Future Considerations for the APN Role

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There are three troublesome issues that have emerged in the advancement of APRN practice. These issues in APRN include: 1) the clear role development and morphed to fill gaps in services; 2) the lack of clarity regarding role uniqueness; and 3) the dearth in nursing specific outcomes. From your readings this week, discuss 1 of the 3 questions. Begin your discussion with the question you will be addressing.

1- Why might the development and morphing of roles based on gaps in medicine be problematic for advancement of APRNs? What actions might a nurse take to reduce this?
2- In what ways can an APRN distinguish his or her role from other nursing roles and medical counterparts? Why might this be important?
3- How can APRNs encourage nursing-based outcome studies?

Sample Answer

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Advocacy

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Advocacy is a critical skill for APNs to have for promoting solutions to health concerns within a community. Identify a health issue in your community or state. Discussion a systems-level advocacy strategy to address the concern. In the strategy, students should identify specific groups or individuals that they would target as well as how they would target these individuals. For example, a student may choose to contact a legislator with a letter-writing campaign and would describe strategies for implementing that campaign.
Citations: At least one high-level scholarly reference in APA from within the last 5 years

Sample Answer

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Partnership

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Tom & Jerry are friends who have known each other many years. Tom is married with two
children, and Jerry is single with no kids. His only family is a sister in Chicago who Tom dated in
college (but Jerry does not know that, and the breakup was not smooth).
Tom & Jerry want to open a hot dog truck and run the business as a partnership. They think this
is best because they trust each other, do not know any lawyers, and do not want to worry about
complicated tax and corporate issues every year.
Tom’s wife is not happy about the idea, and wants him to continue working his fulltime job and
work on the truck on the side. Jerry is gung-ho and already quit his job to do this. It turns out
the venture will cost more than they thought, so they ask their friend Frank to join the
partnership. Frank agrees, but only if he can be protected from liability. Frank will contribute
money, but will not work on the truck. Tom is contributing more money than Jerry, but Jerry is
in for all the cash he has. All three want to be equal partners.
Although the three friends are not about a lot of formality, they have seen enough episodes of
Law & Order, Judge Judy, and CSI to know they may want to put some things down on paper.
Without worrying about the “legalese” draft a partnership agreement for the friends doing
business as T & J’s Franks, reflecting their intent and their issues. You may wish to address
issues such as getting paid, profits, selling out, death or dissolution of the business, decision
making, and other topics of importance you may see.
(Disregard any licensing issues regarding selling food).

Sample Answer

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Deficit Spending

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During the Great Recession, like any other economic downturns, as unemployment rises, aggregate income declines causing a major decline in tax collections. On the other hand, with the rise in unemployment, spending on safety net programs rise. So, there are not too many good options available to resort the health of the national economy.  It will be very difficult to defend cuts in the federal government programs and especially the programs geared to sustain the minimum of the standard of living for the recent poor. So, government needs to increase its borrowing. Deficit spending refers to government spending exceeding what it brings in federal income and corporate taxes during a certain period. Deficit spending hence increases government debt. Most economists accept that deficit spending is desirable and necessary as part of countercyclical fiscal policy. In such a case, government increases its borrowing and hence its deficit to compensate for the shortfall in aggregate demand. This is derived from Keynesian economics, and has been the mainstream economics view.  Following John Maynard Keynes, many economists recommend deficit spending to moderate or end a recession, especially a severe one. When the economy has high unemployment, an increase in government purchases creates a market for business output, creating income and encouraging increases in consumer spending, which creates further increases in the demand for business output. (This is the multiplier effect).  This raises the real gross domestic product (GDP) and the level of employment and lowers the unemployment rate. Government borrowing under such circumstances increases the demand for borrowing and thus pushes interest rates up. Rising interest rates can “crowd out” (discourage) fixed private investment spending, canceling out some of the demand stimulus arising from the deficit

Write an essay analyzing the advantages and disadvantages of deficit spending and the effects of federal government borrowing on the economy i.e., the crowding out effect.

Complete this essay in a Microsoft Word document, and in APA format.  Note your submission will automatically be submitted through “TurnItIn” for plagiarism review. Please note that a minimum of 700 words for your essay is required.

Your paper should be structured as follows

1.                Cover page with a running head
2.                Introduction: What is deficit spending and how does it work.
2.1.        Advantages
2.2.        Disadvantages
3.                Crowding-out Effect
4.                Conclusions: Do you believe that deficit spending helps or hinders short-term and long-term economic growth?
5.                References