In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze the influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Post-
What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.
How might exposure to the media and/or social media affect the patient?
What type of mandatory reporting (if any) is required in this case? Why?

NOTE: 5-6 EVIDENCED BASED SOURCES

Respond to the Subject below following the following topics. By adding substantive addition.
1.First substantive addition: content Demonstrates high level of understanding related to original post. Adds information relevant to nursing practice. Demonstrates critical analysis. Based in evidence (2 points)
2. First substantive addition: Writing mechanics Integrates at least one citation/reference from evidence-based source other than required textbook. Fewer than four writing mechanics errors. Flows clearly and logically. (2 point
3. Second substantive addition: content Demonstrates high level of understanding related to original post. Adds information relevant to nursing practice. Demonstrates critical analysis. Based in evidence (2 points
3. second substantive addition: Writing mechanics Integrates at least one citation/reference from evidence-based source other than required textbook. Fewer than four writing mechanics errors. Flows clearly and logically. (2 point

Pathophysiology helps us understand the ‘whys’, enabling you to better generalize that knowledge to similar situations. This is a big part of critical thinking and clinical judgment! When you truly understand the rationale behind what you see and what you do, light bulb moments occur, and nursing process makes sense!! When you understand the whys, critical thinking expands, and you will able to generalize that knowledge of pathophysiology to a variety of patient scenarios. And when you can do that, patients often experience better outcomes! Not everyone you will care for has a single, or definitive medical diagnosis. Not all individuals with a diagnosis fit the textbook scenario. As nurses we assess individuals with unique signs and symptoms we dont assess a stroke or MI we assess people! There are many signs and symptoms that have a variety of causes. And there are many health alterations that manifest in multiple ways, particularly when there are other comorbidities. This makes it imperative that the nurse is able to think about a whole situation critically and figure out what is going on from a pathophysiologic perspective. For example, when a person presents with tachypnea it could be related to COVID 19, asthma, ARDS, heart failure, anemia, over exertion, fever, neurologic injury, gastric distension, activity intolerance, complications of diabetes, anxiety, acid base imbalance, drug overdose, and more. When a person presents with confusion, it could be related to a stroke, MI, heart failure, cerebral hypoxia, neurologic injury, anxiety, medication change, infection, and more. The nurse must look at the whole situation and think critically to help the patient. All confusion is not the same, all breathing challenges are not the same! And appropriate intervention depends on the through assessment of the specific situation. Understanding the why of your intervention helps you to generalize interventions to similar situations. For example, why did you administer pain medication? In the situation of an MI, why did you administer morphine? To reduce pain; reduce the workload of the heart (and so decrease myocardial oxygen demand); relax smooth muscle (and so decrease BP and reduce cardiac workload); and reduce circulating catecholamines (and so reduce the heart rate and myocardial oxygen demand). Why did you administer acetaminophen when a person has a fever? For comfort, but also to decrease the work of the heart, the work of the lungs, and sometimes to reduce fluid loss and maintain vascular volume. Why is supplemental oxygen helpful when a person experiences activity intolerance? Why doesnt the administration of oxygen help in situations of ARDS?? Often 12 our interventions have cascading type effects. When you understand the whys of assessment findings and interventions, critical thinking expands, and you should be able to generalize that knowledge of pathophysiology to a variety of patient situations. And when you can do that, patients often experience better outcomes!

Respond to the Subject below following the following topics. By adding substantive addition.
1.First substantive addition: content Demonstrates high level of understanding related to original post. Adds information relevant to nursing practice. Demonstrates critical analysis. Based in evidence (2 points)
2. First substantive addition: Writing mechanics Integrates at least one citation/reference from evidence-based source other than required textbook. Fewer than four writing mechanics errors. Flows clearly and logically. (2 point
3. Second substantive addition: content Demonstrates high level of understanding related to original post. Adds information relevant to nursing practice. Demonstrates critical analysis. Based in evidence (2 points
3. second substantive addition: Writing mechanics Integrates at least one citation/reference from evidence-based source other than required textbook. Fewer than four writing mechanics errors. Flows clearly and logically. (2 point

Pathophysiology helps us understand the ‘whys’, enabling you to better generalize that knowledge to similar situations. This is a big part of critical thinking and clinical judgment! When you truly understand the rationale behind what you see and what you do, light bulb moments occur, and nursing process makes sense!! When you understand the whys, critical thinking expands, and you will able to generalize that knowledge of pathophysiology to a variety of patient scenarios. And when you can do that, patients often experience better outcomes! Not everyone you will care for has a single, or definitive medical diagnosis. Not all individuals with a diagnosis fit the textbook scenario. As nurses we assess individuals with unique signs and symptoms we dont assess a stroke or MI we assess people! There are many signs and symptoms that have a variety of causes. And there are many health alterations that manifest in multiple ways, particularly when there are other comorbidities. This makes it imperative that the nurse is able to think about a whole situation critically and figure out what is going on from a pathophysiologic perspective. For example, when a person presents with tachypnea it could be related to COVID 19, asthma, ARDS, heart failure, anemia, over exertion, fever, neurologic injury, gastric distension, activity intolerance, complications of diabetes, anxiety, acid base imbalance, drug overdose, and more. When a person presents with confusion, it could be related to a stroke, MI, heart failure, cerebral hypoxia, neurologic injury, anxiety, medication change, infection, and more. The nurse must look at the whole situation and think critically to help the patient. All confusion is not the same, all breathing challenges are not the same! And appropriate intervention depends on the through assessment of the specific situation. Understanding the why of your intervention helps you to generalize interventions to similar situations. For example, why did you administer pain medication? In the situation of an MI, why did you administer morphine? To reduce pain; reduce the workload of the heart (and so decrease myocardial oxygen demand); relax smooth muscle (and so decrease BP and reduce cardiac workload); and reduce circulating catecholamines (and so reduce the heart rate and myocardial oxygen demand). Why did you administer acetaminophen when a person has a fever? For comfort, but also to decrease the work of the heart, the work of the lungs, and sometimes to reduce fluid loss and maintain vascular volume. Why is supplemental oxygen helpful when a person experiences activity intolerance? Why doesnt the administration of oxygen help in situations of ARDS?? Often 12 our interventions have cascading type effects. When you understand the whys of assessment findings and interventions, critical thinking expands, and you should be able to generalize that knowledge of pathophysiology to a variety of patient situations. And when you can do that, patients often experience better outcomes!

These are the questions that you would be replying to. it must include 2 references and citations within the past 5 years.

What are the risks with anti-depressants in adolescents? Should Psychiatrists evaluate before starting on meds? or atleast a Psychlogical evaluation?
Could an NP be held liable if an adolescent commit’s suicide?

Please see the attachments and follow specific guidelines for completion of assigned as it is to be broken up into 2 sections. The first Part should be a paper that does not exceed 4 pages not including the reference page. This portion shall be completed utilizing either one of the two articles provided (by Morton or Lauren) for critique based on the rubric provided as well as the research guidelines handout as well as information obtained from the literature provided in chapter 15 (also found in attached zip files).

The second part of the project involves answering the 2 questions found at the end of the attachment entitled info for paper. Please be sure that the response to both questions is at least 300 words. These questions should include any necessary information obtained from chapter 16 also found in the attachments.

Write a one page (double spaced) summary paper on 5 different videos for a total of 5 pages. Attached is a link to each video.

1. https://youtu.be/FUCxWMtK9CY (only part 2)
2. https://youtu.be/NRoD3g-r3-I – Extinction
3.https://youtu.be/MfKKbPHlPuw?list=PL6aq1PBlrtR5rZXiqpdd1x5blv1pyAZmi – What About God
4.https://archive.org/details/TheHumanFamilyTree-2009 – part 1 only
5. is attached Secrets of the dead III 2

In this section, the student must address a description of the disease process including etiology, pathophysiology, signs and symptoms and standard treatment including medication, surgery, etc. (This section should be used to describe the textbook explanation of the disease and compare it with the patients picture of his/her disease condition. Attach a reference page at the end of care plan )  References done in APA Format.

Read the following case. Formulate 2 Actual Problem Nursing Care Plan and 2 Risk or Potential Nursing care Plan.
– provide at least 5 nursing intervention with rationale
Use the NCP template provided (just need to fill the form thats all. 2 for actual problem, and 2 for risk or potential)

  Mr Smith admit to LTC (long term care) facility for rehabilitation and continuation of 14 days antibiotic treatment for his recent diagnosis of UTI. He is 89 y/o with hx of dementia, parkinson, htn, dm and fall 3 weeks ago. Had rt hip fx and went to Rt Hip Replacement a week ago. A/0 x3 with episode of confusion and forgetful but cooperative with care. Current v/s T = 100.3F P = 98 R = 21 BP = 156/89 O2 ra = 98%. Ambulatory with fww use. Unstable when ambulating and c/o pain discomfort @ rt leg. Rt hip incision still has staples with redness at surrounding. No bleeding or drainage noted.  Has  prn Vicodin 1 tab q 4 hrs po. Fair po intake. Last lunch meal was 75%. Fair with fluid intake (lunch 250 ml total intake). Pt stated last bm was 2 days ago with period of straining but denies melena. Voids continently using urinal but stated period of dysuria. Denies hematuria but notice some cloudiness when void. Prefer to stay up in chair and watch TV in his room all day. Seldom will join group activities unless family visits and he goes to patio. Currently taking Levaquin 500mg ivpb daily x10 days (started 2 days ago).

Theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment. These are sometimes referred to as the basic metaparadigms of the nursing domain. Identify two additional concepts that are relevant to your personal practice of nursing and explain how they relate to your practice and why they are important to your practice. After developing these concepts chose a middle-range theory that offers specific strategies towards your current clinical problem

There are many different legal and ethical situations that can arise in healthcare, and its not just something that healthcare professionals should be aware of. In this day and age, our patient population should also have a basic knowledge of the laws and statutes set to protect them.

Instructions
Choose one of the legal acts studied in the unit and create an educational brochure for your patients knowledge and understanding.
This brochure should include background information on the law, as well as who it protects, how to report a violation, and the penalties associated with the violation.
Please also include images (with proper citation) to increase the visual appeal of your brochure.