Nursing Theory NP 501

For many students enrolled in NR501, this is an initial course for nursing theory. So, let’s have a debate. Is nursing theory important to the nursing profession? In particular, is it important for nurse practitioners? Does theory inform nurse practitioner practice? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession.  

discusion 2

 

Modern psychopharmacology is largely the story of chemical neurotransmission. One must be fluent in the language and principles of chemical neurotransmission to:

  • Understand the actions of drugs on the brain.
  • Grasp the impact of diseases upon the central nervous system.
  • Interpret the behavioral consequences of psychiatric medicines.

After studying Module 2: Lecture Materials & Resources, discuss the following:

  • Choose an FDA-approved medication currently used in psychiatry.
  • Explain the concept of that drug’s half-life.  
  • How long would it take for that drug to reach a steady state?  
  • How frequently should the medication be dosed based on the half-life? 
  • Use Epocrates.com as a reference for this assignment.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

structure of the neuron and central nervous system

   

Address the following Short Answer prompts questions:- 

1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.

2. Answer the following (listing is acceptable for these questions):

o What are the major components that make up the subcortical structures?

o Which component plays a role in learning, memory, and addiction?

o What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?

3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.

4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.

5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

References:

 

  • Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
    • Chapter 1, “Chemical Neurotransmission”  (pp. 1-28)

PN 3

You have learned a lot during your training to become a Registered Nurse. At this point in your education, where do you see yourself as a nurse? What unit would you like to work in and why?

To be able to care for patients, you must be able to care for yourself. What are some practices you plan to implement to help you care for yourself and why?

Gastrointestinal

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

GASTROINTESTINAL TRACT BLEEDING

Patient Profile

Maria, a 48 year-old woman was transferred from emergency department (ED) to transitional care unit (TCU) with a diagnosis of probable gastrointestinal (GI) tract bleeding and abdominal pain. Patient c/o nausea and vomiting blood x2 weeks.

Subjective Data:

-Has a history of alcohol abuse

-Has a history of poorly controlled peptic ulcer disease due to non-compliance with treatment

-Is overweight, but recently lost 10 pounds

-Work as an admission coordinator at local junior college

-Live with her spouse, who was recently diagnosis with prostate cancer

-Recently experienced the death of a her mother from cardiac arrest

  Physical Examination:

                        B/P = 77/41 HR 49 RR 16 T (tympanic) 37.9 (100.2) O2 Sats 98% RA

                        Lungs clear to auscultation, S-3 heart sound to auscultation

Diaphoretic, short of breath, anxious

  
Laboratory Studies

NA 157 Serum K (potassium (3.0)

Hgb 7.6 HCT: 22.8 PLTs 138

RBC 3.32 WBC 11.6

Critical Thinking Questions:

1. Briefly explain the pathophysiology of the development of GI tract bleeding. What is the etiology associated with acute GI tract bleeding?

2. Identify common causes of GI tract bleeding and list predisposing factors specific to Maria.

3. Discriminate between the characteristics of upper and lower GI tract bleeding.

4. What complications did Maria experience?

5. Which factors determine whether blood products will be administered to a patient with GI tract bleeding?

6. Maria Hgb and Hct values dropped. Discuss the drop in Hgb and Hct values in relation to Maria blood loss.

7. If Maria continues to have active bleeding from the GI tract despite conservative management, what other medical procedures might be implement and why?

 

musculoskeletal discussion

see attached

DIscussion asignment

 Mixed methods research designs combine quantitative and qualitative research methods to answer research questions requiring both perspectives. Describe the pros and cons of a mixed method research design. Please include 400 words in your initial post with two scholarly references 

Week 8 Discussion

  Resources

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

DB

 

  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

** the national healthcare issue/ stressor I selected is : mental health and substance abuse

** this summary should be 3 pages long 

** APA format

discussion 2

 

Harriet is a 51-year-old married woman with a past history of alcohol and cocaine abuse. She has been attending AA and NA meetings regularly and does not report urges to drink or use drugs during the 4 years you have been her psychiatric mental health nurse practitioner. She needs carpal tunnel surgery and the typical regimen during recovery is oxycodone 15 mg per dayWhat information would be most critical for the group leader to collect in the first visit? What is the primary goal for the treatment of this patient’s family problem, based on the US clinical guidelines? Discuss one curative factor the group would observe during the initial, middle and termination phases in group therapy?  Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient. (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?