Purpose

The purpose of this assignment is to provide the student an opportunity to explore the roles and competencies of the advanced practice nurse (APN).

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

1. Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (CO1)
2. Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings.

Requirements:

1. The  Roles in Advanced Nursing Practice paper is worth 150 points and will be graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer and Grammarly tools when creating your assignment.
3. Follow the directions below and the grading criteria located in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
4. The length of the paper should be 3-6 pages, excluding title page and reference page(s).
5. Support ideas with a minimum of 2 scholarly resources. Scholarly resources do not include your textbook. You may need to use more than 2 scholarly resources to fully support your ideas.
6. You may use first person voice when describing your rationale for choosing the CNP role and your plans for clinical practice.
7. Current APA format is required with both a title page and reference page(s). Use the following as Level 1 headings to denote the sections of your paper (Level 1 headings use upper- and lower-case letters and are bold and centered):
   • Roles in Advanced Practice Nursing (This is the paper introduction. In APA format, a restatement of the paper title, centered and not bold serves as the heading of the introduction section)
   • Four APN Roles
   • Rationale for Choosing CNP Role
   • Plans for Clinical Practice
   • Role Transition
   • Conclusion

Directions:

1. Introduction: Provide an overview of what will be covered in the paper. Introduction should include general statements on advanced practice nursing roles, general statements on the role transition from RN to APN, and identification of the purpose of the paper.
2. Four APN Roles: Describe the role, educational preparation, and work environment for the four APN roles (CNP, CNS, CRNA & CNM). Provide support from at least one scholarly source.
3. Rationale for Choosing CNP Role: Describe your rationale for choosing the CNP advanced practice role versus one of the other roles.
4. Plans for Clinical Practice: Discuss your plans for clinical practice after graduation. Explain how your understanding of NP practice has changed after researching the four ANP roles.
5. Role Transition: Discuss your transition from the RN role to the NP role. Describe two factors that may impact your transition. Discuss two strategies you will use to support a successful transition from the RN to your NP role. Provide reference support from at least one scholarly source. The textbook is not a scholarly source.
6. Conclusion: Provide a conclusion, including a brief summary of what you discussed in the paper.

INtroduction-

Provides an overview of what will be covered in the paper. Introduction should include:

1. general statements on advanced practice nursing roles
2. general statements on the role transition from RN to APN
3. identification of the purpose of the paper.

Four APN roles-

Describes the role, educational preparation, and work environment for the four APN roles

1. CNP
2. CNS
3. CRNA
4. CNM

Provides support from at least one scholarly source.

Rationale for choosing CNP role-  Describes the student’s rationale for choosing the CNP advanced practice role versus one of the other roles.

Plans for clinical practice-  Discusses the student’s plans for clinical practice after graduation. Explains how student’s understanding of NP practice has changed after researching ANP roles.

Role transition-

Discusses the student’s transition from the RN role to the NP role.

1. Describes two factors that may impact the transition.
2. Discusses two strategies student will use to support a successful transition from the RN to your NP role.  Provides reference support from at least one scholarly source. The textbook is not a scholarly source.

Conclusion-  Provides a conclusion, including a brief summary of what was discussed in the paper.

Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.

Assessment

His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test.

1. What would you prescribe initially?
2. How long would you prescribe these medications?
3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed?
4. How would the treatment vary if the patient has GERD instead?

Discussion Question 2

List differential diagnosis that would help confirm GERD while ruling out other diagnosis. Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are used to confirm GERD? Your response should be at least 350 words.