Client Challenges

Discussion

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising scholarly literature regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared. This discussion will support the professional formation of the nurse practitioner (NP) role. 

Course Outcomes

This discussion enables the student to meet the following course outcomes:

• CO 1: Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations.  
• CO 4: Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient.  
• CO 5: Conduct focused and comprehensive health histories and examinations for various patient populations.

Due Date

Initial posts are due to the discussion board by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0). 

Total Points Possible

This discussion is worth a total of 75 points.

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions. 

General Instructions

Some clients present specific challenges during the interview and physical examination. Nurse practitioners (NPs) must be able to identify behaviors that impede the assessment and consider strategies to communicate effectively with these clients. This week, you will create a scenario that could occur in NP practice in which a client displays a challenging behavior as assigned below.  

Your topic is assigned based on the first letter of your first name. For example, if your first name is Grant then your assigned topic is communicating with a flirtatious client. 

The First Letter of Your First NameTopic

A – D: Argumentative client

E – H: Flirtatious client

I – L: Talkative client

M – P: Client who displays racist or discriminatory behavior

Q – T: Adolescent client who is reluctant to answer questions

U – Z: Violent client

Include the following sections (detailed criteria listed below and in the grading rubric):  

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   1. Create a scenario depicting an interaction between an NP and a client. Describe the setting and type of encounter.  
   2. Describe the client’s challenging behaviors related to the topic assigned. 
   3. Examine the potential impact of the client’s behavior on the client-provider relationship.
   4. Analyze techniques to enhance communication with the client and address the client’s behavior.
   5. Create sample documentation for the encounter.
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
   1. Cite a scholarly source in the initial post.
   2. Cite a scholarly source in one faculty response post.
   3. Cite a scholarly source in one peer post.
   4.  Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week. 
   5.  Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
3. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice:   
   1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.   
   2. Faculty Response: Respond to at least one faculty post. 
   3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice. 
4. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
5. Reference Citation: Use current APA format to format citations and references and is free of errors.    
6. Wednesday Participation Requirement: Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Wednesday, 11:59 p.m. MT of each week.
7. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.        
9. My name starts with a Y

Relevance of malaria (include mortality/morbidity statistics, financial and social impact) on a global scale with reference and citation

Etiology/Risk Factors: causes malaria as well as risk factors (include both modifiable and nonmodifiable) with reference and citation.

Clinical Manifestations of malaria: most common, and why are these manifestations occurring including reference and citation.

Nursing as well as medical therapeutic interventions of malaria. Mention at least one new treatment, either new or being researched to either prevent or cure malaria including reference and citation.

Scenario:

Good morning class happy Monday!

For my scenario, it involves a university’s public restroom. Because there are so many students coming in every few months daily, there is a rise on bacteria and harmful microbes that are arising in the bathroom. Streptococcus, staphylococcus, E. coli and shigella bacteria are the most common microbes found in public restrooms, among these can be even more harmful microbes that people can contract like hepatitis A and even sexually transmitted organisms. The university is looking for different ways to slow the production of microbes spreading to students and keeping them safe. 

Please design a strategy to help keep these students safe and prevent the spread of these microbes reproducing.

References:

“What Can You Catch in Restrooms?” WebMD, WebMD, www.webmd.com/balance/features/what-can-you-catch-in-restrooms. Links to an external site.

Prescott, L. M., Harley, J.P .,&Klein, D.A (2019) .Microbiology (8th ed.) McGraw-Hill

For this assignment, you will research and prepare a community-level strategic plan that addresses a key public health issue.

Potential topics may include:

• Using prenatal and infancy home visits to prevent child abuse and neglect
• Preventing falls in the elderly
• Reducing population salt intake
• Reducing tobacco use among adults
• Preventing risky sexual behavior among youth and young adults
• Reducing drug experimentation among young adults

Include :

• Introduction:
  • Provide an overview of the community health issue as described in Part A with identified causes and influences, including knowledge gaps. 
  • Detail the prevalence of the issue inside and outside the United States.
  • Describe potential monetary costs associated with the issue in the United States.
  • You must include data as part of your introduction (images, charts, graphs, etc., may be included as well as written data).
• Describe advance practice roles and management strategies that affect change at the community level.
• Identify key community and social resources that negatively and positively affect the selected issue.
• Identify changes or enhancements in community-related services for your selected topic.
• Develop a strategic plan that could decrease the prevalence of your selected topic.The goals for this plan needs to be specific, measurable, attainable, realistic, and time-bound. Include how your plan takes into consideration health literacy, socioeconomic factors, and cultural differences.
• Conclusion:
  • A summary of the goals and challenges
  • An assessment of the outlook for action/progress
• Appendix A: Include your community assessment from Week 3 as Appendix A.

Helpful links:

https://www.sfhsa.org/sites/default/files/media/document/migrated/Plan_DAAS%20Five%20Year%20Strategic%20Plan_2016-2021.pdf

https://www.hhs.gov/about/strategic-plan/2022-2026/index.html

 

Please find an article or news story about some whistleblowing situation. Please do not use high-profile cases like Snowden or Manning. If you can find the same story described by different sources all the better. Do not use some personal experience unless it was discussed in credible new sources. I need to be able to verify the account.

Then, using the attached worksheet discuss the case. Specifically, after telling me a sentence or two about the case, you will identify all of the key stakeholders and how you feel they were negatively impacted. For example, if someone released company records and emails to blow the whistle, discuss whose emails and how the information led to actions against them. If no one was negatively impacted, then why use it for this case study?

Discuss the final outcome (see directions) and most importantly, use your moral compass to describe or explain why you feel someone’s actions were morally wrong. Again, if there was no wrongdoing, why was some whistle blown?

Finally, imagine you are in a leadership position. What could you reasonably do to keep the situation from happening again, to prevent the need for someone to feel a need to blow the whistle? Depending on the situation, you may feel the real wrongdoer is the whistleblower. If so, then describe why what the company/government did or is doing is justified, again using your moral theories.

This case study will be evaluated using the attached grading table. Please use this to your advantage to check your work before submitting. Be sure to apply at least one ethical system in depth, including the application of at least 3 specific aspects of that system to the analysis of all parts of the worksheet/case study.