counseling learners – ASCA refers to this as perception data.)
      • Outcome data: Include how you will measure results on a larger, long-term scale.

Assignment Requirements

Your paper should meet the following requirements:

  • Written communication: Written communication is free of grammar, spelling, and format errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting guidelines. You may reference the Capella Writing Center: Evidence and APA.
  • Length of paper: 4–5 typed, double-spaced pages of content, in addition to the references page.
    • About one page for defining your chosen diverse population.
    • About one page for program planning.
    • About one to two pages for program implementation.
    • About half a page for program evaluation.
  • References: A minimum of three scholarly, peer-reviewed journal articles.
  • Font and font size: Times New Roman, 12 point.
  • Originality: Use the SafeAssign Draft option to check your writing and ensure that you have paraphrased, quoted, and cited your sources appropriately. Run a SafeAssign report, saving your paper as a draft. Based on your SafeAssign results, make any necessary changes to your paper before submitting your assignment.

 

What are the proximate or underlying determinants of risk factors that are associated with any health problem for each study?

Using the Internet, research and select three current epidemiological studies regarding risk factors that are associated with any health problem. You can also use the following websites to search for studies as they are often used as the major sources of information for health research and often report on the most current health problems affecting the United States and global populations:

  • U.S. National Library of Medicine National Institutes of Health
  • Centers for Disease Control and Prevention
  • World Health Organization
  • What were the criteria that you used to select these papers? (For example, only English language, peer reviewed articles, only a specific age group, only United States studies, etc.)
  • What were the types of risk factors studied in your chosen articles? (For example, environmental, socio-economic, behavioral, etc.)
  • Which study design was used for this study? Why do you think the researchers chose this specific study design? Provide examples from your research.
  • What are the proximate or underlying determinants of risk factors that are associated with any health problem for each study?
Explain how your chosen accounting method aligns with fiscal management strategies.

A financial specialist oversees fiscal management for the government or security agency. He or she performs audits and maintains compliance.

STEP 1: Imagine you are a financial specialist in your home state of (CALIFORNIA) criminal justice agency. Your agency director has received an audit report discrepancy that identified the agency was using a mixture of cash basis and accrual accounting methods. Your director wants to implement only one method and has asked you to develop a recommendation.

STEP 2: Write a 525- to 700-word recommendation in which you:

-Summarize each accounting method, including the advantages and disadvantages of each method.
-Identify which accounting method you recommend the agency should implement—cash-basis, accrual, or modified accrual—and explain why you selected that method.
-Explain how your chosen accounting method aligns with fiscal management strategies.