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221

psychiatric nurse

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For this assignment, you will work on setting goals for yourself using the SMART method. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic, Timely. Be sure to answer the following questions for each goal summary: Can you measure it? Is it attainable? Is it realistic? What is the time frame you have set for completing that goal?

Format: Each goal summary should be at least 100 words – totaling 500 words for this assignment (added to the speaker notes). The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references. The presentation should consist of 10-15 slides (excluding the introduction and reference page). 

What are SMART Goals?

SMART is an acronym to help you set positive and achievable goals.

Specific

Goals should be straightforward and emphasize what you want to happen. Specifics help us to focus our efforts and define what we are going to do.

To set a specific goal you must answer the 6 Ws:

Who? Who is involved?

What? What would I like to accomplish?

Where? Where is this happening?

When? When do I start/finish?

Which? Identify requirements and constraints

Why? Why am I doing this? Specific reasons, purpose or benefits!

Measurable

If you can’t measure it, you can’t manage it! If you can’t measure it you will not be able to define whether you have achieved your goal or not. Goals usually have several short-term and on-going measurements so that you can see how you are doing in your aim to achieve your goal.

A non-measurable goal: I want to learn how to break dance.

A measurable goal: I want to learn 5 break dance moves by Friday November 2nd.

Attainable

If your goal is important to you, you’ll figure out ways to make it come true! After identifying your goal, you’ll begin to see previously overlooked opportunities and seize them to bring you closer to the achievement of your goal.

A goal should stretch you slightly so you feel you can do it, and it will need a real commitment from you. Think about what is achievable and what you want to do. If a goal is set too far out of your reach, you may not commit to it, or complete it.

Feeling successful as you move to achieve your goal will help you to remain motivated!

Realistic

222

Advanced Nurse Practitioner role

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Select and describe an Advanced Nurse Practitioner role.

Why are you becoming a Nurse Practitioner?
Find one research article, expert opinion about the Nurse Practitioner role and summarize the article.

What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners?
Identify and describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes.

Submission Instructions:

The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.

The paper is to be no shorter than 4 pages; nor longer than 5 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style.
Read
Hamric, B. A., Hanson, M. C., & Tracy, F. M., & O’Grady, T. E. (2013).
Chapters 7, 9, and 12

HRSA. (2002, April). Nurse practitioner primary care competencies in specialty areas: Adult, family, gerontological, pediatric, and women’s health. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/primarycarecomps02.pdfLinks to an external site.

NONPF. (2012, April). Nurse practitioner core competencies. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdfLinks to an external site.

AACN. (2015). Re-envisioning the clinical education of Advanced Practice Registered Nurses. https://www.aacnnursing.org/Portals/42

223

Non-pharmacologic and pharmacologic.

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Submission Instructions:

You must complete both case studies.
Your initial post should be at least 600 words per case study, formatted and cited in current APA style, 7 edition with support from at least 2 academic sources.
You should respond to at least two peers by extending, refuting/correcting, or adding additional nuance to their posts.
All replies must be constructive, 150 words, and one reference per reply. use literature where possible.

R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.

224

Role of NPs in primary care.

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NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine, and reimbursement that may differ depending on your location. There are several sources of restrictions to NP practice, such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. They may also vary by facility policy if more stringent. Consequences of practicing outside your scope of practice may be anything from a fine to suspension or revocation of your license, a civil lawsuit, or even criminal charges.

Use the provided template to compare and contrast the three major regulatory practice models for NPs: supervisory, collaborative, and independent. Read the rubric. Please keep this assignment in the template format provided. This assignment requires credible and up-to-date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing.

Format expectations:

Include a title page and reference page.
Follow all assignment directions.
Organize information in paragraphs and paper to convey the content to the reader.

225

Advanced nurse practitioners.

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Based on Module 1: Lecture Materials & Resources and experience, what are the roles and responsibilities of the advanced nurse practitioners in prescribing?

Submission Instructions:

The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.

The paper should be formatted per current APA and 2-3 pages in length, excluding the title, abstract and references page.