Any Controversial topic

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Research papers should be at least approximately 10 pages at least and written according to MLA standards. Students are to take a controversial topic as in the previous essay assignments and EXPLORE both sides. Students MUST begin the research paper with their thesis (position statement) in the FIRST paragraph. Remember: a position statement MUST be decisive. Example: My position is pro-life and all life is precious (or something similar but be assertive but not aggressive nor lackadasical).

The Changing United States Health Care System

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Answer one of the following questions:

· From the chapter “The Changing United States Health Care System” in your course textbook, using either the story of Wald’s efforts to improve the health status of impoverished immigrant communities or the story of how advanced practice registered nurses have struggled with their legitimacy within the health care delivery system, compare your own experience in nursing.

o Have there been challenges you have faced? If so, what strategies did you employ to overcome these challenges?

o How do you envision your career moving forward in advocating for your patients? Your community? Yourself?

· From your daily briefs, Kaiser Health News Morning Briefing or POLITICO Pulse.

o List the interest groups that are mentioned in the brief and what their interest is in the piece.

o Categorize the issues in the brief according to the following—politics and politicians, access to health care, health care insurance, health care legislation, money, drugs, or other.

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This assignment requires you to interview one person and requires an analysis of your interview experience.

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 Details:

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

Prepare this assignment according to the guidelines found in the APA Style Guide,

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin.

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

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The health care team is having difficulty communicating with a patient from a non-English-speaking culture. An interpreter has not yet been located. Which behaviors might the patient demonstrate because of this communication issue?

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Question 1

The health care team is having difficulty communicating with a patient from a non-English-speaking culture. An interpreter has not yet been located. Which behaviors might the patient demonstrate because of this communication issue?

Select all that apply.

1. Withdrawing

2. Hostility

3. Belligerence

4. Uncooperativeness

5. Apathy

Question 2 A group of nurses talking are overheard using jargon that is consistent with the nursing profession. Which behavior are the nurses demonstrating?

1. Socialization

2. Ethnicity

3. Acculturation

4. Heritage consistency

Question 3 The nurse determines that a patient is in the process of acculturation. What did the nurse assess in this patient?

1. Americanization of the patient’s name

2. Engaging in activities with members of the family’s preferred social group

3. Speaking the family’s native language

4. Living away from the family of origin

Question 4 Why does the nurse stop and think before implementing touch when providing care to a patient from a different culture?

1. Influences the patient’s personal space

2. Influences environmental control

3. Impacts time orientation

4. Alters social organization

Question 5 A patient from a non-English-speaking culture explains how he has to behave differently at work than he does at home. What does the nurse realize this patient is describing?

Select all that apply.

1. Withdrawing

2. Hostility

3. Belligerence

4. Uncooperativeness

5. Apathy

Question 6 Prior to caring for a Native American patient, the nurse reviews the diseases that are more prevalent in this culture. What is the nurse taking into consideration when caring for this patient?

1. Biological variation

2. Environmental control

3. Social organization pattern

4. Component of heritage consistency

Question 7 While conducting a health history, a patient demonstrates characteristics of ethnocentrism. What behaviors did the nurse observe in the patient?

Select all that apply.

1. Superiority with ethnic group

2. Concern with race

3. Fear of strangers

4. Morbid fear of strangers

5. Ethnic pride

Question 8 While collecting demographics, the nurse learns that an American patient is married to an immigrant from another country. What does this patient’s marriage exemplify?

1. Assimilation

2. Socialization

3. Acculturation

4. Ethnicity

Question 9 A patient living in the United States for 10 years is distressed about not “fitting in” with American society. What aspects of acculturation will the nurse discuss with this patient?

Select all that apply.

1. Socialization

2. Acculturation

3. Assimilation

4. Ethnicity

5. Heritage consistency

Question 10 A patient born in a European country speaks excellent American English. The nurse realizes that this patient has achieved which type of assimilation?

1. Cultural

2. Marital

3. Primary structural

4. Secondary structural

Question 11 A patient tells the nurse that it is important for him or her to be discharged soon because it is expected that the family’s needs be met. Which aspect of heritage consistency is this patient demonstrating?

1. Culture

2. Ethnicity

3. Religion

4. Acculturation

Question 12 What aspects of a patient’s culture will the health care provider keep in mind when providing care?

Select all that apply.

1. Parts of a person’s culture are under conscious control.

2. It is an extension of biological capabilities.

3. It is the medium of social relationships.

4. It identifies food preferences.

5. It explains folklore and music.

Question 13 The nurse is planning care for an older patient. What will the nurse take into consideration to reduce generational conflict?

Select all that apply.

1. Events that occurred when the patient was 10 years of age

2. Ethnocultural status of the nurse

3. Age of the nurse

4. Life trajectory

5. Religion

Question 14 The nurse identifies that a patient from a different culture will not make eye contact during the assessment process. What does the lack of eye contact indicate to the nurse?

1. Respect

2. Friendliness

3. Hiding something

4. Fear

Question 15 A patient tells the nurse that a health problem is common among people of the patient’s ethnic background. What other characteristics would the nurse assess as contributing to this patient’s ethnicity?

Select all that apply.

1. Food preferences

2. Employment patterns

3. Special interest in the homeland

4. Divine intervention

Question 16 The nurse is not happy to learn that a newly admitted patient is from the same culture as a previous patient who had created much turmoil on the care area. What behavior is this nurse prone to demonstrate?

1. Prejudice

2. Discrimination

3. Ethnocentrism

4. Racism

Question 17 A seminal event in the boomer generation that can still elicit comments today is the question:

1. “Where were you when John F. Kennedy was shot?”

2. “Do you remember Pearl Harbor?”

3. “What were you doing on September 11, 2001?”

4. “How did the Challenger tragedy affect you?”

Question 18 The staff development instructor is planning a seminar that focuses on the variables leading to generational conflict. What will the instructor include in this content?

Select all that apply.

1. Decade of birth

2. Generation in the United States

3. Class

4. Language

5. Socialization

Question 19 A patient tells the health care provider that a foot injury occurred while participating in Oktoberfest as a dancer. The patient is explaining which aspect of heritage consistency?

1. Ethnicity

2. Culture

3. Religion

4. Assimilation

Question 20 A health care provider comments that a patient is “too old to take care of herself” and needs to “let a man make decisions for her.” The nurse recognizes that this health care provider is demonstrating which misanthropic feelings?

Select all that apply.

1. Ageism

2. Sexism

3. Racism

4. Heterosexism

5. Ethnocentrism

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