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2023 In completing the case study students will be addressing the following learning objective Apply the nursing process to

2023 Nursing Case Study, Mohr CHAPTER 9, the Nursing Process in Psychiatric–Mental Health Care In completing the case study, students will be addressing the following learning objective: Apply the nursing process to psychiatric–mental health nursing. 1. The student nu

In completing the case study students will be addressing the following learning objective Apply the nursing process to 2023

In completing the case study, students will be addressing the following learning objective:

Apply the nursing process to psychiatric–mental health nursing.

1. The student nurse is assigned to assist the psychiatric nurse with the admission interview of a client at the psychiatric hospital.  The nurse explains to the student that the interview is very important in obtaining a total health history of the client.  The nurse should be courteous and respectful of the client to obtain as much information from the client as possible.  Assessment information should include the subjective information from the client with the reason for needing treatment, the cause of the present problem(s), and the client’s expectation of the outcome of treatment regimen.  The nurse alerts the student to the need to be sensitive to both verbal and nonverbal behavior of the client and to focus on topics that seem important to the client.

(Learning Objective: 1)

a. How can attention to the client’s nonverbal cues be of value in an interview?

b. Why is the interview the most important aspect of the nursing process?

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2023 I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS When it comes

2023 Nursing COMMENT AUDRE

I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS When it comes 2023

I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT..BETWEEN 100-120 WORDS

When it comes to professional presentations I would say my strength is that I am a good communicator and my weakness is that I am petrified of presenting in front of a crowd. “Communication is the exchange and flow of information and ideas from one person to another; it involves a sender transmitting an idea, information, or feeling to a receiver” (The Performance Juxtaposition Site, 2015). While I feel this is a strength of mine, presenting an idea such as my EBP project in front of managers and leaders is something I have never done before so improvements can always be made. By ensuring I am actively listening to questions or concerns brought up by the audience I can improve my communication during a presentation.

Stage fright is something I have always struggled with and thankfully as a nurse I don’t have to speak in front of too many crowds. Ways to overcome stage fright include: practicing the presentation, having confidence in the message or topic, visualizing the outcome, focusing on getting through the first 5 minutes, double checking components such as equipment and notes, and breathing (Maina, 2015). Utilizing these tips can improve the entire presentation and lead to positive outcomes. Presenting in a formal setting, such as for managers and leaders of a health care facility, is an important way to provide the necessary information and facts needed to have projects approved. Having a well-organized presentation with a confident speaker can help others understand the importance of the project and ultimately give the needed approval.

References

Maina, A. (2015). 16 ways to overcome stage fright when speaking in public. Retrieved from Small business trends:

https://smallbiztrends.com/2015/10/overcome-stage-fright-speaking-in-public.html

The Performance Juxtaposition Site. (2015). Communication and leadership. Retrieved from The performance juxtaposition site: http://www.nwlink.com/~donclark/index.html

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2023 Hello i need a good and positive comment related with this argument

2023 Nursing Post#1

Hello i need a good and positive comment related with this argument 2023

Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

 

Samantha Smith  

 

Re:Topic 1 DQ 1

 

Healthy People 2020 addresses the importance of creating a social and physical environment, including in the community, that promotes good health for all people involved  (Centers for Disease Control and Prevention, 2015) . My idea of a healthy community includes safety, valuable resources, and social structure. I believe that healthy communities have all 3 of these things in common. Although it would be difficult, if not impossible, to erase all of crime, decreasing danger would increase the community’s feeling of safety.    This could also tie in with valuable resources such as emergency personnel during danger or natural disasters which the community relies on during time of need. Social structure brings the community  with similar values and goals, such as work, religion and ethnicity, together and accepts change. This makes the community join by cohesion and not divided by their differences.

 

If a community did not match my definition of a healthy community, I would try to provide care and education on the areas where that specific community lacked. Just like a patient care plan, this plan would also have to be area specific. For example, in my area we currently have a program in place called “push out the pusher”. This program is designed to allow the community to report drug activity which has been a very large problem in my area. It has reported to have led law enforcement to almost 300 drug related arrest within a year’s time  (Buchnowski, 2015) . This for example, not only brings safety because the calls and reports are anonymous and brings the drug related crime rates down it also incorporates the community’s resources, law enforcement, and social structure, all wanting the drug problem resolved.

 

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2023 Polypharmacy is one of the biggest dangers with the elderly population The patients are being prescribed medications

2023 Nursing The reply post should be a minimum of two paragraphs with cited reference in each paragraph, no older than 5 years.

Polypharmacy is one of the biggest dangers with the elderly population The patients are being prescribed medications 2023

 

Polypharmacy is one of the biggest dangers with the elderly population. The patients are being prescribed medications by the different specialists they go to . As Primary care providers we have to be aware of this danger and always ask patients to bring a list of medications to the clinic to review with the FNP. Patients should always be encouraged to inform their primary care provider of any newly prescribed medications. Polypharmacy should always be avoided because this may lead to drug interaction leading to adverse side effects or can affect the therapeutic levels of other medications, also can lead medication non adherence. Adverse effects can occur due to overstimulation of one medication caused by another and can cause complications in the patient that may worsen health or be non reversible or difficult to treat once occur. For example a patient that has a bad kidney can harm their kidney further if they take aspirin and other NSAIDs containing drugs if this patient also takes diuretic  and ace inhibitors for blood pressure this is putting the patient at high risk for decline in kidney function and can even lead to irreversible kidney damage (Beldowski, Hersh , Hajjar, 2017). 

Another safety concern with polypharmacy is drug interactions. Patient who take many medications at one time have a higher risk of having drug interactions. There are studies that prove that taking just 5 medication predisposes patients to 80% change of liver damage due to drug interactions during metabolism. There are different types of reactions one being antagonistic , and synergistic. When an antagonist reaction occurs it diminishes the effect of another medication reducing the therapeutic effect of the medication. A synergistic interaction causes an increase in the effect of a medication which can lead to OD and toxicity of a medication if not closely monitored (Allore, Gnjidic, Tinetti, 2017).

As a FNP we can take each visit as a chance to review all medications a patient is taking and encourage patients to report any new medications prescribed by other prescribers. As nurse practitioners we should also collaborate with other physicians to reduce the number of medications a patient takes to only the most important medications. At times patients are taking medications that are not medically necessary. As a FNP if this is suspected is is important to review with a physician and the patient in order to prevent polypharmacy. It is also important to encourage patients to always carry a list of medications with them wherever they go in case of emergency. 

Reference 

Hersh, L. R., Beldowski, K., & Hajjar, E. R. (2017). Polypharmacy in the geriatric oncology population. Current oncology reports, 19(11), 73.

Gnjidic, D., Tinetti, M., & Allore, H. G. (2017). Assessing medication burden and polypharmacy: finding the perfect measure.

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