J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Chapter 2 Set II 9. (a) Describe and explain the difference between the mean, median, and mode. (b) Make up an example (not in the book or in your lectures) in which the median would be the preferred measure of central tendency. 9. The mean is the sum of the scores divided by the total number of...

Patient Information Student Name Affiliation Course Instructor Due Date Patient Information Gathering Detailed Patient Information Mental health specialists are essential when it comes to the well-being of those dealing with psychological and emotional problems. Compiling thorough patient data is critical to offering counseling and psychiatric care that works. A possible treatment plan should be included, as well as the patient's social and medical histories and a thorough mental health assessment. Accurate Diagnosis and Treatment Planning The cornerstone of successful mental health treatment is an accurate diagnosis. By obtaining comprehensive patient data, mental health practitioners can accurately diagnose their patients by determining the type and severity of their symptoms. People with various anxiety disorders may exhibit symptoms that are similar to or overlap with one another (Goodwin, 2022). For this reason, a thorough examination is essential to determining a specific diagnosis and developing a treatment strategy. For example, excessive concern, fear, and avoidance are common symptoms of both social anxiety disorder and generalized anxiety disorder, but they require different therapeutic techniques. Identification of Underlying Medical Issues There is a connection between physical and mental health, and underlying medical disorders can worsen mental health symptoms or more similar ones. A thorough medical history is necessary to recognize and treat these problems. Numerous researches have demonstrated the link between psychological and physical well-being. Those with long-term health issues, such as diabetes and cardiovascular disease, are more likely to experience mood disorders like anxiety and depression. These co-occurring illnesses might not be identified without a thorough medical history, resulting in insufficient or ineffective mental health therapy. Assessment of Social and Environmental Factors A person's mental health concerns require a grasp of the social and environmental milieu in which they live and work. A comprehensive social history helps identify the patient's influencing elements, including stressors, traumas, support networks, and socioeconomic circumstances. Post-traumatic stress disorder (PTSD) development and exposure to traumatic experiences are strongly correlated. By gathering comprehensive social information, mental health practitioners can identify traumatic experiences and create trauma-informed care plans to address the underlying causes of distress.

Module 1 Discussion No unread replies.No replies.    Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: Identify the different roles and responsibilities of the nurse. Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths. Which patient population is most likely to experience health disparities and why?   Submission Instructions: Your instructor will assign you your case number and you will post on the case number you have been assigned. You will reply to the other two case studies (One of each). 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. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. Module 2 Discussion No unread replies.No replies.    Therapeutic Relationship  For this Discussion, your instructor will assign you a case number. Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: Moral distress is a frequent situation where health care providers should face. Please define and discuss a personal experience where you have faced Moral distress in your practice.

USE CASE STUDY 2 THROUGHOUT Module 2 Discussion No unread replies.No replies.     Skin, Eye, & Ear Disorders  For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.  Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis.   Submission Instructions: Your instructor will assign you your case number and you will post on the case number you have been assigned. You will reply to the other two case studies (One of each). 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. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. Module 2 Assignment Due 28 May by 23:59   Points 100   Submitting an external tool     Telehealth Medicine For this assignment, answer the following questions: What are the Pros and Cons to telehealth? How will you approach and perform a telehealth assessment? What are the limits to telehealth? What is the difference between the provider's need for a successful telehealth visit versus the Patient's perspective?

Exam 3 Due May 21 at 11:59pm   Points 50   Questions 17   Available May 15 at 12am - May 21 at 11:59pm   Time Limit 180 Minutes Instructions All exams are cumulative.  You have 180 minutes to complete the exam. You must show all your work in order to earn full credit. This quiz was locked May 21 at 11:59pm. Attempt History * Some questions not yet graded  Correct answers are no longer available. Score for this quiz: 29 out of 50 * Submitted May 19 at 7:59pm This attempt took 46 minutes.   Question 1 1 / 1 pts A scatter diagram    is also called a random distribution frequency plot.      is a bar graph that shows the frequencies of the different values in a distribution.      is a line graph that looks like a mountain-peak skyline and shows the frequencies of the different values in a distribution.      shows the relation of two variables as dots in a two-dimensional graph.     Question 2 1 / 1 pts The items below are based on the following scenarios. Which graph depicts a negative correlation?    Scenario B      Scenario A      Scenario D      Scenario C     Question 3 1 / 1 pts The difference between a positive correlation and a negative correlation is that    in a negative correlation, high scores go with high scores and low with low; in a positive correlation, high scores go with low scores and low with high.      negative correlations represent a weak relationship; positive correlations represent a strong relationship.      in a negative correlation, high scores go with low scores and low with high; in a positive correlation, high scores go with high scores and low with low.      negative correlations are curvilinear; positive correlations are straight lines.     Question 4 1 / 1 pts When figuring a correlation coefficient, the absolute value of the summed cross-products    gets smaller as the variance of the scores for each variable increases.

SMART Goals, word document For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. 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).   How to Format a PowerPoint Presentation in APA StyleLinks to an external site. Goodwin University. (2019, October). APA style - 7th edition. https://goodwin.libguides.com/c.php?g=29109&p=7298502 This Assignment must be submitted to Turnitin. Module 3 Discussion No unread replies.No replies.       Internalizing Disorders After studying Module 3: Lecture Materials & Resources, discuss and reflect on the following: Create a 5-7 minute video using Canvas Capture. Reflect on your first experience treating a toddler, school-aged child, or adolescent with a mood or anxiety disorder. Describe a clinical situation, in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen).  Describing the clinical experience should take less than 3 minutes.  Discussing your reflection should take 3-5 minutes.

PHILOSOPHICAL & THEORETICAL, EVIDENCE-BASED RESEARCH! Class Week #1 DB Discuss the interrelationship among theory, practice, and research.   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. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.  Grading Rubric  Your assignment will be graded according to the grading rubric. Module 1: Lecture Materials & Resources  Foundations of Nursing Science Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s). Read Butts, J. & Rich, K. (2015). Philosophies and theories for advanced nursing practice (3rd ed.). Jones and Bartlett Learning. ISBN: 9781284112245 Chapters 1, 2, 4, 5 Gray, J., Grove, S. & Sutherland, S. (2018). Burns and Grove's the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier. ISBN: 978-0323377584 Chapters 1-5, and 9 American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). Use as a guide for writing in current APA format. As part of your readings in this Module, please also review the following: Syllabus APA and Research Guides Watch The role of the Research Nurse (9:59) MD Anderson Cancer Center. (2013, May 2). The role of the Research Nurse [Video file]. Retrieved fromThe role of the Research NurseLinks to an external site.

Module 1 Discussion 22 unread replies.22 replies.    Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case: Identify the different roles and responsibilities of the nurse. Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths. Which patient population is most likely to experience health disparities and why?   Submission Instructions: Your instructor will assign you your case number and you will post on the case number you have been assigned. You will reply to the other two case studies (One of each). 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. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. Module 1 assignment Therapeutic Relationship Choose one of the cases above and answer its respective question(s). And then, compose the items below for your case: Moral distress is a frequent situation where health care providers should face. Please define and articulate a personal experience where you have faced Moral distress in your practice.

PROBLEM STATEMENT 1 It is known that a certain laboratory task takes the average person 2.5 seconds. A developmental psychologist was interested in whether older people take longer to perform this task. The psychologist tested 30 randomly selected 80-year-olds. Their mean time was 2.7 seconds, with an estimated population standard deviation of 1.4 seconds. What should the psychologist conclude (use the .05 level)? 1. Restate the question as a research hypothesis and a null hypothesis about the populations. (2 points) 2. Determine the characteristics of the comparison distribution: Population mean = (1 point) Population variance = (1 point) Standard deviation of the distribution of sample means = (1 point) Degrees of Freedom = (1 point) 3. Determine the significance cutoff. Use the t table. (1 points) 4. Determine your sample’s score on the comparison distribution. (2 points) 5. Decide whether to reject the null hypothesis. (2 points) Set Up Hypothesis Null Hypothesis H0: U = 2.5 Alternate, mean response time of older people slower than the response time of people in general H1: U>2.5 Test Statistic Population Mean(U)=2.5 Given That X(Mean)=2.7 Standard Deviation(S.D)=1.4 Number (n)=30 we use Test Statistic (Z) = x-U/(s.d/Sqrt(n)) Zo=2.7-2.5/(1.4/Sqrt(30) Zo =0.7825 | Zo | =0.7825 Critical Value The Value of |Z ?| at LOS 0.05% is 1.64 We got |Zo| =0.7825 & | Z ? | =1.64 Make Decision Hence Value of |Zo | < | Z ? | and Here we Do not Reject Ho P-Value : Right Tail - Ha : ( P > 0.7825 ) = 0.217 Hence Value of P0.05 < 0.217, Here We Do not Reject Ho accept hypothesis, we don't have evidence that mean response time of older people slower than the response time of people in general

Module 2 Discussion       Patient Information After studying Module 2: Lecture Materials & Resources, discuss the following: It is very important for all mental health professionals to take very detailed and thorough historical information from their patients. This information should include an adequate social history, complete medical history, and a full mental status examination with a probable treatment plan. Describe three reasons it is important to gather detailed and extensive information from any patient before you counsel him/her or make medication suggestions.  Use evidence-based research to support your position. Define malingering.  Discuss two ways to differentiate between malingering and a DSM5 diagnosis.  Use evidence-based research to support your position.   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. Module 3 Discussion       Anxiety Case After studying Module 3: Lecture Materials & Resources, discuss the following:   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.)

Comprehensive Psychiatric Evaluation 1 Step 1: You will use the Graduate Comprehensive Psychiatric Evaluation Template Download Graduate Comprehensive Psychiatric Evaluation Templateto: Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic. Upload your completed comprehensive psychiatric evaluation as a Word doc. Scanned PDFs will not be accepted. For the Comprehensive Psychiatric Evaluation Presentation Assignment: You will need to get it signed by your preceptor for the presentation (actual signature, not electronically typed). Step 2: Each student will create a focused SOAP note video presentation in the next assignment. See Comprehensive Psychiatric Evaluation Presentation 1 for more details. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan.   Other: Incorporate current clinical guidelines NIH Clinical GuidelinesLinks to an external site.or APA Clinical GuidelinesLinks to an external site., research articles, and the role of the PMHNP in your evaluation.    Psychiatric Assessment of Infants and ToddlersLinks to an external site.  Psychiatric Assessment of Children and AdolescentsLinks to an external site.  Reminder: It is important that you complete this assessment using your critical thinking skills.  You are expected to synthesize your clinical assessment, formulate a psychiatric diagnosis, and develop a treatment plan independently. It is not acceptable to document "my preceptor made this diagnosis."  An example of the appropriate descriptors of the clinical evaluation is listed below.  It is not acceptable to document “within normal limits.”    Graduate Mental Status Exam Guide Download Graduate Mental Status Exam Guide   Successfully Capture HPI Elements in Psychiatry E/M NotesLinks to an external site. AAPC Admin. (2013, August 1). Successfully capture HPI elements in psychiatry E/M notes. Advancing the Business of Healthcare. https://www.aapc.com/blog/25848-successfully-capture-hpi-elements-in-psychiatry-em-notes/   Submission Instructions:  Upload your completed Comprehensive Psychiatric Evaluation as a word document. It will be assessed through Turnitin.

Quiz 3 Due Mar 1 at 11:59pm   Points 10   Questions 10   Available Mar 1 at 12am - Mar 1 at 11:59pm 23 hours and 59 minutes   Time Limit 30 Minutes Instructions Quiz #3 All quizzes will be cumulative. You will have 30 minutes to complete the quiz and your answers will be locked after you proceed to the next question. Do not log off and log back on to finish the quiz. This quiz was locked Mar 1 at 11:59pm. Attempt History  Correct answers are no longer available. Score for this quiz: 9 out of 10 Submitted Feb 21 at 10:16pm This attempt took 12 minutes.   Question 1 1 / 1 pts How would a psychologist test the hypothesis that a new stress-reduction program really works?    Try to accept the hypothesis that it does not work.      Try to reject the hypothesis that it does not work.      Try to reject the hypothesis that it does work.      Try to accept the hypothesis that it does work.     Question 2 1 / 1 pts The item below is based on the following scenario. A health psychologist is interested in the effectiveness of a new exercise on reducing the rate of heart attacks because the exercise requires no equipment and, therefore, can be done without cost. What is the null hypothesis?    The exercise will make no difference or will increase the rate of heart attacks.      The exercise will make no difference in the rate of heart attacks.      People will not participate because it does not cost them any money.      The exercise will make no difference or will reduce the rate of heart attacks.     Question 3 1 / 1 pts The correct argument for using a one-tailed test when there is a clear basis for predicting a result in a given direction is that

We know that time shortage is one of the major challenges college/university students are faced with when it comes to matters concerning homework. Quite often than not, you will find yourself, or you have already found yourself rushing to beat your assignments deadline. You know what late assignment submission means to your academic performance, and you certainly are not willing or ready to fall victim of the consequence.

PHILOSOPHICAL & THEORETICAL, EVIDENCE-BASED RESEARCH! Class Week #1 DB Discuss the interrelationship among theory, practice, and research.   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. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.  Grading Rubric  Your assignment will be graded according to the grading rubric. Module 1: Lecture Materials & Resources  Foundations of Nursing Science Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s). Read Butts, J. & Rich, K. (2015). Philosophies and theories for advanced nursing practice (3rd ed.). Jones and Bartlett Learning. ISBN: 9781284112245 Chapters 1, 2, 4, 5 Gray, J., Grove, S. & Sutherland, S. (2018). Burns and Grove's the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier. ISBN: 978-0323377584 Chapters 1-5, and 9 American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). Use as a guide for writing in current APA format. As part of your readings in this Module, please also review the following: Syllabus APA and Research Guides Watch The role of the Research Nurse (9:59) MD Anderson Cancer Center. (2013, May 2). The role of the Research Nurse [Video file]. Retrieved fromThe role of the Research NurseLinks to an external site.

Module 2 Discussion No unread replies.No replies.     Discussion 2 Hematopoietic:  J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.  Past Medical History (PMH):  Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.  Case Study Questions Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.

Module 2 Discussion No unread replies.No replies.     Discussion 2 After studying Module 2: Lecture Materials & Resources, discuss the following: The importance of effective communication that promotes cultural competence.  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. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.  Module 3 Discussion No unread replies.No replies.     Discussion 3 After studying Module 3: Lecture Materials & Resources, discuss the following: Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1-month old. Sarah, age 13, Martin, age 12, and Wayne, age 8, attend the Amish elementary school located 1 mile from their home. Lucille, age 4, is staying with Mary’s sister and her family for a week because baby Melvin has been having respiratory problems, and their physician told the family he will need to be hospitalized if he does not get better within 2 days. Choose two or three areas of prenatal care that you would want to discuss with Mary, and then write brief notes about what you know and/or need to learn about Amish values to discuss perinatal care in a way that is culturally congruent. Discuss three Amish values, beliefs, or practices to consider when preparing to do prenatal education classes with Amish patients.

USE CASE STUDY 2 THROUGHOUT Module 1 Discussion 44 unread replies.44 replies.     Cultural, Spiritual, Nutritional, & Mental Health Disorders  For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.  Once you received your case number, answer the following questions. Please be specific and relate your questions to your specific case. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected. Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are. Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions? Submission Instructions: You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned. You will reply to your peers that have posted on the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response).  All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each. 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.