As a leader in your nursing department, you must review the registered nurse practice act for the state in which you work—the guideline for each nurse who works in that state.

Part 1:
Locate your own state’s nurse practice act, and summarize it. Michigan.
In your own words, post what the act says about the nurses’ responsibility when delegating care to unlicensed assistive personnel.
What does the delegation language mean to you in regard to your own delegation of care to unlicensed assistive personnel?
Part 2:
Describe a change that recently occurred in your workplace.
What resources were used to implement the change?
How did the staff react?

Sample Solution

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As you learned from the pain lecture, top-down influences are huge in determining our perception of pain. For example, you learned that individual differences (e.g. being raised in a physically intense environment such as Nepal), being distracted (including both the content of distraction), shifting attention (and the extent of how much the shift of attention), expectation of the amount of pain to be received, and the emotion we are in when we feel pain are all ways that our perception of pain can become reduced or increased.

For this discussion, you will need to think about a time in your life when pain was influenced in one of these ways. Then, you will need to compare it to the specific study or example discussed in the lecture.

Your Discussion:

1. Explain a time in your life when a top-down factor influenced your perception of a painful experience.

2. Identify what type of top-down influence this was, and how it may have affected your pain perception (e.g. was your pain less or more)?

3. Which specific example, or specific study, from the lecture relates MOST to your personal experience? In other words, what is your personal experience most similar to from the studies and examples discussed in the lecture. Be specific and explain why.