Nursing  HcA320 health care policy and economics

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.Start by reading and following these instructions:1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.3. Consider the course discussions so far and any insights gained from it.4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.Assignment:Describe how you plan to advocate for your patients. Include relevant policies and stakeholders. Given the opportunity, what organization would you develop to advocate for the public and why? Some examples are American Cancer Society or the American Lung Association.Assignment Description: This assignment will be at least 1500 words or moreThis week you will reflect upon the Affordable Care Act and Patient Advocacy to answer the following questions:How can you contribute to safe practice?Briefly define your role and tell how you will advocate for the healthcare consumerReflect on your future role changing as a result of policy changesHow do you see the role of your chosen profession changing in the near future?Assignment Expectations: How will students be successful?Length:1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise mannerStructure:Include a title page and reference page in APA styleReferences:Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questionsFormat:Save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file typeFile name:Name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)Submission:Submit your assignment to the Drop Box

 
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Nursing  Assignment on Psychopharmacologic Approaches to Treatment of Psychopathology

Therapy for Patients With Major Depressive Disorder (MDD)Mood disorders can impact every facet of a human being’s life, making the most basic activities difficult for patients and their families. This was the case for 13-year-old Jeanette, who was struggling at home and at school. For more than 8 years, Jeanette suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues.As a PNP working with pediatric patients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.This week, as you examine antidepressant therapies, you explore the assessment and treatment of three populations: pediatrics, adults, and geriatrics. The focus of your assessment tool, a decision tree, will specifically center on one of the most vulnerable populations, pediatrics. Please remember, you must also consider the ethical and legal implications of these therapies. You will also complete a Quiz on the concepts addressed throughout this module.Learning ObjectivesStudents will:· Assess patient factors and history to develop personalized plans of antidepressant therapy across the lifespan· Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric, adult, and geriatric patients requiring antidepressant therapy· Synthesize knowledge of providing care to pediatric, adult, and geriatric patients presenting for antidepressant therapy· Analyze ethical and legal implications related to prescribing antidepressant therapy to patients across the lifespanLearning ResourcesBaek, J. H., Nierenberg, A. A., & Fava, M. (2016). Pharmacological approaches to treatment-resistant depression. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 44–47). Elsevier.Fava, M., & Papakostas, G. I. (2016). Antidepressants. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 27–43). Elsevier.American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596Howland, R. H. (2008a). Sequenced Treatment Alternatives to Relieve Depression (STAR*D). Part 1: Study design. Journal of Psychosocial Nursing and Mental Health Services, 46(9), 21–24. https://doi.org/10.3928/02793695-20080901-06Howland, R. H. (2008b). Sequenced Treatment Alternatives to Relieve Depression (STAR*D). Part 2: Study outcomes. Journal of Psychosocial Nursing and Mental Health Services, 46(10), 21–24. https://doi.org/10.3928/02793695-20081001-05Lorberg, B., Davico, C., Martsenkovskyi, D., & Vitiello, B. (2019).  Principles in using psychotropic medication in children and adolescents. In J. M. Rey & A. Martin (Eds.), IACAPAP e-textbook of child and adolescent mental health. https://iacapap.org/content/uploads/A.7-Psychopharmacology-2019.1.pdfMagellan Health. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdfPoznanski, E. O., & Mokros, H. B. (1996). Child depression rating scale—Revised. Western Psychological Services.Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. https://doi.org/10.1002/da.22171Yasuda, S. U., Zhang, L. & Huang, S.-M. (2008). The role of ethnicity in variability in response to drugs: Focus on clinical pharmacology studies. Clinical Pharmacology & Therapeutics, 84(3), 417–423. https://web.archive.org/web/20170809004704/https://www.fda.gov/downloads/Drugs/ScienceResearch/…/UCM085502.pdfNote: To access the following medications, use the IBM Micromedex resource. Type the name of each medication in the keyword search bar. Be sure to read all sections on the left navigation bar related to each medication’s result page, as this information will be helpful for your review in preparation for your Assignments.Review the following medications:· amitriptyline· bupropion· citalopram· clomipramine· desipramine· desvenlafaxine· doxepin· duloxetine· escitalopram· fluoxetine· fluvoxamine· imipramine· ketamine· mirtazapine· nortriptyline· paroxetine· selegiline· sertraline· trazodone· venlafaxine· vilazodone· vortioxetineRequired Media (click to expand/reduce)https://class.content.laureate.net/5a99fb93c408efe404106fb7b493074d.html#section_container_1716881496-accordion_copy-443https://class.content.laureate.net/5a99fb93c408efe404106fb7b493074d.html#section_container_1716881496-accordion_copy-443https://class.content.laureate.net/5a99fb93c408efe404106fb7b493074d.html#section_container_1716881496-accordion_copy_copy_2106378025-448Case Study: An African American Child Suffering from Depression// Pediatric depressionTherapy for Pediatric Clients with Mood DisordersAn African American Child Suffering From DepressionBACKGROUND INFORMATIONThe client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.·  Client complained of feeling “sad”·  Mother reports that teacher said child is withdrawn from peers in class·  Mother notes decreased appetite and occasional periods of irritation·  Client reached all developmental landmarks at appropriate ages·  Physical exam unremarkable·  Laboratory studies WNL·  Child referred to psychiatry for evaluationMENTAL STATUS EXAMAlert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)RESOURCES§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.Decision Point OneSelect what you should do:Begin Zoloft 25 mg orally dailyBegin Paxil 10 mg orally dailyBegin Wellbutrin 75 mg orally BIDOptional Resources (click to expand/reduce)Assignment: Assessing and Treating Pediatric Patients With Mood DisordersWhen pediatric patients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult patients with the same disorders, they also metabolize medications much differently. Yet, there may be times when the same psychopharmacologic treatments may be used in both pediatric and adult cases with major depressive disorders. As a result, psychiatric nurse practitioners must exercise caution when prescribing psychotropic medications to these patients. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat pediatric patients presenting with mood disorders.To prepare for this Assignment:· Review this week’s Learning Resources, including the Medication Resources indicated for this week.· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of pediatric patients requiring antidepressant therapy.The Assignment: 5 pagesExamine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.Introduction to the case (1 page)· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.·Decision #1 (1 page)· Which decision did you select?· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.·Decision #2 (1 page)· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.·Decision #3 (1 page)· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.·Conclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

 
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Nursing  Nur

Chosen Topic:Inhalation AnthraxInhalation anthrax is a bacterial infection caused by the organism Bacillus anthracis. This organism can be found in soil when grass-eating animals feed in Central and South America, Africa, Asia, Eastern Europe, and the Caribbean. According to the CDC (2015), most inhalation anthrax only accounts for about 5% of anthrax cases. Inhalation anthrax is fatal if left untreated.Instructions:Discuss the multidimensional care strategies for this disorder. List these interventions based on priority and include rationale as to why you prioritized in this manner.150 word minimum

 
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Nursing  Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?By Day 3Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level (see checklist).Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.

 
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Nursing  adult health 2

Learning Objective #1: Explain the function of the kidneys in regulating fluids, electrolyte balance, acid–base balance, blood pressure, RBC production, and Vitamin D synthesis.a. What are the main functions of the kidneys?b. During urine formation, which two substances should be reabsorbed and not excreted in the urine?c. What two major electrolytes do the kidneys help regulate?d. What is the role of the kidneys in maintaining serum pH through bicarbonate?e. Explain the renin-angiotensin system in regulating blood pressure, including the roles of anti-diuretic hormone and aldosterone in this system.f. How do the kidneys contribute to RBC production?g. How do the kidneys contribute to Vitamin D synthesis?Learning Objective #2: Explain the renal system changes and nursing implications for older people.Learning Objective #3:Initiate education, preparation, and monitoring for patients undergoing diagnostic studies, including labs, 24-hour urine collection, any that use contrast media, and kidney biopsy.a. What are the normal ranges for urine specific gravity, creatinine clearance, serum creatinine, serum BUN, and GFR?b. What is the significance of abnormal values of urine specific gravity, creatinine clearance, serum creatinine, BUN, and GFR in kidney disorders?c. What is the purpose and proper collection steps for a 24-hour urine collection?d. What are the pre-, intra-, and post-procedure interventions and rationales for a patient who will receive intravenous contrast media during a diagnostic test?Brunner and Suddarth Chapter 54Reading:· Chronic Kidney Disease, pp 1569-1570· Acute Kidney Injury, pp 1576-1581· ESKD, pp 1581-1589· Renal Replacement Therapies, pp 1589-1602Charts/Tables/Figures:· Chart 54-1, Stages of Chronic Kidney Disease· Figure 54-4, Causes of Acute Kidney Injury· Chart 54-6, Assessing for ESKD· Chart 54-7, Nursing Care for ESKDLearning Objective #1: Differentiate between chronic kidney disease (CKD) and acute kidney injury (AKI).a. What is the definition and diagnostic criteria of AKI?b. What are the categories and causes associated with each category for AKI?c. What is the definition of CKD?d. What are the risk factors and causes of CKD?Learning Objective #2: Explain the pathophysiology, clinical manifestations, medical management, and nursing management for patients with acute kidney injury.a. Identify and describe the phases of AKI and estimated timeline for each.b. What are the clinical manifestations (signs/symptoms) for each phase of AKI? How are these s/s for each phase of AKI related to the patho of the condition?c. Explain the changes to the following labs in the oliguric phase of AKI: BUN, creatinine, GFR, creatinine clearance, potassium, magnesium, phosphorus, calcium, sodium, pH.d. Explain why the following nursing management is necessary in AKI, what assessments for each should be completed, and what are the expected nursing and collaborative interventions for each?i. Nutritionii. Fluids and electrolytesiii. Metabolic rateiv. Pulmonary functionv. Infection preventionvi. Skin careLearning Objective #3: Explain the pathophysiology, clinical manifestations, medical management, and nursing management for patients with chronic kidney disease.a. What are the stages of CKD?b. What are the main treatments in early stage CKD? Why?c. Why does ESKD affect all body systems?d. Explain the changes to the following labs in the ESKD: BUN, creatinine, GFR, creatinine clearance, potassium, magnesium, phosphorus, calcium, sodium, pH.e. What are the signs/symptoms and nursing/collaborative interventions for the following pathologic changes in ESKD?i. Activation of the RAAS systemii. Reduced urea excretion and decreased bicarb reabsorptioniii. Inadequate erythropoietin excretioniv. Hyperphosphatemia, hypocalcemia, and decreased Vit D synthesisv. Hyperkalemia and hypermagnesemiaLearning Objective #4: Compare and contrast the renal replacement therapies, including hemodialysis, peritoneal dialysis, continuous renal replacement therapies.a. What is the purpose of dialysis, regardless of type?b. What acts as the semi-permeable membrane in hemodialysis vs. peritoneal dialysis?c. What is a continuous renal replacement therapy, and when is it a preferred dialysis treatment?d. Differentiate between temporary and permanent dialysis access. When is a temporary access used?e. What is the difference between a hemodialysis fistula vs graft?f. Differentiate the permanent dialysis access of hemodialysis vs. peritoneal dialysis.Learning Objective #5: Identify the nursing management of the patient on hemodialysis.a. What are the nursing considerations for a temporary dialysis access?b. What are the nursing assessments and interventions for a hemodialysis fistula and graft?c. What are the side effects of hemodialysis, and why do these occur?d. What is the nursing/collaborative assessments and interventions for the following HD complications:i. hypotensionii. exsanguinationiii. dysrhythmiasiv. disequilibrium syndromeLearning Objective #6:Identify the nursing management of the patient on peritoneal dialysis.a. What are the nursing assessments and interventions for a peritoneal dialysis catheter?b. Explain the phases of a peritoneal dialysis exchange, including the differences between AIPD, CAPD, and CCPD.c. Explain the pre-, intra-, and post-PD (including patient education) nursing assessments/interventions and rationales for each.d. Identify the signs/symptoms and management of the following PD complicationsi. Peritonitisii. Exit site infectionsiii. Catheter leakageLearning Objective #7: Develop a perioperative plan of nursing care for the patient undergoing kidney transplantation.

 
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Nursing  Case Study on Moral Status

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?How does the theory determine or influence each of their recommendations for action?What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?Remember to support your responses with the topic study materials.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 
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Nursing  week 5 Assign 6051

Assignment: The Impact of Standardized Nursing TerminologyAmong the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).How would you respond to a comment such as this one?To Prepare:Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?Reflect on the role of a nurse leader as a knowledge worker.Consider how knowledge may be informed by data that is collected/accessed.The Assignment:In a 2- to 3-page paper, address the following:Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.Learning ResourcesNote: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Required ReadingsMcGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdfRutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.Note: You will access this article from the Walden Library databases.Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execsTopaz, M. (2013). The hitchhiker’s guide to nursing theory: Using the Data-Knowledge-Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3).Note: You will access this article from the Walden Library databases.Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.Note: You will access this article from the Walden Library databases.Required MediaLaureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.htmlLaureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptVinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw.

 
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Nursing  nursing

barriers to interpersonal communication

 
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Nursing  need reference with doi or retrieveal URL for the below work

Me    5 posts   Re: Topic 6 DQ 2  Great work Rebecca, also In the last few years, the nursing industry has experiences high rates of nurse turnover which has caused significant nursing shortage globally. Graduate nurses are also leaving there jobs just after one year of employment. Healthcare organizations need to find new ways of dealing with this crisis. One of the best solutions to this problem is the development of a unit–based preceptor program to help healthcare organization orient new nurses in their workplace successfully (Ke, Kuo & Hung, 2017). Preceptors would help new nurse to acquire the skills needed to deliver their duties effectively. This would also help them create strong relationships with the existing workforce which is essential in the healthcare system. The preceptors should also assess the new hire’s skills (Vihos, Myrick & Yonge, 2019). This is intended to help the preceptors determine the new nurse’s strengths and weakness in the orientation process. A good preceptor program improves competency critical thinking, job satisfaction and ultimately reduces the rate of nurse turn over.  References  Ke, Y., Kuo, C., & Hung, C. (2017). The effects of nursing preceptorship on new nurses’ competence, professional socialization, job satisfaction and retention: A systematic review. Journal of Advanced Nursing, 73(10), 2296-2305.  Vihos, J., Myrick, F., & Yonge, O. (2019). Socializing for Authentic Caring Engagement in Nursing Practice: Nursing Student Moral Development in Preceptorship. Canadian Journal of Nursing Research, 51(2), 63-71.

 
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Nursing  Genetic Mutation

Assignment InstructionsLisa Anderson, a 22 y.o., Caucasian single parent, is referred for genetic counseling by her pediatric Nurse Practitioner. She has a 3-year-old boy with developmental delay and small joint hyperextensibility. The pediatric Nurse Practitioner has diagnosed fragile X-associated mental retardation. She is currently pregnant with her second child at 14 weeks of gestation. The family history is unremarkable.Please use the following headings/subheadings as a guide to draft your paper:Introduction (including a brief purpose statement)Identify the genetic mutation responsible for fragile X-associated mental retardation.Describe and discuss how it causes the clinical syndrome of developmental delay, joint hyperextensibility, large testes, and facial abnormalities.Identify which parent is the probable carrier of the genetic mutation?Explain why this parent and the grandparents are phenotypically unaffected.Discuss the likelihood that the unborn child will be affected?ConclusionIn regards to APA format, please use the following as a guide:Include a cover page and running head (this is not part of the 4-5 page limit)Include transitions in your paper (i.e. headings or subheadings)Use in-text references throughout the paperUse double space, 12 point Times New Roman fontSpelling, grammar, and organization are appropriateInclude a reference list (this is not part of the 4-5 page limit)Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. ANA)

 
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