Briefly describe narcissistic personality disorder, including the DSM-5 diagnostic criteria.
  • Briefly describe narcissistic personality disorder, including the DSM-5 diagnostic criteria.
  • Explain a therapeutic approach and a modality  to treat a client presenting with this disorder. Explain why  the approach and modality was selected, justifying their appropriateness.
  • Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how to share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how to share this diagnosis with an individual, a family, and in a group session.
Locate a theoretical model from a different discipline (other than nursing) that you could apply to nurse.

Apply a model of practice to advanced nursing roles.

Locate a theoretical model from a different discipline (other than nursing) that you could apply to nurse. Explain why you have chosen the theoretical model and then apply the characteristics of it to your advanced practice role.

Note: Theoretical models can be found in many other disciplines such as leadership, business, education, or technology.

Health care organizations strive to create a culture of safety.How can this be achieved?

Health care organizations strive to create a culture of safety. Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. Many errors are attributable to ineffective interprofessional communication.

A comprehensive analysis on an adverse event or near miss that someone experienced during professional nursing career.

  1. Analyze the missed steps or protocol deviations related to an adverse event or near miss.
    • Describe how the event resulted from a patient’s medical management rather than from the underlying condition.
    • Identify and evaluate the missed steps or protocol deviations leading to the event.
    • Explain the extent to which the incident was preventable.
    • Research the impact of the same type of adverse event or near miss in other facilities.
  2. Analyze the implications of the adverse event or near miss for all stakeholders.
    • Evaluate the short- and long-term effects on the stakeholders (patient, family, interprofessional team, facility, community). Analyze each stakeholder’s contribution to the event.
    • Analyze the interprofessional team’s responsibilities and actions. Explain what measures each interprofessional team member should have taken to create a culture of safety.
    • Describe any change to process or protocol implemented after the incident.
  3. Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
    • Analyze the quality improvement technologies put in place to increase patient safety and prevent recurrence of the near miss or adverse event.
    • Determine the appropriateness of the technology application for a specific patient or situation.
    • Research scholarly, evidence-based literature to learn how institutions can integrate solutions to prevent similar events.
Identify a middle-range theory in nursing that has links to a non-nursing theory. Describe the theory and explain the relationship to the related non-nursing theory.

Some theories are used without modification in nursing such as Lewin’s Change Theory to support practice changes. Other theories are used as a foundation for the development of nursing theories such as Peplau’s Theory of Interpersonal Relations founded on the work of Harry Stack Sullivan. Clearly, many non-nursing theories are used in the development of middle-range theories in nursing.

Identify a middle-range theory in nursing that has links to a non-nursing theory. Describe the theory and explain the relationship to the related non-nursing theory. Connect the selected middle-range theory to nursing research or advanced nursing practice.