Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?

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Please read the instructions and answer the questions. Be aware that it is master level, APA format 6 edit, more than 3 updated references.

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 (sign for the free account), please answer the following questions:

Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?

Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?

Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs?

Week 4: Transformational Nursing Leaders

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Review Appendix A, Sections I–V in Finkelman (2016).

  1. Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies.  Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.
  2. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
  3. Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.

how many pregnancies a woman has had

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GTPAL stand for: gravida, term, preterm, abortions, living

Gravida: how many pregnancies a woman has had. Term how many pregnancies delivered that have reached or surpassed 37 weeks.

Term: deliver at 37 or greater weeks

Preterm: how many pregnancies between 20-37 (actually 36 and 6/7) wks

Abortion: pregnancy loss at less than 20 weeks. Abortions may also be induced by physicians or spontaneously.

Living: how many children are living now?:

***Multiple births (twins, triplets and higher multiples) count as one birth

1. This is mom’s 1st pregnancy:

2. 2nd pregnancy and she had an AB at 8 wks for the 1st pregnancy

3. 3rd pregnancy. 1st pregnancy delivered at 38 and 2nd pregnancy was twins delivered at 29 wks. 1 of those children died.

4. 2nd pregnancy. Delivered twins at 37 wks both live pregnancy.

5. 3rd pregnancy. Delivered triplets at 28 wks and 2 of the babies survived. Had an elective AB at 6 wks.

6. This is a woman’s 5 pregnancies,  births at 41 week, 39 5/7 weeks, 38 6/7 and 36 5/7 weeks 1 induced abortion at 10 weeks , and 4 living children at this time.

7. a pregnant woman who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has 3 living children would have a GTPAL annotation of?

8. A woman who has given birth at term once and has had one miscarriage at 12 weeks would be recorded as?

Rubric:

This assignment is worth 5 points. 1 point for APA and style of paper.

.5 point for each of the eight cases. Partial points are not awarded if you get part of a case incorrect you get the whole case incorrect.  Use page 259 in your text book for further details. Explain your rationale. Demonstrations will be done in class.

The Impact Of Standardized Nursing Terminology

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Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one?

To Prepare:

  • Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

In a 2- to 3-page paper, address the following:

  • Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
  • Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.
  • Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the your school.

Resources:

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
  • Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Rubric:

In a 2- to 3-page paper, address the following:

·   Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
·   Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.
·   Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.–

Levels of Achievement:  Excellent 77 (77%) – 85 (85%)    Good 68 (68%) – 76 (76%)    Fair 60 (60%) – 67 (67%)    Poor 0 (0%) – 59 (59%)

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)