Discussion 06.1: My Professional Development Plan

Use your “Credentials I Need” and “Closing the Skill Gap” worksheets to make a plan for your professional development over the next 12 months. Choose two of the educational or work experience opportunities you identified and commit to doing them.

In your discussion board post, explain:

Why you chose these opportunities? What skills will they help you build, or what job requirements will they help you meet?

When you will commit to doing this? Give a time to completion estimate.

What will be the biggest challenges for you as you close your skill gap?

PracticeActivity1_CredentialsINeed

PracticeActivity2_ClosingMySkillGap 

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Respond  to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

                                               Main Post

                                         CASE STUDY 2 

AG is a 54-year-old Caucasian male who was referred to the clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore.

The Communication Techniques

A nurse practitioner chooses to use the RESPECT Modell to communicate with the patient to stay productive and patient-centered in all her communication with the patient. RESPECTS stand for (Rapport, Empathy, Support, Partnership, Explanation, Cultural Competence, and Trust) (Ball, Dains, Flynn, Solomon, & Stewart, 2019). The nurse practitioner establishes rapport by seeking the patient’s point of view to avoid being judgmental. She asked the question of how the patient wanted to be addressed. The nurse practitioner shows empathy by asking the patient how he becomes homeless to understand how she can help him get his life back in order. The nurse practitioner supports the patient by asking him about his financial situation to direct him to the proper agency. The patient is at risk for cardiac diseases, lung cancer, and stroke, so the nurse practitioner partnered with the patient to help him stop smoking (Ball et al., 2019).The nurse practitioner needs to explain to the patient to know what cigarette smoking does to the body. Nicotine is a sympathomimetic medicine that releases catecholamines, increases heart rate and cardiac contractility, constricts cutaneous, and coronary blood vessels, and rapidly increases blood pressure (Benowitz, 2009). It is crucial to present the patient with evidence-based practice to address health risks across cultures, and it is essential to assure the patient that what he said will be kept confidential to establish trust (Ball et al., 2019).

The Risk Assessment Instrument

The CAGE questionnaire is a precise tool that has been used for many years to screen patients for addictive behaviors. The GAGE questions have been modified to apply to smoke behavior.  The CAGE questions are as following: 1) Have you ever felt the necessity to cut down or control your smoking, but had trouble doing so? 2) Do you ever get angry or annoyed with people who criticize your smoking or demanding you quit smoking? 3) Do you feel guilty regarding your smoking or about something you did while smoking? And 4) Do you ever smoke within half an hour of waking up (Eye-opened)? The patient is screen positive to two yes responses. The CAGE instrument is used because it is nonthreatening. A study showed that the CAGE questionnaire was used in a medical outpatient embedded in a self-administered questionnaire regarding health habits. Most of the patients did not know that they were filling out an assessment for addictions. The patient must be willing to stop smoking for treatment to be effective (American Family Physician, 2000).

                                      Targeted Questions

1)     How do you want to be addressed?

2)     How are you feeling?

3)     How may we help you?

4)     How do you become homeless and tell us about your financial situation?

5)     Do you need help getting your prescription refill?

6)     When was the last time you drink alcohol or use cocaine?

7)     When was the last time you check your blood pressure and take your amlodipine medication?

8)     When was the last time you had a seizure episode?

9)     When do you start smoking and how many packs do you smoke a day?

10) How can we help you to stop smoking?   

           

                                                References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Benowitz, N. L. (2009). Pharmacology of nicotine: addiction, smoking-induced disease, and therapeutics. Annual review of pharmacology and toxicology49, 57–71. doi:10.1146/annurev.pharmtox.48.113006.094742American Family Physician. (2000). Assessing Nicotine Dependence. Retrieved from https://www.aafp.org/afp/2000/0801/p579.html

1. lomax enterprises purchased a depreciable asset for $22,500 on

1.  Lomax Enterprises purchased a depreciable asset for $22,500 on March 1, Year 1. The asset will be depreciated using the straight-line method over its four-year useful life. Assuming the asset’s salvage value is $2,100, Lomax Enterprises should recognize depreciation expense in Year 2 in the amount of:
 
$5,625.00  
$4,250.00  
$20,400.00  
$19,550.00  
$5,100.00 
 
2.  Thomas Enterprises purchased a depreciable asset on October 1, Year 1 at a cost of $116,000. The asset is expected to have a salvage value of $15,400 at the end of its five-year useful life. If the asset is depreciated on the double-declining-balance method, the asset’s book value on December 31, Year 3 will be (Do not round intermediate calculations):
 
$37,584  
$21,816  
$32,724  
$25,056  
$104,400 
 
3.  When originally purchased, a vehicle had an estimated useful life of 8 years. The vehicle cost $26,100 and its estimated salvage value is $3,300. After 4 years of straight-line depreciation, the asset’s total estimated useful life was revised from 8 years to 6 years and there was no change in the estimated salvage value. The depreciation expense in year 5 equals:
 
$11,400.00.  
$2,850.00.  
$5,700.00.  
$3,018.00.  
$5,868.00. 
 
4.  A company discarded a display case originally purchased for $8,950. The accumulated depreciation was $6,250. The company should recognize a:
 
$6,250 loss.  
$0 gain or loss.  
$2,700 gain.  
$8,950 loss.  
$2,700 loss.    
 
5.  Cambria owns equipment that cost $105,500 with accumulated depreciation of $72,000. Cambria asks $38,000 for the equipment but sells the equipment for $35,000. Compute the amount of gain or loss on the sale.
 
$4,500 gain.  
$1,500 gain.  
$4,500 loss.  
$1,500 loss.  
$3,000 gain. 
 
6.  During August, Arena Company sells $349,000 in product that has a one year warranty. Experience shows that warranty expenses average about 3% of the selling price. The warranty liability account has a balance of $12,100 before adjustment. Customers returned product for warranty repairs during the month that used $8,700 in parts for repairs. The entry to record the customer warranty repairs is:
 
Debit Estimated Warranty Liability $8,700; credit Parts Inventory $8,700.  
Debit Warranty Expense $10,470; credit Estimated Warranty Liability $10,470.  
Debit Estimated Warranty Liability $10,470; credit Parts Inventory $10,470.  
Debit Warranty Expense $8,700; credit Estimated Warranty Liability $8,700.  
Debit Warranty Expense $7,070; credit Estimated Warranty Liability $7,070. 
 
7.  Maryland Company offers a bonus plan to its employees equal to 2% of net income. Maryland’s net income is expected to be $965,000. The amount of the employee bonus expense is estimated to be
 
$19,300     
$20,500  
$18,922  
$19,500  
$19,694 
 
8.  An employee earns $6,100 per month working for an employer. The FICA tax rate for Social Security is 6.2% and the FICA tax rate for Medicare is 1.45%. The current FUTA tax rate is .8%, and the SUTA tax rate is 5.4%. Both unemployment taxes are applied to the first $7,000 of an employee’s pay. The employee has $206 in federal income taxes withheld. The employee has voluntary deductions for health insurance of $174 and contributes $87 to a retirement plan each month. What is the amount the employer should record as payroll taxes expense for the employee for the month of January? (Round your intermediate calculations and final answer to two decimal places.)
 
$844.85  
$466.65  
$515.45  
$796.05  
$1,050.85 
 
9.  An employee earned $5,000 working for an employer. The current rate for FICA Social Security is 6.2% and the rate for FICA Medicare 1.45%. The employer’s total FICA payroll tax for this employee is (Do not round your intermediate calculations. Round you final answers to two decimal places):
 
$72.50.  
$310.00.  
$382.50.  
$765.00.  
Zero, since the FICA tax is a deduction from an employee’s pay, and not an employer tax. 
 
10. On November 1, Carter Company signed a 120-day, 10% note payable, with a face value of $22,500. What is the maturity value of the note on March 1? (Use 360 days a year.)
 
$22,875  
$23,250    
$22,750  
$23,000  
$22,500 
 

Development of fall prevention program.

Develop a story about a patient: you decide the age, sex, past medical history. Once you have a background, you can start developing your prevention program now based on one of your patients/residents (granted if you pick a hospital there could be any age but remember you want to base this on an elderly person. Begin the paper with the place you choose and how it will approach the safety of the organization, then introduce the patient you have and how that person will be safer and how they will be screened in the system. You can then fill in the rest with the program you developed and how it will affect your patient and the rest of the patients in your facility

Please use the attached articles, must be APA style, 4-5 pages excluding title and reference page. PLEASE FOLLOW RUBRIC