NURS 6512: Advanced Health Assessment and Diagnostic Reasoning

The first week is devoted to compiling a thorough medical history.
According to a Gallup study conducted in 2011, nurses are considered to be the most trustworthy professionals in the United States. When it comes to nursing abilities, the ability to put patients at rest is one of the most coveted. When patients enter a healthcare setting, they are often cautious about disclosing sensitive personal health information about themselves. Patients' reluctance to provide information can be alleviated by compassionate nurses, who can also encourage them to be forthright.

The initial health history interview can be a fantastic chance for patients and nurses to establish supportive relationships that will last a lifetime. Patients can benefit from the use of a number of communication skills and interview tactics, which nurses can apply to build strong ties with them and efficiently ease the diagnostic process. APRNs must take into consideration a variety of patient-specific circumstances when conducting interviews, which may influence the questions they ask, the manner in which they ask those questions, and their overall assessment of the patient's health.

It is your responsibility this week to think about how social determinants of health such as the patient's age, gender, race, ethnicity, and environmental circumstance influence the health and risk assessment of those whom you serve. Working in cooperation with a patient, you will evaluate how socioeconomic determinants of health influence your interview and communication approaches as you gather data for the purpose of building a complete medical record.

Objectives for Learning
Students will be able to:

  • Study communication tactics used to acquire patients' health histories in light of socioeconomic determinants of health to determine how well they are working.
  • Examine the possibility of health problems.
  • Apply concepts, theories, and principles linked to patient interviewing, diagnostic reasoning, and recording patient information in order to improve patient care and outcomes.
  • Learn more about learning resources here.
  • Readings that are required (Click to enlarge/reduce the image)

Assignment: Acknowledgement of Completion of Course
This required work serves as an acknowledgement that you have read and comprehended the course guidelines.

Submit your assignment by the third day of Week 1.

Information about submitting work and receiving a grade
Please submit your assignment by the third day of Week 1.
To complete this assignment, click on the URL provided below and answer the questions that are presented there.

 Week 1's homework NURS 6512 assignment

Building a Health History is the topic of discussion.
The ability to communicate effectively is essential for compiling an accurate and thorough patient history. The health or disease of a patient is influenced by a variety of factors, including their age, gender, ethnicity, and the environment in which they live. It is your responsibility as an advanced practice nurse to be aware of these considerations and to modify your communication tactics accordingly. Not only will this assist you in developing a relationship with your patients, but it will also enable you to more effectively obtain the information necessary to analyze the health risks associated with your patients' conditions.

To prepare for this Discussion, you will assume the position of a physician who is compiling information about the health of a certain new patient allocated to you by your Instructor.

Featured image courtesy of Sam Edwards / Caiaimage / Getty Images

To get ready, do the following:

Assuming that you are familiar with the information offered in Chapter 1 of Ball et al., examine the following:

Your Instructor will assign you a fresh patient profile for this Discussion on Day 1 of this week, so that you can begin discussing it on Day 1. For more information about your new patient profile assignment, please read the "Course Announcements" area of the classroom. Note:
Which aspects of your communication and interview procedures would you use to compile a patient's health history would be different for each patient?
What questions should you ask to compile a patient's health history based on their socioeconomic determinants of health? How can you tailor your inquiries to be more effective?
Is it appropriate to utilize different risk assessment instruments with different patients? If so, what questions would you ask each patient in order to assess his or her health risks?
Determine whether there are any potential health-related concerns associated with the patient's age, gender, ethnicity, or environmental context that should be taken into account during the examination.
Consider using one of the risk assessment measures offered in Chapter 1 or Chapter 5 of the Seidel's Guide to Physical Examination manual, or another tool with which you are familiar, to assess the risk associated with your patient's condition.
Prepare at least five specific questions that you would ask your chosen patient in order to assess his or her health risks and begin compiling a health history of the patient.
By the third day of Week 1,
Post a summary of the interview as well as a description of the communication tactics that you would use with your allocated patient in your response. Explain why you would utilize these methods in your presentation. Identify the risk assessment instrument you choose and explain why you believe it would be appropriate for the patient you have picked. Provide at least five targeted questions that you would ask the patient if you were in his or her shoes.

Please keep in mind that you must complete your initial post before you will be able to access and comment to the postings of your fellow participants in this Discussion. In order to complete your first post, start by clicking on the link that says "Post to Discussion Question." Then select "Create Thread" to finish your post. Remember that after you click on Submit, you will no longer be able to delete or alter your own posts, and you will no longer be able to post anonymously. Make sure to double-check your post before hitting the "Submit" button.

Take a look at some of the replies from your coworkers.

Week 1 has reached its sixth day.
Use one or more of the following techniques to respond to at least two of your coworkers on two different days who chose a different patient than you.

Share any additional interview and communication tactics that you think would be beneficial with your colleague's chosen patient with the group.
Please provide any additional health-related dangers that should be taken into consideration.
Validate a notion by drawing on your own personal experience and conducting extra research.
Information about submitting work and receiving a grade
Criteria for determining a grade
To gain access to your rubric, follow these steps:

Rubric for the First Week of Discussion

To participate in this discussion, you must post by Day 3 of Week 1 and respond by Day 6 of Week 1 by the following dates:

Discussion from Week 1

What Can You Expect From Module 2?

Photo courtesy of [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images. Image source:

As you progress through Module 2, you'll learn about the importance of functional evaluations, cultural diversity, and sensitivity when conducting health exams. Also covered are numerous assessment methods and diagnostic tests that are used to obtain information about patients' ailments. You will look at how valid and reliable they are, as well as their impact on patients' health when conducting health assessments.

In the coming week, you will focus on functional assessments and how they relate to diversity and sensitivity.

Shadow Health registration is now open.
In this course, you will participate in digital clinical encounters through the use of the online simulation platform Shadow Health during the duration of the course. By examining standardized digital patients, the Shadow Health digital clinical experience provides a dynamic, immersive experience that is intended to improve nursing skills and clinical reasoning in participants. You will be asked to engage in health histories, focused tests, and a full assessment through the use of Shadow Health.

In Modules 2 and 3, you will be required to complete four different components of the Shadow Health evaluation. These are:

Examination of the patient's medical history (Week 3 & 4)


The focus of this week's examination was cough in a pediatric patient who had presented with cough on week 5.
Focused Exam: Chest Pain (Week 7) for an adult patient presenting with chest pain
Comprehensive (Head-to-Toe) Physical Assessment (Week 9)
Before you can participate in these simulations, you will need to register for a Shadow Health account. To do this:

Go to the Walden Bookstore and purchase access to Shadow Health and the required texts.
Once Shadow Health has been purchased, an access code will be emailed to you from the bookstore.
Review this video explaining how to register in Shadow Health:
https://vimeo.com/275921826/c12d50ee6e
Use the Shadow Health link located in the navigation menu on the left in the Blackboard course.
Follow the prompts to register in Shadow Health. You will need the access code provided from the bookstore to register. Once registered, Shadow Health should always be accessed via the link in Blackboard.
Use only Google Chrome when accessing Shadow Health and make sure all other programs are turned off on your computer. Other browsers do not work well and will not allow the Shadow Health speech to text function to work.
Once registered, complete the Shadow Health Orientation in the Shadow Health website/program and review the videos designed to assist with navigating and completing assignments.
Read the Shadow Health Nursing Documentation Tutorial located in the Week 1 Learning Resources.
Note: As nurses you typically use the word assessment to mean completing the physical exam. However, in the SOAP Note format, assessment means diagnosis so start getting in the habit of calling the physical exam exactly that.

Week 2 Case Studies
In Week 2, your Instructor will assign you a case study related to your Discussion by Day 1 of the week. Please make sure to review the “Course Announcements” area of the course to verify your assigned case study. Please plan ahead to ensure you have time to review your case study and your Learning Resources so that you can complete your Discussions and Assignments on time.

 Practicum - Upcoming Deadline
In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .

For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.

Please take the time to review the Appropriate Preceptors and Field Sites for your courses.

Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.

Field Experience: College of Nursing Quick Answers
Field Experience: MSN Nurse Practitioner Practicum Manual Student Practicum Resources: NP Student Orientation

Week 1  NURS 6512 Sample

Discussion: Week # 1: Building a Comprehensive Health History
During a health history assessment, it is essential to remember that each patient is unique, and the communication and interview techniques may differ. Most important, it is vital to conduct a comprehensive and accurate health history that would assist health care providers in making correct diagnose and develop appropriate treatment plans (Ball et al., 2017). Building a health history often begins with developing a positive relationship with the patient via effective communication. Moreover, one should then apply appropriate interview and communication techniques while considering the age, gender, ethnicity, or environment of the patient. In this discussion, I have chosen the case study of a 55-year-old Asian female patient who lives in a highly dense poverty housing complex.
For this 55-year-old Asian patient, the first to do when building a health history is to develop a positive and trusting relationship by ensuring that the patient is comfortable physically and emotionally, which can be achieved through maintaining good eye contact and listening to the patient carefully and in a respectable way. Again, one would also utilize open-ended questions to assist in collecting more information, then narrow down the data to specific ones once one gathers enough information (Ball et al., 2017). For the 55-year-old Asian patient, there are several health-related risks based upon the patient’s age, gender, ethnicity, or environment setting that must be considered during health risk assessment.
Considering the environment in which the patient lives, she might be at risk for malnutrition, physical abuse (because women of her age are prone to sexual and physical abuse- gender and age), behavioral and psychosocial health risks (because she lives in a high-density housing complex- environment). These risks could be verbally, physically, or financially perpetuated abuse. Again, this patient may be depressed because of her low socioeconomic status, considering her neighborhood. Therefore, the goal of health risk assessments (HRA) for this patient is to assess the level of risk for acquiring certain illnesses to enable healthcare providers to create healthcare plans to prevent illnesses and promote health (Lemke et al., 2020).


Moreover, various risks assessment instruments can be used to evaluate the potential health-related risks the patient may face. One of the risk assessments instruments that can be used is the Hurt, Insult, Threaten, and Scream (HITS) (Ball et al., 2017). Further, The My Own Health Report (MOHR) is also a helpful tool, useful in assessing behavioral and mental health risks like sleep, stress, and anxiety. This tool is more patient-centered, thus can help the patients to identify risk factors they might be facing and how they might change to prevent the risks (Krist et al., 2016).
Targeted questions include the following:

  • When was the last time you visited your primary care physician or Ob/Gyn doctor for a check-up?
  • Are there medications you are currently taking?
  • Generally, how would you rate your overall health status (poor, fair, good, excellent)?
  • Are you or have you ever smoked, drink alcohol or utilize any recreational drugs?
  • How frequent do you get anxious or depressed?
  • Can you describe your diet over the past seven days?
  • Do you have any health issue that you would like us to discuss?

References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2017). Seidel's Guide to Physical Examination-E-Book: An Interprofessional Approach. Elsevier Health Sciences.
Krist, A. H., Glasgow, R. E., Heurtin-Roberts, S., Sabo, R. T., Roby, D. H., Gorin, S. N. S., ... & MOHR Study Group. (2016). The impact of behavioral and mental health risk assessments on goal setting in primary care. Translational behavioral medicine, 6(2), 212-219.
Lemke, A. A., Thompson, J., Hulick, P. J., Sereika, A. W., Johnson, C., Oshman, L., & Dunnenberger, H. M. (2020). Primary care physician experiences utilizing a family health history tool with electronic health record–integrated clinical decision support: an implementation process assessment. Journal of community genetics, 11(3), 339-350.

Walden NURS 6565 Week 3 Assignment 1

Assignment 1: Developing a Focused SOAP Note

In this concentrated SOAP note project, you will be able to reflect on your Practicum experiences and make connections between them and your classroom experiences. Clinical settings frequently employ focused SOAP notes to document the treatment provided to their patients. When gathering patient information, they adhere to a consistent, methodical approach. You will be required to utilize a Word document template in this course and document everything manually, in a similar way to how you would learn to do math problems by hand before using a calculator. It is possible that you may come across electronic health record systems that have SOAP documentation capabilities such as search functions and symptom drag and drops that will ease the process later in your career.

 The signature and initials of your preceptor are required on all SOAP notes, as well as on each page. It is necessary to submit your SOAP Note in two formats: as a Word document including the entire SOAP Note, and as a pdf or image of each page that has been initialed and signed by your preceptor. SafeAssign must be used to submit your SOAP Note.

Please keep in mind that electronic signatures will not be accepted in this situation. if the files are not received by the due date, the faculty will subtract points in accordance with the Walden Late Policy.

Assignment1 (percentage of total) is to be completed as soon as possible.

 

Examine the Learning Resources for this week, which include the Focused SOAP Note Template.


Please choose a patient who you have seen at your practicum site during the last three weeks. Consider the following scenarios in light of this patient:
The patient's personal and medical history is subjective; what information did he or her supply is subjective.
Objective: During the physical evaluation, what observations did you make? Include any relevant positive and negative findings from a physical exam in your submission. Include a description of any morbidities or psychosocial difficulties that the patient has exhibited.
Affirmation: What were some of your possible diagnoses? Include as many possible diagnoses as you can think of. Include their ICD-10 diagnosis code and arrange them in descending order from highest to lowest importance. When you were diagnosed, what was the primary reason for your diagnosis?
How did you envision approaching diagnostics and initial diagnosis? When it came to treatment and management, what did you have in mind. Please include all medications and non-prescription medications, alternative therapies and follow-up metrics as well as a justification for your treatment and management strategy.
Notes for reflection: When did you have a "aha" experience? When evaluating a similar patient, what would you do differently? You can choose any heart disease sufferer or any patient with diabetes.

Week 3: Creating a Focused SOAP Notification
What exactly am I supposed to do?
When am I required to complete it?
Take a look at your Learning Resources.
Days 1–7 of the week
Assignment 1: Create a SOAP note that is focused on a specific issue
Completed by the 7th day.
a second assignment involving clinical hours and patient logs
By Day 7, you should have recorded your clinical hours and patient contacts in Meditrek.
Take a look back at the experiences you've had so far, whether they've been in the healthcare workplace or at your practicum location. The role of a nurse does not begin and end with one-on-one patient contact, as you are most likely aware of. Meetings, paperwork, training, and collaboration are all part of the process. In particular, the nurse is a member of an interdisciplinary team and is responsible for communicating with others about the condition of a patient, both verbally and in writing. An advanced practice nurse's ability to capture and communicate a patient's history, symptoms, diagnosis, and treatment plan to relevant individuals involved in the patient's care is therefore a critical competency.

The SOAP note on one of the patients with whom you have engaged during your clinical practicum will be developed this week in addition to your Meditrek tracking.

Objectives for Learning
Students will be able to:

  • Patients in primary care settings should be evaluated.

  • In primary care settings, develop differential diagnoses for patients who present with a variety of symptoms.

  • Create treatment plans for patients who are seen in basic health care settings.

  • Explanation of clinical hours as well as patient encounters

 

Week 2 Walden Prompt Assignment

Submit a 2-page, double-spaced essay in response to the prompt above, following the APA format guidelines:
Produce an essay that demonstrates your strongest writing abilities by providing a focused and clear central idea that responds to all questions in the assignment prompt with developed thoughts; demonstrating your strongest writing abilities by providing an essay that Incorporates relevant and accurate paraphrased and/or quoted and cited evidence from the marshall et al. (2017) reading excerpt in support of the argument, accompanied by appropriate analysis - you may use your preferred citation style; organizes ideas with logical structure, clear paragraphs, and transitional words/phrases; maintains academic integrity by demonstrating your original work and appropriate citations; uses grammar and mechanics to effectively communicate meaning to readers Included in this essay are no other sources other than those mentioned in the marshall et al. (2017) reading excerpt; however, if you do use outside sources, you must cite any content you summarize, paraphrase, or quote in your preferred citation style.

 Earn Your Online PhD in Nursing  Walden University

By enrolling in a doctoral program at Walden, you will be joining a group of career professionals who are working toward the university's stated objective to "transform themselves as scholar-practitioners in order to influence good social change. " pursuing this goal brings with it a variety of emotions, obstacles, and benefits While many people begin PhD programs, not all of them are successful in completing their studies. It is possible to boost your chances of success by gaining an awareness of and reflecting on the difficulties that many doctorate students encounter, and by finding and implementing the solutions that will work best for you. It is from the paper "Dissertation completion: no longer higher education's unseen problem," which was published in the journal of educational research and practice by marshall et al., that the abridged reading is based on (2017).

 

A literature review and qualitative interview study are conducted in this paper in order to better understand the problems and supports that PhD students face in order to achieve success in their studies. The article's literature review section, which focuses on "challenges to completion" and "supports to completion," as well as the "implications" section, which offers reflections on the findings of the authors' qualitative study, are included in the reading list below. During your reading and engagement with this section from marshall et al. (2017), identify the content from the reading that is important to your doctorate journey; then, prepare an essay in answer to the questions mentioned below. As a PhD student, what obstacles do you believe you will face in order to complete your degree program? Consider the following: what techniques for effective completion do you believe will be most beneficial for your situation, and how will you go about putting these strategies into action to achieve your objectives? Include important paraphrased and cited content from this marshall et al. (2017) reading excerpt in your essay, following your preferred citation style: marshall et al. (2017) obstacles in the way of completion Cassuto (2013) identified three types of doctoral completers: (a) those who are unable to complete their degrees due to time constraints, a lack of research skills, personal challenges, and other external factors; (b) those who are able to complete their degrees but choose not to, leaving the program for personal or professional reasons; and (c) those who successfully complete their dissertation. Specifically, how the personal and professional hurdles of completing a dissertation affect those who do so became the subject of this research. It is necessary to limit the impact of external issues such as managing work and family (flynn, chasek, harper, murphy, and jorgensen, 2012) in order for students to successfully complete their dissertations and achieve their academic goals. This is especially true for practitioner scholars who must navigate both the practical and academic arenas of their respective fields. The requirements of families are a regular source of difficulty in completing the project (cassuto, 2013; dominguez, 2006). Another significant impediment to completing a PhD degree is a lack of financial resources. During this final stage of the PhD process, dissertating doctoral students may find themselves conflicted between work and financial worries. Financial help and scholarships for PhD students are essential tools for ensuring successful completion of their studies (ehrenberg et al., 2009). Flynn and colleagues (2012) went on to explain that professional circumstances such as unemployment were obstacles to completing a dissertation.

Walden University Nursing

According to Smallwood (2006), many of the issues associated with non-completion can be traced back to the selection process for admission. "When considering doctoral students for admission, academic and affective aspects must be considered in terms of the student's capacity to complete program requirements and ultimately be given the PhD degree" (mccalley, 2015, p. 4). The intransigence of these challenges has been demonstrated over three decades, with doctoral degree candidates reporting identical obstacles to completion (bair & haworth, 2004). syndrome of the impostor Clance and Imes (1978) conducted a study of high-achieving persons and discovered that high-achieving professionals frequently deal with anxieties of being exposed as impostors. They found several groups, including people who achieved success fast, first-generation professionals, people who grew up with high-achieving parents, members of minority groups, and students, among others. Impostor syndrome, according to Nelson (2011), is defined as "the crushing feelings of self-doubt and predicted failure that hound those who ascribe their achievement to chance or help from others rather than their own ability" (p. 129). This self-doubt can result in a paralyzing dread of failure, according to Sherman (2013): "impostor syndrome can cause performance anxiety and lead to perfectionism, burnout, and depression" (p. 31). "Impostor syndrome," according to Hendrikson (2016), frequently manifests itself "after an extremely significant achievement, such as admission to a highly selective university, widespread public recognition, winning an award, or getting a promotion" (p. 1). According to Young (2011), persons suffering from imposter syndrome mistakenly believe that they lack intelligence, abilities, and competencies, and as a result, they believe that they are undeserving of success. Even in normally confident and high-performing people who have a history of success, Young anticipated that sentiments of being an impostor could appear during times of change, new challenges, and high-pressure assignments. citing a conversation she had with pauline clance, cuddy (2016) asserted that impostorism is non-discriminatory and knows no bounds: "impostorism is non-discriminatory and knows no limits." "To add one more thing, if I had the chance to do it all over again, I would refer to it as the "impostor experience" because it is not associated with any syndrome, complex, or mental illness. It's something that practically everyone has gone through " (p. 95). The imposter syndrome, according to Cuddy, may be exacerbated by high rates of perfectionism, performance anxiety, and cultural expectations, among other factors. Although fear of failure was identified as the core cause of performance paralysis across multiple research in various professions, Cuddy showed that it was the most common reason for paralysis in otherwise highly skilled individuals.

 

Those who experienced writing anxiety were more likely to experience it when generating doctoral-level work, particularly because "specific teaching in areas such as thesis writing and writing for publication" did not appear to be standard practice in higher education (ferguson, 2009, p. 286). When students receive feedback for revisions, they may feel overwhelmed by the complexity and breadth of the recommendations. This is owing to the fact that they have had little exposure to academic writing before entering the program (ondrusek, 2012; thomas, williams, & case, 2014). When students have the opportunity to revise their work in response to comments from instructors or peers, students who lack research abilities are more likely to concentrate on making minor grammatical corrections rather than improving their overall argument (ondrusek, 2012). Being a competent writer necessitates a sense of vulnerability and discomfort that is inherent in the discipline of writing and is experienced through several edits. Also according to O'Connor (2017), when students confront their intellectual inhibitions, it is not merely a matter of confidence in delivering ideas, but rather a compelling worry about the nature of creating concepts. Writing is a personal experience, and receiving feedback necessitates a certain level of openness and willingness to accept constructive criticism in order to be successful (ferguson, 2009; liechty, schull, & liao, 2009). The capacity to write from a scholarly perspective is a skill that does not necessary precede acceptance into a graduate program, as stated in the statement above (ondrusek, 2012, p. 185). "Providing supportive groups or peer review opportunities, as well as prompt and meaningful feedback, may help students improve their writing efficacy" (lavelle & bushrow, 2007, p. 817). For students, writing can be both a blessing and a curse, according to O'connor (2017), who writes, "in the negotiation with the dissertation, there is a frustration in the limitations we encounter in ourselves, the lack of fluidity in expression, and the sometimes tortuous space between what we seek to express and what we actually express" (p. 3). Critical thinking, synthesis, and clarity of communication are stressed as crucial for overall doctoral achievement in the academic writing skills required in PhD programs.

Productivity The final barrier to completing a PhD degree successfully is a decrease in overall productivity.

In part due to the fact that graduate students are, on average, older, they must often manage the expectations of their families, friends, community or civic activity, and their professional lives. Therefore, obtaining committed dissertation time may prove to be a significant obstacle (ondrusek, 2012). Holmes, Robinson, and Seay (2010) discovered that instruction in self-regulated learning, in conjunction with appropriate mentorship, can ensure success for all students enrolled in doctorate studies during the dissertation period. According to ehrenberg et al. (2009), graduate students who have assistantships and are given opportunities to engage in research have higher levels of overall productivity and develop more swiftly than their peers who have other occupations. dominguez (2006) defined the hurdles to graduation that are associated to productivity as follows: an inability to plan, procrastination, perfectionism, a lack of research abilities, and difficulty picking a topic (see figure 1). provides assistance till the task is completed According to the strategic intervention for doctoral completion project, there are four conditions that must be met in order for a doctoral degree to be completed successfully (council of graduate schools, 2007). Recruiting the most qualified candidates for doctoral study and ensuring that they are fully aware of the rigors of doctoral education are the first two conditions to meet. It follows that condition 2 should include only those applicants who are suitable prospects for PhD study. Admissions committees are in charge of properly assessing applicants and introducing them to the rigors and expectations of the program, among other responsibilities. As a result, under condition three, the researchers advocate creating an environment in which students encourage and support one another's efforts in a way that prepares them for future professional interactions that are collegial by nature. Last but not least, condition 4 underlines the need of developing effective professional relationships between faculty and doctoral students in order for doctorate students to obtain the support and mentorship they require to successfully complete their degrees. Cohort or peer support outside of the family can be beneficial for doctorate students. Cohorts or writing groups can give support for doctoral students. "Advisor motivation, family support, and supervisor/institutional considerations" are all examples of external influences that have been linked to success (dominguez, 2006, p. 23). According to Varney (2010), the usage of a cohort model is a program design choice that has a beneficial impact on completion rates in educational programs. When it comes to improving academic abilities linked with writing, teaching, and publishing, Krueger and Peak (2006) found that creating interpersonal relationships during the course of a program of study was critical for their research. Mentors in academia A faculty mentor can give social and emotional guardianship to a doctorate candidate during the dissertation process, in addition to the typical academic support. It has been discovered that the dissertation chairman is critical to the productivity and timely completion of the dissertation (barnes, williams, & stassen, 2012; burkard et al., 2014; spillet & moisiewicz, 2004). The advocate, manager, leader, and judge, according to Garger (2011), are the four fundamental responsibilities of dissertation chairpersons. He claims that the clever chairperson utilizes the position that is most relevant to the demands of the protégé in a variety of settings. Bloom, Propst Cuevas, Hall, and Evans (2007) asserted that the relationship between the chairperson and the candidate is a key component in deciding degree completion and that this relationship must be founded on genuine concern for the candidate. This means that early in the dissertation process, gaining a grasp of the selection criteria will be beneficial in guiding decision-making. According to neale-mcfall and ward (2015), selecting a chairman should not be taken lightly because it can influence the candidate's productivity and, ultimately, whether or not the candidate completes a PhD program. In previous decades, students listed several characteristics to consider when picking a chairman, including similar research interests, a potential chairperson's publication record, and whether or not the chair was competent in technique (lovitts, 2001; smart & conant, 1990). A chairman who is prepared to encourage and foster existing candidates is preferred above a chairperson who is highly credentialed and has an impressive research background or reputation (neale-mcfall & ward, 2015).

A student's success will be aided by the selection of a chairman who demonstrates real concern and accessibility. A candidate should also think about if the potential chairman serves as a role model in professional and personal matters, gives individualized counseling, and actively incorporates students into the profession, all of which are characteristics of a good dissertation mentor. In a meta-analysis of 118 research on doctorate attrition, bair and haworth (2004) discovered that the number and quality of communication between doctoral students and their chairperson was directly connected to degree completion the majority of the time. A beneficial influence on completion rates has also been observed to be associated with collaborative ties with committee or other faculty members (dominguez, 2006; neale- mcfall & ward, 2015). When PhD candidates have the opportunity to engage with research and learn about publishing, they are more likely to have a sense of belonging to the academy's community (smallwood, 2006). When applicants do not complete doctorate degrees, there are immense holes in research, both for the university and for the academe, in addition to psychological and economic losses that are experienced (gilliam & kritsonis, 2006; grasso et al., 2009). It is possible that, despite 40 years of research and advances in technology, pedagogy, and curriculum, the noncompletion rate is continuing to rise despite these advances (miller, 2013). It was the goal of this study for the researchers to better understand the elements that propel PhD applicants to completion, whether it be fast or on a delayed timeline. ] [The sections on the methodology and significant findings have been left out of this clip.] consequences of the findings, including a variety of implications that impact practice for students, professors, chairpersons, and program directors in PhD programs The implications of these findings for the completion of a dissertation are not intended to be used as a template for other projects. Furthermore, the outcomes of this study support the assumption that individual students' degrees of desire, drive, and confidence impact the rate at which they complete their PhD degree programs.

The importance of individual needs was emphasized by doctorate students as they reflected on their dissertation completion, despite the fact that common approaches to the dissertation exist across disciplines and institutions. To be successful, students needed to be self-aware and communicate their preferred learning style, writing preferences, and support systems. Based on the findings, there are a variety of implications for students to consider as they prepare for their dissertations. In order to overcome imposter syndrome, pupils must first comprehend, recognize, and address their own anxieties. To avoid being hindered by imposter syndrome, students can enhance productivity by forming partnerships with fellow students who can act as an accountability partner and help the writer to be more productive in their writing (ferguson, 2009). These collaborations may include the establishment of deadlines for which students are held accountable. If a student is unable to complete the assignment by the deadline for any reason, reflection, discussion, and problem solving should be utilized. It is also necessary to maintain constant communication with the chairperson. Regular, student-initiated communication with the chairperson is crucial to a student's successful completion of the course requirements. It is essential for students to talk openly with their chairperson about their issues and insecurities, as well as to seek their help and counsel. Following that, self-awareness is essential during the dissertation period. Students must be able to maintain their commitment to the process by fully comprehending their reasons for participating. This is due to their strong desire to finish the task, which may include making a family member proud or advancing to the next level of their professional development. Additionally, pupils must understand what is most effective for them. Examples include communicating with their chairperson about what they require, knowing their productive writing times, understanding the hurdles that may impede them from making progress, and putting in place reward methods to ensure that they continue to make progress in their studies. Last but not least, developing writing and research abilities throughout the coursework may increase a student's sense of confidence when it comes time to write the dissertation. By actively searching out research opportunities throughout the degree program, students' research understanding and skills will grow. Additionally, producing related literature reviews helps students get more comfortable with the synthesis process and gives them the opportunity to receive feedback on their writing. During the dissertation completion process, the doctorate program director, faculty, and chairpersons play critical roles.

The doctoral program director, faculty, and chairpersons play critical roles in the dissertation completion process. Building in internal attributes associated with success, such as "preparation, personal temperament, and communication," is one strategy to assist students in achieving their graduation objective (dominguez, 2006, p. 22). The ability to overcome imposter syndrome is critical to their successful accomplishment. The importance of faculty cannot be overstated. Providing regular encouragement, offering constructive criticism, and including relevant assignments that are connected to or inform the dissertation are all ways in which professors can assist students in developing and enhancing their dissertation-related abilities and confidence. Pilot studies, literature reviews, article critiques, and dissertation reviews are all examples of assignments that can be given to students. Students can use course-related activities to inform their understanding of a dissertation topic if they identify a topic early in the process of writing the dissertation. Additionally, the chairperson's position is important to a student's success in completing his or her degree.

The establishment of mutually agreed-upon goals and timeframes, as well as accountability methods, are essential (ferguson, 2009). Students are more inclined to create in an environment that is similar to a classroom setting when deadlines and consequences are imposed. We highly urge students and chairpersons to communicate with one another on a frequent basis. Using an autoethnographic inquiry, Gearity and Mertz (2012) provided suggestions on the student-chair connection and effective mentoring in the dissertation journey in order to inform practice. understanding that imposter syndrome causes students to withdraw, chairpersons must regularly check in with students to offer encouragement, support, and guidance. departmentally, faculty and program directors cannot assume that because students completed their doctoral coursework, they are confident and prepared to write the dissertation. departmental training in dissertation writing and research is recommended to aid students. this training can come in the form of workshops, additional coursework, or faculty consultations. we found that students often needed just-in-time dissertation information. they needed information and explanation of different components of the dissertation, when they were at that stage. we recommend using technology and the availability of virtual learning environments to provide students with dissertation-related resources including pre-recorded lectures.

Master of Science in Nursing (MSN) Online

The reading above is excerpted from the following article which follows the publishing guidelines of the 6th edition of the publication manual of the american psychological association: marshall, s. m., klocko, b., & davidson, j. (2017). dissertation completion: no longer higher education's invisible problem. journal of educational research and practice, 7(1), 74-90. https://doi.org/10.5590/jerap.2017.07.1.06 prompt: what challenges to completion do you anticipate you will encounter in your doctoral program? what strategies for successful completion do you anticipate will be the most useful for you, and how will you work toward implementing these strategies to meet your goals? by day 7 (sunday) of week 2 at 11:59 pm mst (please adjust this time to your current time zone) write a 1-2-page, double-spaced essay in response to the prompt above. to present your strongest writing skills, submit an essay that: provides a focused and clear central idea that responds to all questions in the assignment prompt with developed ideas; integrates relevant and accurate paraphrased and/or quoted and cited evidence from the marshall et al. (2017) reading excerpt in support of the argument, accompanied by appropriate analysis - you may use your preferred citation style; organizes ideas with logical structure, clear paragraphs, and transitional words/phrases; uses grammar and mechanics to effectively communicate meaning to readers; maintains academic integrity by demonstrating your original work and appropriately paraphrasing and citing relevant information from the marshall et al. (2017) reading excerpt. including outside sources beyond the marshall et al. (2017) reading excerpt provided above is not required for this essay; if you use them, however, then you must cite any information you summarize, paraphrase, or quote in your preferred citation style.

NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology

NURS 6630 - Psychopharmacologic Approaches to Treatment of Psychopathology

Psychotherapy alone may not be sufficient to address the emotional issues that certain patients are experiencing. In order to do this, psychopharmacologic techniques are required. In order to make appropriate medication choices for their patients, psychiatric nurse practitioners (PNPs) must have a firm foundation in psychopharmacology, which should be built on a prior education in pharmacology and should expand from that knowledge. Psychopharmacologic approaches to major behavioral health problems, including but not limited to major depressive disorders, bipolar disorder, anxiety disorders, and psychotic disorders, are discussed in this course by learners. During this course, students will learn about the most important factors to consider when choosing medications, monitoring their efficacy, and long-term treatment.

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 Week 1 NURS 6630 Sample

Introduction to Neuroanatomy and Neurobiology


The cerebral cortex, the brainstem, the subcortical structures, and the cerebellum are the major divisions of the human brain. These anatomical structures are made up of interconnected parts that work together to form circuits that are both widespread and highly interconnected. These circuits are responsible for the processing of cognition, behavior, and affective states.

The authors (J. A. Camprodon and J. L. Roffman) thank you for your assistance (2016, p. 6)

Psychiatric nurse practitioners (PNPs) are uniquely qualified to give specialized care to patients suffering from psychiatric diseases. They do so by combining psychotherapy and pharmaceutical therapy in their treatment plans. It is essential that you have a good theoretical foundation in pathophysiology, psychopharmacology, and neuroscience in order to be successful in this profession. This foundation will assist you in assessing, diagnosing, and treating patients as you relate their presenting symptoms to theoretical neural activity and vice versa.

This week, as you begin your study of psychopharmacology, you will learn about the neuron, which is the fundamental functioning unit of the neurological system. Review of the neuron's structure, as well as an examination of the architecture of the central nervous system, will be covered. You will also analyze the functionality of the various structures, as well as the outward (phenotypic) manifestations of their activity. As you complete your short answer assessment for this week, you will conduct an in-depth analysis of these topics.

The following is a reference: Camprodon, J. A.; Roffman, J. L.; Camprodon et al (2016). Incorporating pathophysiology into clinical case conceptualization is a key component of psychiatric neuroscience. Psychopharmacology and neurotherapeutics at Massachusetts General Hospital, edited by T. A. Stern and colleagues (MGH Psychopharmacology and Neurotherapeutics, pp. 1–19), is available online. Elsevier.

Objectives for Learning

Students will be able to:

  • Give an explanation of the functioning and structures of the central nervous system.
  • Give an explanation of the various structures that make up a neuron.
  • Describe the role of neurons in intracellular communication and how they function.
    Learn more about learning resources here.

Resources that are optional (click to expand/decrease)

Acknowledgement of the Assignment Practicum Manual
Describes the organization and timing of classroom-based and practicum experiences as well as the policies that students must adhere to in order to be successful in the nurse practitioner (NP) specialty, as described in the Practicum Manual.

The Field Experience: MSN Nurse Practitioner Practicum Manual is available online.
For your own peace of mind, please click here and follow the instructions to indicate that you have downloaded and read the whole MSN Nurse Practitioner Practicum Manual and that you will follow the requirements outlined in order to finish this program successfully.

PMHNP Study Support Lounge is a discussion forum that is optional.
As a haven of intellectual shelter, the PMHNP Study Support Lounge is available throughout the course. Here, you can ask questions, share insights, and communicate with your fellow students. When it comes to providing global feedback to the group, your Instructor may also weigh in to point out trends, recurring difficulties, and recurring strengths in student posts.

The ability to provide critical and useful comments is valued in your role as a peer mentor. Advanced practice nurses always benefit from hearing what others have to say about their work. Study Support Lounge posts may be procedural in nature ("How do I attach a Kaltura video to a Discussion post?"), conceptual in nature ("How does this relate to the other therapy approaches we have studied?"), or analytical in nature ("What do these diagnostic results actually mean in the context of this particular patient case?"). Although participation in this activity is not required, it provides an excellent opportunity for you and your classmates to connect and study together as you traverse the assignments. You are strongly urged to participate in this activity. Participation in full in activities such as these is a statistically significant predictor of success in these situations.

To take part in this optional discussion, please complete the following steps:

Psychiatric Mental Health Nurse Practitioner Study Support Lounge

Assignment: Short-answer evaluation.
It is essential for you to grasp the fundamental function and structure of neurons and of the central nervous system as a psychiatric nurse practitioner before you can offer potential pharmacotherapeutics to treat or prevent a patient's illness or disorder. The purpose of this Assignment is for you to review and apply your knowledge of neuroanatomy by responding to a series of brief question prompts.

Preparation should include the following:

  • Examine the Learning Resources for this week in order to be prepared to complete this Assignment successfully.
  • Consider the fundamental function and structural characteristics of the neuron in relation to the central nervous system.
  • Consider the interconnections that exist between neurons and the central nervous system, as well as the pathway and distribution of electrical impulses in the brain and body.
  • Consider how neurons communicate with one another and the concept of neuroplasticity as you consider your options.

To finish, please do the following:
For your Assignment, you must respond to the following Short Answer questions. Make sure to add references to the Learning Resources for this week in your writing.

Explain the anatomy of the neuron, which is the fundamental unit of the nervous system, in four or five phrases. You should include a detailed explanation for each element of the neuron along with a basic summary of electrical impulse conduction, the pathway it travels, and the net result when the impulse is terminated. Provide specifics and specific examples.
Please respond to the following questions (a list is acceptable for these questions):
What are the key components that make up the subcortical structures, and how do they function together?
Which of the following components is involved in learning, memory, and addiction?
What are the names of the two primary neurotransmitters that are found in the nigra striatal region of the brain and that are responsible for a significant amount of motor control?
Explain the role of glia cells in the central nervous system in no more than three or four sentences. Provide specifics and specific examples.
An region between two neurons where chemical communication can take place is known as a synaptic cleft. Explain in three or four phrases what section of the neurons are communicating with one another and in which direction this communication takes place. Make a point of being explicit.
Explain the concept of "neuroplasticity" in three to five sentences. Provide specifics and specific examples.
By Day 7, you must turn in your assignment.

Information about submitting work and receiving a grade
Please complete the following steps in order to submit your completed Assignment for review and grading:

It is recommended that you store your Assignment with a name that follows the naming convention "WK1Assgn+last name+first initial(extension)" as the name.
To examine the Grading Criteria for the Assignment for Week 1, please refer to the Week 1 Assignment Rubric.
To access the Week 1 Assignment page, click here. You will also be able to "View Rubric" to see the grading criteria from this section..
Then, in the Attach File section, select Browse My Computer from the drop-down menu. Locate the document you saved with the name "WK1Assgn+last name+first initial.(extension)" and click on it to open it.
If relevant, please include the following information: The I agree to submit my paper(s) to the Global Reference Database checkbox may be found under the Plagiarism Tools section of the website.
To submit your submission, click on the Submit button to the right.
Criteria for determining a grade


NURS 6630 Rubric for the first week's assignments 

Inspect Your Assignment Draft to Make Sure It's Genuine
To double-check the legitimacy of your Assignment draft, do the following:

Submit a draft of your Week 1 Assignment and study the originality report before submitting it.

To be eligible to participate in this Assignment, you must submit your assignment by Day 7 of Week 1.

Week 1's homework assignment

What Happens in the Second Week?

Next week, you'll learn about neurotransmitters and receptor theory, and how they may influence the function of the nervous system's central nervous system. You investigate medication adherence and assess how it can affect a patient's ability to achieve his or her treatment goals.

The deadline for the practicum is approaching.
A number of practicum courses are needed for all Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP), including the Family Nurse Practitioner program. When applying for a practicum course, you must submit your application through Meditrek if you want to participate within two terms.

The Field Experience: College of Nursing: Application Process - Graduate web page provides detailed information on the practicum application process, including deadlines for submitting applications.

Please take the time to check the Appropriate Preceptors and Field Sites for your courses before registering for classes.

Please take the time to review the practicum manuals, FAQs, Webinars, and any required forms available on the Field Experience: College of Nursing: Student Resources and Manuals web page before registering for your practicum experience.

College of Nursing Field Experiential Learning Answers in a Hurry
The Field Experience: MSN Nurse Practitioner Practicum Manual is available online.
Resources for Students Participating in Practicums: NP Orientation for New Students Will Take Place Next Week
To move on to the following week:

Advanced Pathophysiology 6501 Walden University

To be effective, nurses must have a thorough awareness of pathophysiological disease processes that occur across the life span. It is the goal of this course for students to gain a thorough awareness of bio-physiological processes, as well as deviations from these processes, as well as an in-depth analysis of scientific concepts related to the biology of disease processes. Advanced practice nursing students study about the normal operation of organ systems as well as how organ systems interact with one another to assist the body maintain homeostasis (balance). Students obtain the knowledge and understanding of pathophysiological disease processes that they need to establish suitable treatment regimens for patients at all stages of their lives, from childhood to old age. Immunity, inflammation, cancer genetics, and cardiovascular disease are just a few of the topics that students learn about in class. They also examine a range of disease processes, including hematologic, renal, neurologic, gastrointestinal, and reproductive disorders.

 

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