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Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion
Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion
Week 8 Discussion Post
Evidence-based practice (EBP) information must be disseminated effectively to achieve the right outcome. The disseminated information should target a specific audience like the nursing staff, Techs, appropriate doctors, and support staff. For example, disseminating EBP information on fall risk assessment tools in the ED should be targeted to all ED staff that encounter the patient. Suggested dissemination strategies for success included formal staff training, mentorship, and collaboration (Jordan et al., 2018).  Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion Two dissemination strategies that I would use are educating and engaging the staff (Gallagher-Ford et al., 2012).
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Strategy to Educate the Players
It is essential to educate all the players involved in the implementation to disseminate EBP information effectively. Experts like Jordan et al. (2018) suggested that dissemination strategy includes formal training of the players involved in the implementation. For example, in-service training might be an excellent way to disseminate EBP information related to the use of new risk fall assessment tools. The information must be communicated clearly to avoid any misunderstanding of the new EBP Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.
There are several barriers to educating players on EBP information in the ED. The most cited barriers by healthcare experts include lack of time and competing demands (Jordan et al., 2018). Many nurses at my workplace find it challenging to make time for new training, especially face-to-face. Experts like Jordan et al. (2018) felt that scheduling training time and mentoring staff would help disseminate the EBP information to reduce these barriers. Other experts believe that fostering EBP within organizations requires robust infrastructure, including nursing leadership, and human and material resources can reduce some of the education barriers (Newhouse et al., 2007).
Strategy to Engage the Stakeholder
Experts like Gallagher-Ford et al. (2012) suggest using “Engaging the Stakeholder Strategy” as an effective way to disseminate information on evidence-based practice to use a new fall risk assessment tool in the Emergency Department. By doing so, the players can be better informed about the new EBP. “Engaging the Stakeholder Strategy” is crucial because it keeps the stakeholder inform and build their trust. I believe that the “Engaging the Stakeholder Strategy” effectively gets the buy-in from each stakeholder and makes implementation decisions a little easier. Also, each stakeholder can identify outcome measures. Gaining their buy-in can be helpful with planning implementation strategy (Ginex, 2018).
Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion One cited barrier related to the “Engaging the Stakeholder Strategy” includes the resistance to changes (Ginex, 2018). Many experts like Ginex believe that Stakeholders are more comfortable without changes “because we’ve always done it this way” (Ginex, 2018). Ginex (2018) suggested that one way to overcome the barrier of resistance is to engage the appropriate player. Doing so builds trust and enables us to learn from each player’s experience and gain applicable input to implementing the new EBP.
Least Inclined Strategy
The preferred method that I would use to disseminate the EBP is face-to-face presentations or conferences. I believe that the face-to-face method is the most appropriate way of disseminating EBP information. The face-to-face approach facilitates interaction and instant feedback so that clarifications can be made. On the other hand, I would limit the electronic dissemination of EBP information. Betz et al. (2018) noted that one significant drawback to using electronic dissemination is the unresolve lack of clarity and not having immediate clarification when needed.
 
References
Betz, C. L., Smith, K. A., Melnyk, B. M., & Tassa, T. (2018). Disseminating evidence through presentations, publications, health policy briefs, and the media. In B. M. Melnyk, & E . Fineout-Overholt, Evidence-based practice in nursing & healthcare: A guide to best practice (4th Ed.). Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion
Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54. doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e
Ginex, P K. (2018). Overcome barriers to applying an evidence-based process for practice change. Retrieve from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change
Jordan, J., Coates, W. C., Clarke, S., Runde, D., Fowlkes, E., Kurth, J., & Yarris, L. (2018). The Uphill Battle of Performing Education Scholarship: Barriers Educators and Education Researchers Face. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 19(3), 619–629. https://doi-org.ezp.waldenulibrary.org/10.5811/westjem.2018.1.36752
Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C. & White, K. M. (2007). Organizational Change Strategies for Evidence-Based Practice. JONA: The Journal of Nursing Administration, 37(12), 552-557. doi: 10.1097/01.NNA.0000302384.91366.8f.

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion instructions
Discussion: Developing a Culture of Evidence-Based Practice
As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.
To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 9

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.

By Day 6 of Week 9

Respond to at least two of your colleagues on two different days by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

 
Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion sample 2
Introduction
Evidence-based nursing practice is essential for proper patient care because it ensures improved patient outcomes and that health services are delivered effectively and efficiently. Sharing evidence-based practice results is necessary for implementation, and advocates for best care practices for patients (Williams & Cullen, 2018). Healthcare professionals have an ethical obligation related to researching and disseminating evidence-based practice (Milner, 2016). Spreading nursing knowledge is imperative to continue moving the nursing profession forward (Moyo, 2019). Sharing evidence-based information with others is beneficial and can help address unsatisfactory implementation in organizations. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion There are several different strategies for disseminating evidence-based practice within an organization. They should increase the reach and ability of fellow nurses and healthcare professionals to use and apply the evidence discussed. The following document will discuss a couple of different ways of disseminating evidence-based information, barriers that could arise, and how to overcome them so that they are effective.
Two Dissemination Strategies
Podium Presentations
The first dissemination strategy I would be most inclined to use is podium presentations. Podium presentations are a traditional way of sharing evidence-based practices and are oral presentations that educate audiences in a public manner. Podium presentations are used to educate healthcare staff and help disseminate information (Ross, Dlungwane & Van Wyk, 2019). Podium presentations convey knowledge by role-playing, modeling, feedback and assessment, and practical evidence to help healthcare professionals learn new information about evidencebased practices (Brukenthal, 2017). Podium presentations are a quick way to address a large group of people to ensure the information is delivered simultaneously. Research has shown that those who attend podium presentations have an improved understanding of the information shared and eventually incorporate it into practice (Brukenthal, 20171).
Unit-level presentations
The second dissemination strategy I would be most inclined to use is unit-level presentations. Unit-level presentations are already a familiar process to me, as I am on a unitbased council called Niche, and we frequently report to the unit. Unit-level presentations are useful in that they can also incorporate other means of dissemination as well, such as poster presentations, so you have multiple ways of sharing information just within this one modality. Posters are an invaluable communication tool to transmit learned knowledge to others (Moyo, 2019) Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion. Using them in conjunction with unit-level presentations is an efficient way to explain information. Unit-level presentations ensure evidence-based information is given directly to other healthcare professionals one is working with closely. Least Inclined Dissemination Strategy The dissemination strategy I would be least inclined to use is that of publication in peerreviewed journals. Peer-reviewed journals provide a trusted form of scientific information because the journal editors select the most vital evidence-based practice that can easily be implemented into an institution (Melnyk & Overholt, 2018). Peer-reviewed journals can reach a vast array of healthcare workers and share a lot of information all at once. However, writing and preparing for publication submission is time-consuming and, at times costly. Written papers can be reviewed for months, held before approval, which may delay disseminating research information at the proposed time. Delaying publication due to the quality check and submission process may slow down advances in medical knowledge and dissemination, mainly when the information addresses a recent health problem or disease or other issues relating to public health and safety Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.
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Two Barriers and Strategies to Overcome Them
The two identified dissemination strategies are not without their own barriers. Podium presentations pose the challenge of coming up with new presentations and public speaking limitations (Hicks, 2018). For example, a nurse who is not good at public speaking may not effectively present the EBP to the audience. Public speaking is not a skill that everyone possesses and can make it difficult to share information in this way. Additionally, a significant portion of healthcare providers do not attend podium presentations or decide not to participate, making its reach ineffective. However, to overcome these barriers, podium presentations must be supported with organizational commitment and administrative support to encourage and ensure their teams attend such an education program. Practicing before the podium presentation can be a way to organize thoughts properly and ensure the information is shared appropriately. Unit-level presentations pose the challenge of only reaching a small audience for the dissemination of information. Unit-level means that the data is only shared with immediate coworkers, not the hospital organization as a whole. Since we are in a technological age, one way of overcoming this barrier would be to have the unit-level presentation recorded. Once recorded, the information can be shared on a broader level, with other units, for example, to make the evidence-based information available to a broader audience.
Conclusion
Each type of dissemination strategy has positives and negatives, often decided by the structures within an institution and the nature of healthcare professionals found there. A strategy that works in one health care facility may or may not work in another facility. My recommendation would be to pair different strategies to increase dissemination effectiveness rather than relying on one approach. For example, the unit-level presentation paired with poster presentations because they are able to complement each other in the distribution of evidence= base practice. No matter the method, nurses and other healthcare professionals are obligated to continue education and disseminate knowledge (Milner, 2016).
 
References
Bruckenthal, P. (2017). From podium or poster to publication: Strategies for success. Pain Management Nursing, 18(2), 64. https://doi.org/10.1016/j.pmn.2017.02.162
Hicks, R. (2018). Transforming a presentation to a publication. Journal of American association of Nurse Practitioners, 27(9). https://doi.org/10.1002/2327-6924.12228
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion
Milner, K. A. (2016). Sharing your knowledge. Journal of Infusion Nursing, 39(5), 297–305. https://doi.org/10.1097/nan.0000000000000188
Moyo, M. (2019). The 5 Cs for developing an effective poster presentation. Journal of Radiology Nursing, 38(3), 210–212.
Ross, A., Dlungwane, T., & Van Wyk, J. (2019). Using a poster presentation to assess large classes: A case study of a first-year undergraduate module at a South African university. BMC Medical Education, 19(1), 1-9. https://doi-org.ezp.waldenulibrary.org/10.1186/s12909-019-1863-9
Williams, J. & Cullen, L. (2018). Disseminating an evidence-based practice project as a poster. Journal of Perianesthesia Nursing. https://doi.org/10.1016/j.jopan.2016.07.002
 
Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion sample 3
The history of nursing’s foundational framework can be contributed to the ongoing progression of the healthcare profession . The collaboration of continued education, advancements in healthcare technology, and  evidence-based practice (EBP) is the tool that propels healthcare to improve quality of care and patient outcomes. Dissemination of EBP is the final process prior to implementation of new practice guidelines (Melnyk & Fineout 2018 pg. 539). As stated by Melnyk & Fineout (2018), sharing EBP requires a clear and compelling body of evidence that is tailored to the audience and stakeholders. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion Careful consideration of disseminating new information will promote utilization across the healthcare spectrum, ultimately  further advancing the delivery of care.
 
More Inclined Dissemination Strategy
One strategy for dissemination of EBP is presentations at an organizational level. As stated by Häggman-Laitila et al. (2016), lectures and didactic presentations are the most popular teaching tool. Presentations at an organizational level enables the engagement of audience members through relatable experiences or events .Presentations enables nurses to critically examine their own practices and understand the need for EBP (Häggman-Laitila et al., 2016). Sharing previous clinical issues establishes a collaborative effort to incorporate EBP into clinical practice. Lastly, presentations provide a visual representation of outcomes that can be achieved. Visual presentations can be detected in the form of graphs, tables, and charts. A combination of teaching methods is more likely to improve knowledge, skills, and attitudes (Häggman-Laitila et al., 2016). Exposure to hearing and visualizing new information can reinforce the important of how this practice can be adopted into current guidelines to improve outcomes for patients. Although there are great benefits two presentations at an organizational level there are also barriers. Drawbacks include limited staff attendance and the inability to recall lecture information due to information overload. To overcome presentation barriers leadership could have multiple presentation times to increase staff attendance and include a condensed version of the presentation in paper form Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion.
Next, poster displays are easily accessible to introduce new teachings of EBP. Poster displays can be placed in various areas of the units for review of information. In previous experiences, visual representation posters are usually displayed in the bathroom, the break room, and in lounge areas. Repetitive visual representation of information reinforces understanding and creative thinking. Easily accessible information has a greater potential of reaching a wider audience thereby promoting discussions of how EBP applies to the current state of the unit and encouraging staff members to collaboratively determine how the new information can be implemented to improve patient outcomes. Barriers to poster displays include the inability to engage audience and the potential for posters to be misplaced or destroyed. Strategies to overcome obstacles for poster displays can include eye- catching graphics and laminating the posters to prevent damage.
Least Inclined Dissemination Strategy
Although journal publications or organizational journal clubs is the most common technique for dissemination of information, in my opinion it is the least likely way to share new information with the healthcare profession on a healthcare organizational level Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion. Journals are a great tool to introduce new practices and interventions due to the ability to provide supportive evidence. Next, journal clubs that are associated with an organization such as American Nurses Association (ANA) are the least likely method to share information, statistics show that less than 10% or nurses belong to an organization. Hurdles that impede journal publications and journal clubs as a great source of sharing information is inaccessibility. Additional obstacles of dissemination of EBP include  lack of time, unsupported attitude towards new information, nursing morale, and a lack of leadership or mentor involvement (Williams et al.,2016).
References 
Häggman-Laitila, A., Mattila, L.-R., & Melender, H.-L. (2016). Educational interventions on evidence-based nursing in clinical practice: A systematic review with qualitative analysis. Nurse Education Today, 43, 50–59. https://doi-org.ezp.waldenulibrary.org/10.1016/j.nedt.2016.04.023
 
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion
 
Williams, J. R., Caceda-Castro, L. E., Dusablon, T., & Stipa, M. (2016). Design, development, and evaluation of printed educational materials for evidence-based practice dissemination. International Journal of Evidence-Based Healthcare, 14(2), 84–94. https://doi-org.ezp.waldenulibrary.org/10.1097/XEB.0000000000000072
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Dissemination Strategies Discussion Essay

Dissemination Strategies Discussion Essay
Dissemination Strategies Discussion Essay
Discussion: Developing a Culture of Evidence-Based Practice
As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.
To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP. Dissemination Strategies Discussion Essay

By Day 3 of Week 9

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

By Day 6 of Week 9

Respond to at least two of your colleagues on two different days by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

 
Dissemination Strategies
 
“Evidence-Based Practice (EBP) is a problem-solving approach to making clinical, educational, and administrative decisions that combines the best available scientific evidence with the best available practical evidence.” (Newhouse et al., 2007, p. 556) Two dissemination strategies that I would utilize are unit-level presentations and posters. (Melnyk, 2018). In the emergency department (ED), we utilize unit-level presentations in the form of start of shift huddle. We have four daily huddles; this is where appropriate data is shared to improve clinical practice. Staff is gathered in a centralized location in the ED during huddle which allows information to be disseminated quickly. Leadership shares our department metrics, policies and procedures, and important updates critical to the day’s work. Staff are then given the chance to voice concerns, pose questions, and share any other data considered fundamental for practice. (Melnyk, 2018). The biggest barrier to this strategy is that information is giving verbally and missing the huddle or distractions during huddle means that someone may miss important information with this communication method. (Melnyk, 2018) Dissemination Strategies Discussion Essay. Ways to improve on this type of strategy is to move huddle to a private or less crowded area of the ED so there are less distractions or to follow up critical information with a written recap that can be reviewed at a later time. (Melnyk, 2018).
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Another strategy to disseminate information would be through the use of posters. Emergency departments can be hectic and fluid, therefore adapting to many changes at once is often necessary. (Melnyk, 2018). Medical staff work closely with one another to provide patient care. With poster presentations, the disseminated information only presents the most vital information related to a topic. It is visual and easy to read so the information can be learned and absorbed quickly. (Melnyk, 2018). Although, this is informal, it does allow continued interaction among colleagues. Recently, during huddle, a poster was presented with our new blood culture adapter devices. The poster included the steps for use of the new adapters, statistical information on the ED blood culture contamination, core measure standards, and proposed outcomes. The ED was able to change quickly to using the new device as it gave a visual presentation on where we were, what we needed to do, and what needed improvement. A month later, updated on the effectiveness of the new devices was provided via huddle with significant reductions in blood culture contamination rates in the ED. Barriers to this type of dissemination strategy is there that the poster could miss critical information, be too busy to read. (Melnyk, 2018). The content could be either to sparse for real value or contain too much information, or be placed in an area where no one sees it. There is also no way to confirm that all nurses learned the information or that the information was understood. Strategies to help with this can be to make sure that the presenter uses PowerPoint slides or clear graphics, sequencing the information to ensure that the poster is concise and easy to read in a visible area. (Melnyk, 2018). Additionally, the presenter should offer specific times to be available for questions and include ways for follow up to be provided, such as through email.
 
The highest level of care and the best patient outcomes can be obtained when provided in a compassionate and inclusive organizational culture. (Gallagher-Ford et al., 2011). Two dissemination strategies least included to use in the ED are podium presentations and community meetings. Both of these types of strategies are more formal and typically in a larger setting. (Melnyk, 2018) Dissemination Strategies Discussion Essay. From the perspective of working in the ED, it is difficult for a bigger group medical staff to step away to a large community meeting or to be available for a podium presentation. Usually, there may be one or two individuals who would attend this type of meeting, then would re-present the information in smaller, less formal gatherings, like at huddle. The disadvantage is that some of the scope of the evidence based-content is lost when re-presented and would not include the details like an overhead presentation or lengthy explanation of the issue. (Melnyk, 2018). There would also be no availability for questions and answers as the information would have been re-disseminated and the speaker would not know the content in detail.
 
 References
Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. Retrieved April 27, 2021, from https://doi.org/10.1089/109744699315723
 
Melnyk, B. M. (2018). 20: Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, and the media. In E. Fineout-Overholt (Ed.), Evidence-based practice in nursing and healthcare (4th ed ed., pp. 547–602). Wolters Kluwer Dissemination Strategies Discussion Essay.
 
Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L., & White, K. (2007). Organizational Change Strategies for Evidence-Based Practice. JONA: Journal of Nursing Administration, 37(12), 552–557. https://doi.org/doi: 10.1097/01.NNA.0000302384.91366.8f
 
 
 
Dissemination Strategies Discussion Essay sample 2
Main Discussion Post- Week 9
It takes a leader, or someone influenced by others to teach EBP material to improve outcomes and patient experience. I would describe myself as a transformational leader, who strives to build relationships with those who are learning as to improve work flow and moral (Melynk & Fineout-Overholt, 2018, pg. 335). Using Dissemination strategies to teach EBP research and theory, nurses provide person-centered care (Humbles & Jones, 2019). Two dissemination strategies I would use to explain widely cited EBP research are unit specific posters and podium presentations with a power point overview. I choose these dissemination strategies because they are frequently viewed, have short text and provide specifics related that specific research. Unit specific posters could have barriers such as limited space for information and being informal. Electronic posters such as those on a computer have greater benefits because text and pictures can be enlarged to show detail. Electronic posters also help with displaying information for a large group of people. For example, if I was given a educational speech in an auditorium, a paper poster would be difficult to use (Melynk & Fineout-Overholt, 2018, pg. 556). Two barriers associated with podium presentations if lack of time allowed for group questions. For example, there is limited interaction or feedback from the audience. The second barrier is lack of graphics or visual data. Visual learners need pictures and graphs to understand EBP research. For example, for podium speeches I would also use a power point for visual data and frequently asked questions.
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Two choices I would not like to use is media and peer-reviewed journals. According to Melynk & Fineout-Overholt (2018), a cost-versus-benefit analysis should be performed first. Other research analysts may deem your research invalid to protect their prior research. Peer-reviewed journals produce a large amount of information and although they are extremely useful in EBP research, the text is long and would require a lot of reading. According to Gallagher-Ford et al. (2011) EBP research used to engage in a project should include stakeholders and administration support Dissemination Strategies Discussion Essay. The EBP team should review the kick off meeting prior to conducting the kick off meeting to engage in EBP guidelines.
Resources
Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx
Humbles, Patricia, PhD., R.N., & Jones, Sylvia, MSN/Ed, R.N., P.H.N. (2019). Faculty and students find a niche in scholarship: Teaching strategies to disseminate scholarly evidence-based practice projects. ABNF Journal, 30(4), 109-112. Retrieved from https://ezp.waldenulibrary.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fscholarly-journals%2Ffaculty-students-find-niche-scholarship-teaching%2Fdocview%2F2336263321%2Fse-2%3Faccountid%3D14872
Melynk, B. M. & Fineout-Overholt, E. (2018). Evidence-base practice in nursing & health care: A guide to best practice. (4th ed.). Philadelphia, PA: Wolters Kluwer Dissemination Strategies Discussion Essay
 
 
 

The Application of Data to Problem-Solving Nursing Essay

The Application of Data to Problem-Solving Nursing Essay
The Application of Data to Problem-Solving Nursing Essay
The Application of Data to Problem-solving
Healthcare Scenario
In a pediatric outpatient primary care clinic, one provider alone may see 15-20 children in a day, at the least. Some of those children may live in a home where food choices and physical activity may not be the healthiest. As healthcare providers, it is important to look at the whole child and family dynamic when assessing a child’s health status The Application of Data to Problem-Solving Nursing Essay. Therefore, gaining data on children’s health in the home could help prevent certain mental and physical illnesses.
Data to be Accessed
            Some important data to be obtained could include the patient’s weight, blood pressure, a food diary for the patient, an activity diary, and a feelings/mood diary. Some other good ideas from Imoisili et al. (2021) would be to include hemoglobin A1c and liver markers such as ALT and lipids. Depending on the age, this could be done using a sort of game to help children be more motivated to document their daily choices. The patient could write it down in a notebook that the clinic can provide for them, or if they are younger, they can draw pictures in it. What might be useful for older children is documenting their food intake, activity level, or mood on a mobile device application that can be synced to the clinic’s medical record. The Application of Data to Problem-Solving Nursing Essay The only one who would have access to this would be the patient’s provider. If the patient is using a notebook to write or draw in, they would simply return it once a week to the clinic to be documented in the medical record system.
Knowledge Derived from Data
            From this specific data, we can obtain a deeper knowledge of a patient’s life at home, of the food options the patient has available to choose from, their activity level, and their emotional state. All of these play a factor in a patient’s overall health. Each category of health affects the other. This knowledge can help us to target what needs to be focused on instead of simply telling the patient and his or her parents that they must eat healthier and be more physically active. Diving into what is really the issue behind the patient’s increased weight will provide more success rates for the patient and family. The underlying issue may not even be physical activity or food choices. It may be psychological stress on the child, in which case, resources would be provided for them to help resolve the psychological issue within the patient The Application of Data to Problem-Solving Nursing Essay.
Clinical Reasoning and Judgement
            Clinical reasoning and judgement can be formed from the knowledge obtained from this specific data by observing the trends of certain ages and population groups in their physical activity and food choices. The Application of Data to Problem-Solving Nursing Essay The nurse leader can infer from this information the influences of each individual patient’s daily life and possibly be able to offer suggestions of lifestyle changes that the family and patient can implement in their daily choices.
Application of Data
            With the application of this data obtained, we as healthcare providers must keep in mind that the “psychosocial concerns such as stress and dysfunction in the family, or a child’s experience with bullying can increase the chances of dropout” (Berry et al., 2021). So we must make sure that when we apply this new information to our patient’s lives, that we follow up with them and make sure we gave them the greatest chance of success for the future and for the rest of their lives. A study performed by Thompson et al. (2019) showed that regular checkups and teachings from nutrition specialists and behavioral specialists with the patient and family greatly increase the success rate in weight management over a two-year period.
Conclusion
            Pediatric obesity is a prevalent issue in today’s world, and as we integrate data that we obtain from current patients, we can positively affect the outcome of their health now and in future years to come. We can obtain data from our patients electronically or written. That is the beauty of today’s technology and our increasing ability to help our patients in more than just the conventional method.
  
Resources
Berry, D. C., Rhodes, E. T., Hampl, S., Young, C. B., Cohen, G., Eneli, I., Fleischman, A., Ip, E., Sweeney, B., Houle, T. T., & Skelton, J. (2021). Stay in treatment: Predicting dropout from pediatric weight management study protocol. Contemporary Clinical Trials Communications, 22. https://doi-org.ezp.waldenulibrary.org/10.1016/j.conctc.2021.100799 The Application of Data to Problem-Solving Nursing Essay
Imoisili, O. E., Lundeen, E. A., Freedman, D. S., Womack, L. S., Wallace, J., Hambidge, S. J., Federico, S., Everhart, R., Harr, D., Vance, J., Kompaniyets, L., Dooyema, C., Park, S., Blanck, H. M., & Goodman, A. B. (2021). Body Mass Index and Blood Pressure Improvements With a Pediatric Weight Management Intervention at Federally Qualified Health Centers. Academic Pediatrics, 21(2), 312–320. https://doi-org.ezp.waldenulibrary.org/10.1016/j.acap.2020.11.026
Thompson, K. L., Chung, M., Handu, D., Gutschall, M., Jewell, S. T., Byham-Gray, L., & Parrott, J. S. (2019). The Effectiveness of Nutrition Specialists on Pediatric Weight Management Outcomes in Multicomponent Pediatric Weight Management Interventions: A Systematic Review and Exploratory Meta-Analysis. Journal of the Academy of Nutrition and Dietetics, 119(5), 799–817. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jand.2018.12.008
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7 months ago
Tanaka Ruzvidzo 
Week 1 – Peer Response #1
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7 months ago
Robin Moyers WALDEN INSTRUCTOR MANAGER
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7 months ago
Tiffany Turner 
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Tanaka Ruzvidzo 
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The Application of Data to Problem-Solving 
Healthcare Scenario 
The Healthcare scenario I have selected is a suicide risk assessment. Suicide has been on the rise, more so due to the Covid-19 pandemic The Application of Data to Problem-Solving Nursing Essay. Working in an in-patient setting I have seen this first-hand.  It is important therefore to quickly and accurately assess the risk of suicide on all patients coming into the hospital. According to Saab et. Al (2021), risk assessment is key to effective self-harm and suicide prevention and management. This needs to be done immediately during ER triage, on admission to a unit and as needed during their hospital stay depending on behaviors assessed.  
Data to be Accessed 
A questionnaire can be developed to ask specific questions that will give guidance on how to proceed. Using informatics, an algorithm can be developed depending on the answers given that will direct course of action to be taken. Data that can be gathered include asking questions like suicide ideations, attempts, plan, depression etc. Data can also be gathered from others, like family members, friends, case workers, or anyone else. 
Clinical Reasoning and Judgment 
Depending on the algorithm the treating clinician then will put in a consultation for behavioral health to assess the patient. Behavioral health will then use the data gained from the assessment to decide if the patient is at high suicide risk and qualifies for their services or not. The Behavioral health clinician is trained to look at different things like nonverbal communication, body language as well as the patients’ responses to questions. This in addition to the data gained from the questionnaire can determine the next course of action.  
Application of Data 
Once all the data is put together, it is like the pieces of a jigsaw puzzle coming together. Information gathered from ER triage, through to patient admission and during their stay is integrated to give a wholistic picture. “Informatics are a set of tools, and that the important use of informatics has to do with how you use those tools strategically” (Paone & Shevchik, 2017). Using the data gained they can decide whether the patient needs to be admitted to the behavioral unit, whether they will need outpatient counseling, or if they are not at risk and can be discharged to go home. Strategic use of the data is important to determine the way forward. 
Conclusion 
Data analyzed regarding suicide risk can be one step in alleviating this by ensuring early identification and assessment. This will ensure aid is quickly given to those that are most vulnerable and help reduce the rate of suicide. “Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved” (Sweeney, 2017). Thanks to informatics this is doable and can improve not only patient outcomes, but also enhance the quality of healthcare provided. 
References 
Paone, S., & Shevchik, G. (2017). Trends in Population Health. YouTube. YouTube. Public Health Informatics: “translating” knowledge for health. 
Saab, M. M., Murphy, M., Meehan, E., Dillon, C. B., O’Connell, S., Hegarty, J., Heffernan, S., Greaney, S., Kilty, C., Goodwin, J., Hartigan, I., O’Brien, M., Chambers, D., Twomey, U., & O’Donovan, A. (2021). Suicide and self-harm risk assessment: A systematic review of prospective research. Archives of Suicide Research. https://doi-org.ezp.waldenulibrary.org/10.1080/13811118.2021.1938321 
Sweeney, J. (2017). Healthcare Informatics. Online Journal of Nursing Informatics, 21(1), 4–1. 
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7 months ago
Tae Kim 
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Thank you for a great post, Tanaka. It is not only critical to assess the suicidal risk on admission, each shift, and as needed but also to utilize coping skills to intervene suicidal thoughts and attempts The Application of Data to Problem-Solving Nursing Essay.
Suicide is a serious issue that seems to keep growing despite prevention efforts. Suicides have increased by 24 percent in the past 20 years and now suicide is one of the top ten causes of death in the US. Not only is the problem growing there has been little progress over the last 50 years in understanding suicide and improving outcomes in at-risk individuals (Coppersmith et al., 2018). Identifying high-risk patients is difficult. RNs are considered “front-line” in suicide prevention because of their contact with patients but RNs rarely identify at-risk patients. Yet most people who do commit suicide had visited a healthcare provider within the previous month.  Part of the reason for failing to identify at-risk patients is that most RNs have little or no training on how to assess, treat, evaluate or refer a suicidal patient. RNs , therefore, feel ill-prepared and afraid to talk to patients about suicide (Bolster et al., 2015). Although PMHNPs are better trained and should be better able to identify at-risk patients, this may not necessarily be the case. One study in rural Kentucky indicated that nine of ten psychiatric nurses surveyed overestimated their ability to identify and treat persons with suicidal ideation (France, 2019).
Informatics offers significant opportunities in the effort to identify at-risk patients. One example is through the natural language processing of social media. Studies with natural language processing and machine learning have detected quantifiable signals around suicide attempts and how to design an automated system for estimating suicide risk among patients. The results could be used by those without specialized mental health training (e.g., primary care doctors) to identify at-risk patients. Although this is a potentially life-saving technology, there may be ethical and privacy implications. So far this technology has been used only for individuals who have “opted in” for analysis and intervention (Coppersmith et al., 2018) The Application of Data to Problem-Solving Nursing Essay.
References
Bolster, C., Holliday, C., O’Neal, G., & Shaw, M. (2015, January) Suicide assessment and nurses: What does the evidence show?  The Online Journal of Issues in Nursing, 20(1).  https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No1-Jan-2015/Suicide-Assessment-and-Nurses.html
Coppersmith, G., Leary, R., Crutchley, P., & Fine, A. (2018).  Natural language processing of social media as screening for suicide risk.  Biomedical Informatics Insights, 10, 1 – 11.  https://journals.sagepub.com/doi/pdf/10.1177/1178222618792860
France, W. F. (2019).  Psychiatric nurses’ knowledge of suicide prevention.  [Dissertation, Walden University].  Walden Dissertation and Doctoral Studies Collection.  https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8505&context=dissertations
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7 months ago
April Ward 
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Tae Kim 
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When a patient or member of their family is ill, injured, or suffering from any medical condition, they and their families rely on healthcare experts to help them recover. We may help, but we can also cause harm if we make key mistakes. As nurses, we must use whatever tools we have at our disposal to enhance our capacity to serve while reducing the possibility of making mistakes. This is a career that largely relies on information. That data must be valuable and meaningful. The characteristics of valuable and meaningful information include “accessibility, security, timeliness, accuracy, relevancy, completeness, flexibility, reliability, objectivity, utility, transparency, verifiability, and reproducibility” (McGonigle & Mastrian, 2017, p. 23).
We utilize informatics from the time a patient is admitted until they are discharged at the hospital where I am presently working. Patient identification mistake is one of the avoidable issues. If they have the same first or last name, they are emphasized with a distinct letter style. In a typical scenario we use Medical Record Numbers (MRNs), patient’s initials, picture identifications and Contact Serial Numbers (CSNs). Additionall

Cardiovascular Shadow Health Self-Reflection example

Cardiovascular Shadow Health Self-Reflection example
Self-Reflection
Explicitly describe the tasks you undertook to complete this exam.
Student Response: I performed a comprehensive assessment. It is a complete, in-depth assessment that includes a complete health history and physical assessment. I have followed the comprehensive assessment following our school immersion examination steps for gathering an objective physical examination. I feel much more comfortable doing the head-to-toe examination somehow. In addition, the interview I performed to obtain were the personal history of illness, family medical history, current and past treatment, medications, risk factors, surgeries, and lastly interview for mental status.
Explain the clinical reasoning behind your decisions and tasks.
Student Response: Through a comprehensive assessment, the interview started with finding the reason for the clinic visitation, with any health concerns Tina may have. While interviewing Tina, I obtained the subjective data and an education on the current medical problem or preventive medical issues.
Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice.
Student Response: Overall, I have improved my assessment techniques by not only interviewing but also through a physical examination throughout the last 7 weeks. I’m glad that I have the opportunity to use this simulation before an encounter with my first real patient for clinical practice, and know what I am looking for assessment. Honestly, I have never comfortable to ask personal questions such as a sexual relationship, use of illicit drugs, etc. which I thought of privacy which I have never touched before in my nursing career. I realized these questions are part of the necessary data for assessing and diagnosis patients and I feel much comfortable and thankful for this opportunity.
 
Explicitly describe the tasks you undertook to complete this exam.
Student Response: I performed a comprehensive assessment. It is a complete, in-depth assessment that includes a complete health history and physical assessment. I have followed the comprehensive assessment following our school immersion examination steps for gathering an objective physical examination. I feel much more comfortable doing the head-to-toe examination somehow. In addition, the interview I performed to obtain were the personal history of illness, family medical history, current and past treatment, medications, risk factors, surgeries, and lastly interview for mental status.
Explain the clinical reasoning behind your decisions and tasks.
Student Response: Through a comprehensive assessment, the interview started with finding the reason for the clinic visitation, with any health concerns Tina may have. While interviewing Tina, I obtained the subjective data and an education on the current medical problem or preventive medical issues.
Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice.
Student Response: Overall, I have improved my assessment techniques by not only interviewing but also through a physical examination throughout the last 7 weeks. I’m glad that I have the opportunity to use this simulation before an encounter with my first real patient for clinical practice, and know what I am looking for assessment. Honestly, I have never comfortable to ask personal questions such as a sexual relationship, use of illicit drugs, etc. which I thought of privacy which I have never touched before in my nursing career. I realized these questions are part of the necessary data for assessing and diagnosis patients and I feel much comfortable and thankful for this opportunity.
 

How To Write A Term paper: Master Guide

How To Write A Term paper: Master Guide
 
A term paper is a unique research paper required at the end of a school semester. The focal point of a term paper is to gauge a student’s knowledge of the course. Therefore, a student must understand how to write a term paper that is logical, clearly formatted, well-analyzed, and properly researched.
A regular academic term paper is about a few pages long. There is no size that fits all the length of a term paper. Thus, the length depends on the professor’s instructions. So stick to your instructions. The most common length of a college term paper is 5000 words. If the paper is single-spaced, 12pt font, single column, and 1-inch margin format, it should be 15 pages.
What Is The Difference Between a Research Paper and a Term Paper?
There always has been a cloud of bafflement on the difference between a research paper and a term paper format. But the first difference is the submission time frame. A college term paper, just like its name, has to be submitted at the end of a term. On the other hand, a research paper can take several months or a few years to complete in some situations.
Again, on the time frame, you will be tasked with a research paper right at the beginning of a semester. As for college term papers, you are mostly to be assigned in the middle of the semester.
A college research paper is a bit more intricate.
A research paper has a hypothesis, and when concluding a college research paper, you can agree or disagree. A term paper format is straightforward. Typically, a term paper will try to back existing thesis papers. That is why a research paper has to be longer.
Although a research paper is vital, it has no impact on the final grade, whereas a term paper is crucial to the final grade.
Another difference between a research paper and how to write a term paper is the purpose. A research paper aims to find a suitable solution to an existing problem in a specific field. It aims to solve a real-life problem. A term paper is simply a showcase or display of the understanding or knowledge of a student on a specific topic.
Standard Term Paper Format
As we had mentioned earlier, some specific parts of your term paper, for example, the length, are not universal. It depends on your teacher’s instructions. Thus, the nature of the format of your term paper will depend on your course. For context, how one will format a nursing term is entirely different from a sociology term paper.
Fortunately, there is a standard term paper format. Most term papers will bear the following college term paper formats.
Title Page
A title page should be separate from the rest of the topics. A term paper title page includes the term paper heading, your name and course name, the name of your professors and the date.
Acknowledgment
The acknowledgment section consists of
Topic
List your topic and describe your subject briefly
Rationale
Give valid reasons for choosing the selected topic
Other Information
Provide any other information you deem fit to be in the introduction
Table of Contents
Abstract
Write on the questions that your term paper will answer and a short overview of the whole paper.
Literature Review
In the literature review section, articulate the research methodologies and the procedure you used to apply them. Give as many details as possible and remember to stay logical, avoid being fluffy, and keep in mind the word limit.
Results
Finish your term paper by giving your conclusions and closing statements. Give your perspective on whether the hypothesis was true or false.
Future Recommendations
Suggest ideas that future researchers can begin to work on.
References
Outline all sources used in your research. Ignoring the required term paper format might have your instructor accusing you of plagiarism. The most common citation format is MLA and APA.
MLA Formatting – College Term Paper Format
MLA (Modern Language Association) is among the most common formatting guides. MLA is quite common in humanities and liberal arts. It is crucial to follow the MLA referencing guidelines to the latter. Here are some critical formatting rules in MLA term paper formatting.

Your term paper should be double-spaced. Ensure there are no extra spaces and single spaces
You should have a 1-inch margin on both sides of your term paper
You should use 12 pt Times New Roman font
Align all the text to the left
Indent all your paragraphs to the right. Each indentation should be at least ½ inch.
The title should be centered and appear under the heading details. Do not underline or bold titles whatsoever.
Add your last name and page number to the right top corner of each page.

APA Formatting- College Term Paper Format
The APA (American Psychological Association) term paper format is widely used in social sciences. Here is a brief guide on how to reference your term paper in APA

Your paragraphs should be indented ½ inch.
Create a first-page header that contains the page number and a capitalized running head
Set 1” margins on all sides of your term paper
Double-space your term paper throughout
Use 12pt Times New Roman font
Your paper should be in A4 white paper with dimensions of 8.5”x 11”

How to Write a Term Paper Proposal
Before writing the actual term paper, you need to know how to write a term paper proposal. You must defend your term paper proposal before writing the actual term paper. Therefore, the term paper proposal should be written and submitted for approval.
In your academic term paper, use the most recent studies and research. The referencing rules also apply. The description should be clear so your professor can understand what you plan to talk about.
In most cases, your instructor will provide a term paper proposal template, and if they don’t, here is a format to help you out.
Title
This is simply the draft title of what you plan to research. It should be clear and easily understandable.
Objectives
Each term paper has objectives. Outline the outcome of your research
Relevance and Importance
Why is your term paper title crucial? Include the latest news, articles, events, and even blogs that show your selected topic is vital. Your information should be credible and grab the reader’s attention.
How to Write a Term Paper Outline
Before you get down to how to write a term paper, you need to have a plan. Your term paper outlines your direction as you maneuver the writing process. You will get to draft all the points discussed in your writing process.
Writing a term paper is a lengthy process, and you will need help to stay focused and stick to the critical points of your paper. In some cases, the instructor might ask you for a term paper outline before you begin writing. The instructor will do this mainly because they want to know where you are headed with your term paper and help you improve the areas that need improvement.
Sometimes, you might bump across a point midway through your nursing term paper, and an outline will guide you towards correctly inputting your idea. You can revise, structure, and restructure your points until you find your desired term paper format.
A term paper needs careful and logical restructuring. Before you write any paragraph, think it through clearly if it is where it is supposed to be. Think about your main topic and how you will use the key points to support your arguments. Subdivide the key points and list the relevant data and other material that you will use to back your points. These listed points will be your headings and subheadings.
Here is a guide on how to write a term paper outline.
Introduction
This is your initial part, and it should introduce the reader to the issue at hand and give your perspective on the issues or state your thesis.
Body
This is the meat of your term paper. You should divide your body into several headings and subheadings depending on the different ideas of the topic you want to put across.
Here is a quick tip
H1: A brief history of the issue
H2: How far has been the issue at hand been handled
H3: The outcome of the issue being explored
H4: Possible solutions
Conclusion
A summary of the points discussed and your perspective on the thesis statement.
How to Write a Term Paper
At this point, you have everything you need at your disposal to nail a term paper. Here is a step-by-step process with no steps skipped on how to write a term paper that will earn you that A.
Create a Title Page
This is quite simple. Although in some instances, a title page might not be required. The title page always depends on the required styles. A title page should inspire you to write text. On your title page, include your topic, the name of your school, and other relevant races. This will make it easier to start writing the main text.
Structure of Your Content
With the help of your pre-written term paper outline, you have enough information to create your term paper. Use the listed headings and subheadings as a guide to writing the text. You can also be creative and formulate other headings to improve the readability and distribute the data evenly in all sections. You don’t want to overload some sections and leave other sections with less content.
Write Your Introduction
The introduction to your term paper is an essential part. You need to input maximum effort whenever you are writing your introduction. To make things easier on how to write a term paper, outline the objective and goals of your academic term paper.
Note down the main reason why you opted for the term paper topic or why your term paper topic is relevant to your field of study. Also, write about the methods you use in your research. Feel free to be creative as possible and make your introduction as attractive as possible. When the introduction is easier, how to write a term paper also becomes easier.
Write Your Body
This is the central part of how to write a term paper. The body section is lengthy, determining how well you will score in your term paper. In the body, you list headlines and discuss them further in paragraphs whilst expanding on the topic and summarizing the information. Ensure your paragraphs and ideas flow smoothly and coherently. Sections that lack logical flow ideas will ultimately hurt your final grade.
Include other features such as graphs, tables, calculations, and drawings to articulate your points. Such features will help the reader understand your arguments better. Charts and other figures will also make your instructor perceive you as a serious student. These features signify that you put in maximum effort to produce a high-quality academic term paper.
Conclusion
The term paper conclusion should be straightforward since you do not need any new information. Refer back to the introduction and answer the question or the thesis statement, summarize your key point, and reiterate the importance of your term paper to your relevant field.
Referencing
Depending on the formatting style you are using, list all the sources. The section contains all the references as used in your text. List all the textbooks, journals, blogs, and other sources if you have used them.
Proofread Your Paper
Finally, proofread your paper. Although proofreading might sound cumbersome, you must proofread your paper to remove errors. If you’re having difficulty proofreading your entire paper, you can hire proofreading experts to do it for you at a fee. You don’t want to score poor grades on your term paper because you were too lazy to proofread your paper.
Tips on How to Write a Term Paper
Learning how to write a term paper that will earn you that A+ is an art. It requires more than sitting down on your computer and typing bunches of text on a blank page. Luckily, some tips can help you write an A+ academic term paper. These tips will help you to avoid stress and sleepless nights.
Write a Catchy Introduction
Input maximum efforts to write your introduction. You should be able to grab the reader’s attention by the eyeball with the first few words. If you get it right from the beginning, you are guaranteed top grades. You should think of perfect words, facts, and questions that will immediately grab the reader’s attention and spark their curiosity to read more.
Use an Original and Unique Topic
The rule of the thumb on how to write a term paper is to use an interesting topic. Look into those topics that are unique and have enough research available. Explore all your creativity and formulate an exciting term paper heading.
Ask your classmates about the topics they have written and try to be as unique as possible. If you find that your classmates have a similar topic, try to change it. You might be surprised by interesting topics you will stumble upon.
Use Relevant Information on Topic
After selecting the topic, the next thing on how to write a term paper is to get down to finding relevant information right away; otherwise, you might have less time for doing research. Use the library, internet sources, textbooks and sources, and other textbooks. In backing up your sources, make sure you use only relevant sources. Avoid irrelevant details that do not add value to your term paper.
Stick to The Outline
A term paper outline is your key to success. It will help you navigate the entire writing process, so spend enough time writing your term paper outline. A detailed term paper outline will come in handy for writing a logical and systematic term paper.
With a term paper outline, you are less likely to forget any crucial point you have noted down if you have no idea how to write a term paper outline. Use our term paper outline guide.
Write The Abstract
The abstract is similar to the trailer of a movie. You should have a short abstract for your term paper. An abstract is essential since it tells the reader more about what you will discuss in your paper.
Write a Powerful Body Section
Your body section also requires maximum effort. Focus on the fundamental ideas of your academic term paper and give supporting arguments on each key concept. The number of paragraphs is relative to the subject and the instructions from your professors.
So be keen to read and understand the instructions. Always introduce your key point well and make your position clear by using clear arguments.
Summarize Your Term Paper
The final part on how to write a term paper is a summary—also known as the conclusion section. Do not add any new information but instead summarize the ideas you mentioned before. The main function of a summary or conclusion section is to give the reader thoughts on your term paper. Make the readers’ time worthwhile.
Edit and Proofread
Take some time off your term paper and come back and reread it. Come back and check out grammar and spelling mistakes, among other things. Tweak and twist until you achieve the perfect academic term paper.
Sometimes you might not notice mistakes after writing a paper, so it is ideal to delegate it to someone else. A new set of eyes will be better positioned to detect any flaws in your term paper.
Term Paper Headings
Your professor will usually provide term paper topics; however, you can choose your topic in some cases. You can find research paper topics in the news, magazines, blogs, and articles. Now that you have learned how to write a term paper, here are a few academic term paper topics.
 Education Term Paper Headings

Integration of disabled students vs. special classroom setting for their specialized needs
Teachers’ requirements/needs in comparison to teaching as a service profession
Exams regularly serve little purpose other than to assess a person’s ability to take exams. Should exams be abolished in favor of another method of evaluation?
No government support vs fairness to parents who pay twice for education
Discrimination in education
Fewer than 10% of students earn “As” in some European schools. Is there grade inflation in the United States of America? Why do Americans have so many “As”?
Compared to course requirements alone, standardized tests are required for advancement.
School’s responsibility vs. parental responsibility for school violence
Permit corporal punishment
What’s the difference between multilingual/multicultural and basic education?
Policing schools
Is the No Child Left Behind Act effective?
Teacher competency tests vs degree requirements only
Homeschooling
Should American teenagers adopt the British practice of taking a year off between high school and college?
Placement by age vs placement by academic ability
Education and funding
Intimidation of violence vs. toughness with adaptability
Standardized tests
Grade inflation
Nationally standardized assessments versus local management of educational resources
Church-state separation vs. religion’s contribution to the common good
Drug and alcohol abuse, pregnancy, suicide

Environmental Term Paper Headings

How to stop wasting paper and save trees?
Should there be more films about environmental concerns created?
How to expound on the appropriate adaptation of hurricane-prone structures?
Is nuclear power safe for humans?
Is it possible to predict hurricane impacts?
What are the most effective strategies for mitigating global warming?
Earthquake effects on the underground
Can overpopulation be managed?
How dangerous is GMO food?
Human impacts on forests

College Term Paper Headings

IELTS Vs. TOEFL.
Colleges should have education consultants to help the students.
The flawed education system of the United States
Distance learning and its usefulness.
Can an average person become a politician, and how?
Importance of getting a degree in professional life.
College dropouts are more likely to become billionaires. Do you agree?
How should students plan for college tuition?
Children should choose those subjects that interest them. Agreed?
How does substance abuse affect the performance of college students?
The College curriculum should include specific classes for boys and girls.
How to be successful in life?
Emerging graduate programs.
4-year college degree vs. 2-year degree.
Physical punishments and their impact on children.

Environment Term Paper Headings

How have preceding oil spills influenced regulatory policies and cleanup procedures?
Conduct a detailed analysis of global deforestation levels over time.
What impacts has climate change had on coral reefs?
How can we increase global access to safe drinking water?
Why has the number of natural disasters increased in the past few decades?
Impacts of the Paris Climate Agreement on the environment
Should advanced economies increase their nuclear energy reliance?
How are black holes created?
What can be done to save amphibian species that are currently threatened with extinction?
How catastrophic has Earth’s climate change been over the last several years?

 Social Media Term Paper Headings

How to prevent cyber-bullying?
What approaches are useful for identifying pedophiles on social media?
Can LinkedIn help people find jobs or further education?
What are some techniques to identify pedophiles on social media?
How bad is social media addiction?
How to protect children online?
How do I unplug from social media?
Why are increasing numbers of adolescent generations obsessed with likes and comments?
Who are the world’s most popular online marketers?
Why do people want to post everything online?

Term Paper Headings Ideas on Culture

A new comprehension of past events
How do pop culture trends influence youth?
Why was Greek cultural influence so important for the ancient Mediterranean world?
Why was the Victorian period a time of cultural change?
Should pregnant celebrities be exposed on magazine covers?
The effects of advertisements and commercials on modern art
The roots of antisemitism
The origin of racial discrimination
The most remarkable cultural achievements of the 20th century and their influence on our society
Cultural revolutions throughout history

Business Term Paper Headings

Propose some profitable small business ideas.
Should the minimum wage rate be increased?
Pros and cons of online retail.
How do different marketing techniques boost business?
Role of government organizations in white-collar crimes.
How has cyber-security emerged as a new business endeavor?
Trending business ideas.
Describe the different types of business models and ways to implement them successfully.
Is e-business more profitable than traditional business?
Should successful businessmen be helping new people in the market?
Owning a business is the only way to total financial security. Agreed?
The relation of demand in supply in the market.
What are the main causes behind the rise of entrepreneurial culture?
How do the political instabilities of the country influence businesses?
Do you think small business retailers compromise on business ethics?

Conclusion
Learning how to write a term paper is a lengthy process so Make sure to conduct thorough research before beginning to write. You don’t want to jump on one term paper topic and realize that you don’t have enough data to complete your term paper.
Start with research, then craft a term paper outline before you begin writing your term paper. This will aid in you writing a properly structured academic term paper. Do you feel stuck on your term paper? Our academic term paper experts are here to help you. Contact us now.

APA style paper format

APA style paper format
Apa style paper
APA (American Psychological Association) style is a widely accepted format for writing academic papers, particularly in psychology and the social sciences. This article will provide an overview of the critical components of an APA style paper and tips to help guide you through its creation. We’ll explain everything you need about APA-style paper structure and organization, from cover page formatting to references. However, should you have no time going through this or need help writing or referencing your paper, you can hire our experts to write a well-researched, referenced, and plagiarism-free APA formatted paper.
What does APA stand for
APA stands for “American Psychological Association,” founded in 1892 by G. Stanley Hall. The organization’s mission is to promote psychology as a science and profession and to advance the well-being of individuals, communities, and society. In addition to publishing numerous journals and books on various psychology-related topics, the APA also offers resources for students, researchers, educators, clinicians, and policymakers.
The APA style paper guide provides rules on how to write research papers with clarity and precision. It includes instructions on how to format your paper (e.g., margins, font size), how to cite sources correctly (e.g.
Basics of APA Style
The American Psychological Association (APA) style is a widely used writing format for academic and scientific research papers. It provides guidelines for formatting documents, citing sources, and creating reference lists. Understanding the basics of the APA style is essential for any student or researcher looking to produce high-quality work that meets established standards.
One critical aspect of the APA style is proper citation. apa In-text citations are necessary when using someone else’s work or ideas in your paper. They should include the author’s last name, year of publication, and page number(s).
Additionally, all sources cited in your document must be listed on a separate reference page at the end of your paper. This helps readers locate your sources and verify the information provided in your text. In APA style, the list of references should be in order by alphabetical order by author’s last name.
This means that if you have multiple sources by the same author, their works should be listed chronologically, starting with the oldest publication. If there are two or more authors for a source, list them alphabetically by their last names. If no author is given for a start, then begin with the work’s title instead.
Another crucial aspect of APA Style is its focus on clarity and conciseness in writing. Sentences should be clear and easily understandable with appropriate grammar, spelling, and punctuation marks.
Formatting and Layout of the APA style

APA formatting requires 1-inch margins on all sides of the document. This helps ensure the text is easily readable and allows space for comments or feedback from instructors or peers
The APA style uses 12-point Times New Roman font for text throughout the document
It requires double spacing between lines and margins that are one inch on all sides
Every page should have a header with a running head that consists of no more than 50 characters
The fourth rule pertains to referencing sources correctly; this involves using in-text citations when quoting or paraphrasing another author’s work within your paper
Another aspect of APA formatting is the proper use of headings and subheadings to organize information within the document
All manuscripts should have four primary sections: title page, abstract, main body text, and references
The apa format title page includes the paper’s title, author name(s), institutional affiliation(s), running head (an abbreviated version of the title), and page number
At the same time, the abstract summarizes essential points of the manuscript in 150-250 words
The main body text starts with an introduction section followed by methods & materials or data analysis depending on the study type.

How do you write an APA paper step by step?

Choose a topic that interests you and gather ideas for your research
Create an outline by organizing your ideas into headings and subheadings. This helps to structure the paper and keep your thoughts organized
Start researching the topic using credible sources like academic journals or books from reputable publishers. Use these sources to support your arguments while writing the paper
After gathering enough information on your topic, start with writing an introduction that provides context about what readers can expect from your paper
Create a clear thesis statement that highlights what you want to achieve with this research or analysis
Use headings and subheadings throughout the body text to keep readers engaged and make navigating through different sections easy
Ensure that each paragraph focuses on one main idea or point related to your thesis statement
Restate your thesis statement in different words than you used in the introduction
Summarize the main points you made in each body paragraph
Be concise and avoid introducing new information at this point
End with a thought-provoking statement or call-to-action that encourages readers to think about your topic after reading your paper.

APA style general guidelines
General APA guidelines refer to the most commonly used formatting style for academic writing in the social sciences. The American Psychological Association (APA) developed this style to ensure consistency and accuracy in research papers, essays, and other written assignments. If you are new to APA style paper writing style or need a refresher, here are some general guidelines to remember.
Apa format title page
The title page is essential to any research paper written in APA style. It serves as a first impression and provides important information about the research paper, including the title, author name(s), institutional affiliation, and running head. Therefore, it is crucial to understand how to properly format and include all necessary components on the title page.

Start by typing the full title of your paper at the top center of the page in bold font. The title should be no more than 12 words long and accurately reflect your research study’s content
Add your name below the title, followed by your institutional affiliation (i.e., university or organization). You can also include additional information such as course number or instructor’s name if required by your institution
Create a running head at the top left-hand side of each page after the first.

Abstract
To write an effective abstract, start by clearly stating the purpose and scope of your research. Next, provide a brief overview of your methodology and results. Remember to highlight any major findings or conclusions you drew from your research.
Finally, wrap up with implications for future research or practical applications of your work. As you draft your abstract, remember that brevity is a key aim for no more than 250 words. Also, follow standard APA formatting guidelines when citing sources and structuring your text.
Purdue owl citing in APA
To cite the Purdue OWL website in APA format, start with the author’s name(s), which can be found at the bottom of each page on their website. If no specific authors are listed, use “Purdue Online Writing Lab” as the corporate author.
Next, include the publication date of the webpage or article you are citing. This can also be found at the bottom of each page. In parentheses after these details, add a period followed by “Retrieved from” and then include a direct link to the webpage.
APA format references
APA format references are an essential part of academic writing. There are guidelines for formatting references that ensure consistency and accuracy in citing sources used in research papers, essays, and other literary works.
These guidelines help readers locate the authors’ sources to support their arguments, validate their claims, or provide evidence for their findings. There are several components to consider when creating APA format references.

The author’s name should be listed as last name first, followed by initials
The publication year should be included within parentheses after the author’s name
The title of the article or book chapter should be written in sentence case and italicized with only the first word capitalized
Journal names should be abbreviated according to a specific list of titles provided by APA; otherwise, full journal names can also be used.

apa 7th edition sample paper
The American Psychological Association (APA) recently released its 7th edition style guide, including citation and formatting guidelines updates. With these changes, many students and researchers may wonder how to properly format their papers according to the new guidelines. The APA has provided a sample paper demonstrating these updates in action.
This apa format example pdf is a valuable resource for anyone looking to ensure their papers comply with the latest edition of APA style. It includes examples of proper headings, citations, reference lists, and more. Additionally, the sample paper allows readers to see how these guidelines can be applied in various contexts.
The new sample paper format includes several changes, such as using only one space after punctuation marks instead of two, a simplified title page, and updated guidelines on citing sources. There are also specific instructions on formatting headings, tables, figures, and references. These changes aim to make it easier for writers to understand how to format their work while adhering to APA style rules properly.
Bottom line
The APA-style paper is an essential tool for researchers. It provides a structure and guidance that is easy to follow and helps ensure your work’s accuracy. It also provides consistency between documents, making identifying individual ideas and concepts easier. By following the guidelines of the APA style paper, researchers can easily document papers that are accurate, consistent, and well-structured.

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam
NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam
Question 1          1 pts
Which of the following is true regarding the difference between brief and long-term psychodynamic psychotherapy?
Group of answer choices
Brief psychotherapy is more effective than long-term psychodynamic psychotherapy.
Long-term psychodynamic psychotherapy is more effective than brief psychotherapy.
There is no qualitative difference between brief and long-term psychodynamic psychotherapy.
Brief and long-term psychodynamic psychotherapy cannot be compared.
 
Question 2           1 pts
In general, the lower the patient is on Maslow’s hierarchy of needs
Group of answer choices
The less active the therapist must be.
The more active the therapist must be.
The more neutral the therapist must be.
The more enmeshed the therapist must be.
 
Question 3                 1 pts
The idea that nothing happens by chance, that every thought and all behavior has a cause refers to which of the following concepts?
Group of answer choices
Id vs ego conflict
Super ego actions to censor and restrain
Psychic determinism
Ego synchrony
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Question 4             1 pts
In multi-cultural groups, therapists must address the clinical factor of universality by doing which of the following?
Group of answer choices
Assist group members in learning about the cultural differences.
Minimize the cultural differences within the group.
Help the group move past a focus on concrete cultural differences to transcultural human responses to situations.
The therapist should do nothing as that would be interfering in the group process.
 
NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam  Question 5         1 pts
The CBT therapist working with a patient who is distraught because they did not get a job they really wanted. The individual is helped to identify how to use what appears to be a negative situation to his or her advantage. This technique is known as which of the following?
Group of answer choices
Cognitive rehearsal
Paradox or Exaggeration
Turning Adversity to Advantage
Decatastrophizing
 
Question 61 pts
Which technique would be helpful to use with individuals who blame themselves for most bad outcomes?
Group of answer choices
Reattribution
Decatastrophizing
Advantages and Disadvantages
Examining options and alternatives
 
Question 7           1 pts
Which of the following is true about working with dreams?
Group of answer choices
Dream interpretation is a left-brain endeavor.
Dreams represent past conflicts and work is on past conflicts
Dreams are the brain’s attempt to process and integrate daily information.
Dream symbol books are useful for dream work due to universal meaning of dreams.
 
Question 8             1 pts
According to the treatment hierarchy framework for practice adapted from Davis & Weiss (2004)
Group of answer choices
The client must first envision where they want to be prior to moving forward
Processing is the key to stabilization and future visioning
Increasing internal resources leads to increasing external resources
Resources must be procured and stabilization guaranteed before trauma can be processed
 
Question 9        1 pts
An engaged cohesive therapeutic relationship is necessary in all psychotherapies except which of the following?
Group of answer choices
Cognitive therapy
Behavioral therapy
Systems-oriented psychotherapy
None of the above
 
Question 10         1 pts
Which of the following assumptions would the therapist be safe in making about cultural influences in a family?
Group of answer choices
Cultural context is consistent within family members.
People of the same culture share the same values and assumptions
Everything assumed to be a cultural norm is functional for the family.
The cultural context of families is complicated by the fact that most families are influenced by multiple contexts.
 
Question 111 pts
The advanced practice psychiatric nurse realizes which of the following regarding workbook exercises in therapy?
Group of answer choices
Workbook exercises are only an adjunct to treatment.
Workbook exercises simplify the real work in therapy.
Treatment manuals consistently correlate positively with treatment outcome.
Use of workbook exercises and approaches promotes creativity and flexibility in the therapeutic process.
 
Question 12       1 pts
“They probably think I am stupid” is an example of which type of cognitive distortion?
Group of answer choices
Comparing
Mind reading
Objectifying the subjective
Externalization of self-worth
 
uestion 131 pts
Schizoid personality is a pathological outcome associated with which of Erickson’s psychosocial stages?
Group of answer choices
Autonomy vs. self-doubt
Industry vs. inferiority
Identity vs. role confusion
Intimacy vs. isolation
 
Question 14      1 pts
Which of the following would be a red flag regarding unethical practice when working with a patient?
Group of answer choices
Believing that something about the relationship is special and ordinary rules do not apply.
Engaging in excessive self-disclosure.
Having longer or more frequent sessions.
All the above
 
Question 15    1 pts
According to Erikson’s Psychosocial stages failure to successfully resolve trust vs mistrust conflict is associated with which of the following pathological outcomes?
Group of answer choices
Psychosis, addictions, depression
Paranoia, obsessions, compulsions
Phobias, psychosomatic disorders
Inertia, creative inhibition
 
Question 161 pts
Groups with a greater sense of solidarity exhibit which of the following? Check all that apply.
Group of answer choices

Higher rate of attendance
Acceptance for a variable level of active participation
A concrete system for measuring cohesiveness
A and B

NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam
 
Question 17     1 pts
A group member is relieved to realize that others in the group share feelings of incompetency similar to his own. This is an example of which of the following therapeutic factors?
Group of answer choices
Altruism
Universality
Imparting of information
Development of socializing techniques
 
NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam  Question 18      1 pts
The advanced practice psychiatric nurse psychotherapist is informed by the managed care company that authorization for additional treatment with a patient has been denied. The advanced practice psychiatric nurse is concerned stopping treatment will jeopardize the patient’s safety and realizes which of the following are ethical options?
Group of answer choices

It is incumbent on the therapist to ensure that treatment continues.
Stop treatment immediately.
Attempt to work out a payment plan with the patient.
A and C

 
Question 191 pts
A patient involved in expressive psychotherapy is having intense emotional reactions to painful experiences that have been expressed. This is known as which of the following?
Group of answer choices
Immediacy
Abreaction
Differentiation
Rapprochement
 
Question 20   1 pts
According to Freud’s Psychosexual stages development of sexual identity occurs during what age range?
Group of answer choices
18 months to 3 years
3 years to 6 years
6 years to 12 years
13 years to 20 years
 
Question 21      1 pts
Borderline pathology is thought to evolve from problems in which of Mahler’s stages of separation-individualization?
Group of answer choices
Practicing
Consolidation
Differentiation
Rapprochement
NRNP – 6645 Psychotherapy with Multiple Modalities Week 6 Midterm Exam

NRNP 6665 Week 6 Midterm Exam

NRNP 6665 Week 6 Midterm Exam
NRNP 6665 Week 6 Midterm Exam
Question 1                          1 pts
A 15-year-old girl presents with symptoms that include restrictive eating and food avoidance, with a desire to avoid obesity, which persists despite negative consequences. This presentation is consistent with which of the following diagnoses?
Bulimia nervosa
Anorexia nervosa
Encopresis
Autism spectrum disorder
 
Question 2                1 pts
Which of the following is NOT consistent with the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics?
The developmental perspective should always be incorporated into the child and adolescent provider’s considerations and actions.
The child/adolescent psychiatry’s primary concerns are the welfare, functioning, and optimal development of children.
The child/adolescent psychiatry provider should seek to avoid all actions that may have a detrimental effect on optimum child/adolescent behavior NRNP 6665 Week 6 Midterm Exam .
The right of consent to treatment belongs to the individual child/adolescent of minor age.
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Question 4                 1 pts
The clinician asks the child who is anxious/worried, “Is there something in particular or a situation that makes you immediately afraid?” to screen for which of the following diagnostic categories?
Panic disorder
Specific phobia
Generalized anxiety disorder
Separation anxiety disorder
 
Question 16                   1 pts
When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?
Sensory impairment
Intellectual disability
Substance use disorder
Mood or anxiety disorder
NRNP 6665 Week 6 Midterm Exam
 
Question 17                         1 pts
Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Haloperidol (Haldol)
Risperidone (Risperdal)
 
Question 18                         1 pts
When depression and medical conditions co-exist, the clinician should all of the following EXCEPT:
Attempt to determine if the medical condition is pathophysiological related to the depression.
Attempt to determine whether any medications the patient is taking for the medical condition are causing the depression.
Do not attempt to treat the depression until the medical condition is improved.*
If indicated and medically safe to do so, treat the co-existing depression.
 
Question 19                  1 pts
Which of the following may be symptoms of depression in adolescents? Check all that apply.
Substance abuse
Antisocial behavior
Sexually promiscuity
Poor academic performance
 
Question 20 1 pts
The ARNP asks the teenager, who according to parents has been extremely moody, “Have you been using drugs or alcohol?” to assess for which of the following diagnostic possibilities?
Substance use disorder
Major depressive disorder
Generalized anxiety disorder
Posttraumatic stress disorder
 
Question 22 1 pts
The most common age of onset of anorexia nervosa is which of the following?
Early 20s
10–13 years of age
14–18 years of age
19–29 years of age
 
Question 23 1 pts
Which of the following is inconsistent with what is known about prolonged sleep deprivation?
Prolonged sleep deprivation leads to death.
Prolonged sleep deprivation leads to severe physical impairment.
Prolonged sleep deprivation leads to severe cognitive impairment.
Prolonged sleep deprivation while annoying and frustrating is not life threatening.
 
Question 25 1 pts
Universal sleep hygiene would NOT include which of the following?
Getting adequate exercise
Avoid heavy meals before bedtime
Consistent bedtime and arousal time
Only go to bed when you are actually feeling sleepy
 
Question 28 1 pts
Somnambulism is characterized by which of the following?
Waking from sleep/naps with vivid recall of intensely frightening dreams
A sleep-wake pattern out of synchrony with the desired sleep-wake schedule
Excessive daytime sleepiness or sleep attacks
Repeated episodes of rising from bed and walking about for between several minutes to a half hour during nocturnal sleep
 
Question 29 1 pts
Principles to be considered when using a rating scale to assess for mood and anxiety disorders include which of the following?
Choose a rating scale with fair diagnostic reliability.
A longer rating scale will provide better diagnostic specificity.
Use a broad-based rating scale to investigate a particular problem.
Select scales that are research validated for age, condition, and (ideally) culture.
 
Question 31 1 pts
Which of the following questions should be considered prior to prescribing any medication?
What is the patient or caregiver preference?
How rapid of a treatment response is needed?
How does the child’s age effect your risk-benefit analysis?
All of the above
Question 32 1 pts
The American Academy of Child and Adolescent Psychiatry Code of Ethics Principle II: Promoting the Welfare of Children and Adolescents addresses which of the following ethical issues?
Fidelity
Autonomy
Beneficence
Nonmaleficence
 
Question 33 1 pts
A distinct period of an abnormally and persistently elevated, expansive or irritable mood lasting at least a week or requiring hospitalization is consistent with which of the following? NRNP 6665 Week 6 Midterm Exam
A manic episode
A hypomanic episode
Cyclothymia
Bipolar II Disorder
 
Question 34 1 pts
A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors.
Motivational interviewing
Dialectical-behavioral therapy
Cognitive behavioral therapy (CBT)
Behavioral management training
 
Question 35 1 pts
The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following?
Depression
Social phobia
Schizophrenia
Obsessive-compulsive disorder
NRNP 6665 Week 6 Midterm Exam
Question 48 1 pts
When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories?
Safety
Bullying
Conduct disorder
Oppositional defiant disorder
 
NRNP 6665 Week 6 Midterm Exam  Question 52 1 pts
When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?
Become a surrogate decision maker for the patient.
Consult a formally-designated surrogate for patient choices.
Make safe choices for the patient based on the nurse’s beliefs and values.
Continue to support all the patient’s choices until a surrogate can be found.
 
Question 53 1 pts
The ARNP working with a 5-year-old child in a busy pediatric practice is seeking to use Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in this situation?
These easy-to-use screens can be filled out prior to coming in for a formal evaluation to expedite assessment of this child
These Level 1 and Level 2 assessments can help the practitioner identify the presenting problem for this child.
Systematic use of the Level 1 and Level 2 cross cutting assessments will provide measurable outcomes for this child.
There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.
 
Question 55 1 pts
Sleep-related hallucinations occurring at sleep onset are known as which of the following?
Hypnagogic
Hypnopompic
Complex hallucinations
Paranormal hallucinations
NRNP 6665 Week 6 Midterm Exam
 
Question 56 1 pts
Which of the following is NOT consistent with what is known about socioeconomic and cultural factors related to mood disorders?
No correlation has been found between socioeconomic status and major depressive disorder.
A higher-than-average incidence of Bipolar I disorder is found among the upper socioeconomic groups.
Bipolar I disorder is more common among persons who graduated from college.
The prevalence of mood disorder does not differ among races.
 
Question 57 1 pts
A patient presents reporting a history of depressive episodes which typically occur every winter, you recognize this is most likely which of the following?
Cyclothymia
Bipolar II Disorder
Intermittent Dysthymia
Major Depressive Disorder with seasonal pattern
NRNP 6665 Week 6 Midterm Exam
 
Question 60 1 pts
Examples of atypical features in a patient with Major Depressive Episode include which of the following?
Overeating and oversleeping
Loss of appetite
Insomnia
Sleep walking
 

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