nursing role and scope discussion week 9

After reading Chapter 9 and reviewing the lecture power point (located in lectures tab), please answer the following questions. Each question must have at least 3 paragraphs and you must use at 3 least references (APA) included in your post.

Additionally, you are expected to reply to two other students and include a reference that justifies your post. Your reply must be at least 3 paragraphs.

1. Describe the link between quality and safety in the healthcare setting.

2. Discuss the role of the nurse in quality improvement.

3. Describe nursing-sensitive measurements and why they are important in Nursing care delivery.

the illusion of literacy 1

  • “Orwell feared that the truth would be concealed from us.”
  • “Huxley feared that the truth would be drowned out in a sea of irrelevance.” “A populace deprived of the ability to separate lies from truth, that has become hostage to the fictional semblance of reality put forth by pseudo-events, is no longer capable of sustaining a free society.”
    • Provide a current example that supports ONE of these statements.
    • Write a paragraph (125-150 words) analyzing this example based on what your learned in the first chapter: “The Illusion of Literacy”.
    • In order to receive full-credit, you will also reply to one of your classmate’s posts with your understanding of how his/her example supports one of the three statements above.

Please read the chapter 1.

what is decision tree in a case study

Decision Tree

For this Assignment, as you examine the client case study, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

Learning Objectives: Students will:

  • Evaluate clients for treatment of mental health disorders
  • Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Actual Assignment

Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

  • Decision #1: Differential Diagnosis
    • Which Decision did you select?
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
  • Decision #2: Treatment Plan for Psychotherapy
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
  • Decision #3: Treatment Plan for Psychopharmacology
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients and their family.

Case #1
A woman with personality disorder


Rhonda is a 32-year-old Hispanic female who presents to your office for her initial appointment. When you ask what brought her to your office, she states: “I’m at the end of my rope, I don’t know what else to do.” She then bursts into tears. Rhonda explains that she has very few friends left, and everyone seems to have “abandoned” her. Rhonda explains that she goes out of her way to help other people, and to be nice to them, but this does not seem to help.

Rhonda then stands up and begins to pace around your office at times using wild hand gestures to explain the circumstances that led up to her making the appointment with you. She describes the recent breakup with her boyfriend as traumatic and explains “when we first met, he was the best guy in the world. He treated me really well. But he just became a complete monster! Even though he broke off the relationship with me, I was glad to see it end. I hate his guts!”

Rhonda explains that her current financial situation is also precarious. She states that she recently purchased an automobile, and is not certain how she is going to pay for it. She states that she had a car that was repossessed last year at that time, and that she borrowed some money from a friend to help pay for the car; the friend later turned around and accused her of theft. “It was my friend’s fault. She told me she would loan me the money and then backed out. I only took the money because she said she would loan it to me … people just can’t go back on their word like that when other people are counting on them.”

Rhonda reports that she was “always in trouble” as a kid. She states that people were always picking on her, to which she adds: “the other kids my age were just stupid. They didn’t know how to have fun.” She says “I have always been impulsive, but it’s fun. Sometimes people can be such prudes … you only go around life once, so you have to make the best of it.”


Rhonda is currently single. She has no children. Educationally, she had completed two semesters toward her bachelor of arts degree in fine arts. Rhonda currently works as a waitress at a local restaurant. She has held this job for about 2 weeks. Prior to this, Rhonda worked as a housekeeper for a local hotel chain. She states that she was fired from this job because her coworkers were jealous of her and “planted” evidence of her stealing from hotel patrons. She was also arrested for cashing checks under an alias, for which she spent 120 days in jail.

Rhonda has a history of multiple incarcerations for offences ranging from larceny to possession of controlled substances to possession of an illegal firearm. She was also arrested several times for fighting and on at least one occasion, used a baseball bat to beat up a girl who she thought was trying to “set her up” with the police.


Rhonda is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. She reports her mood as “terrible!” Affect is labile and seems to change rapidly with the subject being discussed. Her eye contact is normal, but at times, she appears to stare at you. Rhonda is oriented to person, place, and time. She denies visual/auditory hallucinations, no overt paranoia or delusional thought processes noted. Rhonda denies any suicidal or homicidal ideation.

Decision Point One


In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

Number 3 : Antisocial Personality Disorder is my Decision One

Decision Point Two


Number 1 : Refer to psychologist for psychological testing is my Decision Two


  • Client returns to clinic in four weeks
  • The psychologist’s report indicates that a comprehensive psychological battery was performed for the purposes of diagnostic clarification. The end result suggested that Rhonda has traits of multiple personality disorders, but scores highest in antisocial personality traits, suggesting antisocial personality disorder.
  • When Rhonda returns to the office, you review the psychologist’s report with her. Rhonda seems upset, but also states “well, that’s why I am here, to get better … what do I need to do?”

Decision Point Three


Number 1 : Refer to group-based cognitive behavior therapy is my Decision Three

Guidance to Student

Referral to a psychologist was appropriate for the purposes of diagnostic clarification. Psychological tests can help tease out the actual personality disorder that Rhonda has. In this case, Rhonda’s symptoms are most consistent with antisocial personality disorder, but as you can see, she has signs/symptoms of other personality disorders.

Of the available choices, group-based cognitive behavior therapy may be useful in treating individuals with this personality disorder, but all “improvement” in signs/symptoms should be met with great skepticism.

Dialectical behavior therapy is ineffective in people with APD.

Beginning Latuda is not appropriate, as there are currently no FDA-approved medications to treat APD. Also, prescribing medications to someone with antisocial personality disorder could lead to misuse or diversion.

focus question discuss cultural beliefs and influences relative to the health issue in regrards to the growing threat of antimicrobial resistance what has been done and where are we now

write a paragraph OR TWO of 200 – 300 words and include the following:FOCUS QUESTION: Discuss cultural beliefs and influences relative to the health issue. IN REGRARDS TO The Growing Threat of Antimicrobial Resistance: What has been done and where are we now?

Writer is clearly in control of standard, written American English.

There are virtually no errors in documentation format or citation; all sources are authoritative. Reference section is correctly cited and at least 2 creditable references are used

Prepare this assignment according to the guidelines found in the APA Style Guide,

break down 2

hey dear ……………………………….

need 2000 words for civil engineering ……

please find attach (task file )……

regards ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,goooooooooooooooooooooooooodluck

information technology research

i have attached the requirement for the research paper and requirement for the apa style

i need help with my speech

Persuasive Speech

Your week 7 assignment is to build upon the momentum of last week’s informative speech. This week, you will provide a speech that has a specific persuasive appeal embedded within it. Your goal is to use principles of effective persuasive delivery to drive your audience towards action. At the conclusion of your speech, your audience should know what you’re asking them to do (e,g., adopt a new idea, cease engaging in a particular activity, continue engaging in a particular activity, avoid engaging in a certain activity, etc.).

You must select a controversial topic for this speech. Remember to use principles of deliberating in good faith! Though you may speak on any controversial you wish, you must take a clear “side” and your argument should reflect a commitment to that side. Though you are not limited to the topics found here, you might find the ProCon website to be helpful starting place.

In your speech, you must clearly demonstrate an understanding of the models, tactics, and strategies of persuasion. It is critical that you carefully review all course content (lectures, readings, etc.) before completing this task.

Your overall speech should be 4-7 minutes in length and incorporate all of the principles of effective delivery.You will be expected to cite at least 3 academic articles on your topic. You will also be expected to follow all of the guidelines for effective speech delivery. Remember to utilize the speech evaluation worksheet to evaluate your performance on the first draft. You should never submit your first draft as your final draft. Submit only your best. You will be evaluated using the rubric available below.

You must submit an outline along with your speech! Please use the outline template provided to you.

completing and answering some questions about rlc circuits

completing and answering some questions about RLC Circuits

see the attachment please

note you only have to find the differences and the answer question1

microsoft acess assignment 1

Please follow the rubric below that I uploaded to do this assignment.

Expanding the Garden Naturally Database  You will start with the database (file) that you submitted for Lab 6, which was Module 2 – Lab 1 assignment. Thus, “YOU ALREADY HAVE THE FILE TO START WITH”.  Below, I copied the instructions for this lab, from our book.

The rubric is below

assignemtn wk 5

hi please answer to the assignment

Diverse Populations: Socio-cultural Context

Listen: to This American Life Episode 296: After The Flood (September 9, 2005) 60 min

~ Try listening while driving, cooking, folding laundry or doing other household tasks if you find it difficult to listen without visual input J

Reflect on the following:

  1. What “Act” stuck out to you the most? Why?
  2. What would you find the most challenging as someone involved in Emergency Management or as part of a Recovery team?
  3. How might these experiences have been better Prevented?
  4. What can we do to build more resilient communities BEFORE a disaster strikes so the impact of such a disaster is lessened?
  5. What must be done AFTER a disaster in this context to build community recovery and resilience?

Respond to at least 3 other classmates.

NOTE: Please be respectful of different viewpoints, experiences, and reflections. Be open-minded in order to learn from each other’s points of view.


this work should be finished by thursday 11:30 pm EST

for responses, I will provide you with the article that you will respond to it on Friday morning and I suppose to get responses by saturday 11:59 pm EST.