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Journal Entry/PRAC 6675: PMHNP Care Across The Lifespan II Practicum

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Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.

To Prepare

  • Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.
  • Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
  • Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

  • Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
  • Reflect on the 3 most challenging patients you encountered during the practicum experience. What was most challenging about each?
  • What did you learn from this experience?
  • What resources were available?
  • What evidence-based practice did you use for the patients?
  • What would you do differently?
  • How are you managing patient flow and volume?  How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

  • Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
  • Answer these questions: How am I doing? What is missing?
  • Reflect on the formal and informal feedback you received from your Preceptor.

There is attached the clinical self assesment from week 1

What nursing actions should the nurse take to administer medications safely? 

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What nursing actions should the nurse take to administer medications safely?

How would you like to respond as student nurse?

Gastrointestinal Urinary Reproductive System

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Question 1 (5 points)

 

If the nitrogenous (nitrogen-containing) wastes of protein metabolism build up in the bloodstream, a toxic condition called _______ will result.

Question 1 options:

a) toxemia
b) uremia
c) necrosis
d) apoptosis

Question 2 (5 points)

 

Spermatogenesis is the process of sperm production by

Question 2 options:

a) the female reproductive system.
b) male germ cells.
c) fertilization.
d) an ovum.

Question 3 (5 points)

 

The use of Viagra and _______ concurrently can cause hypotension.

Question 3 options:

a) Videx
b) ceftriaxone
c) nitroglycerin
d) Danocrine

Question 4 (5 points)

 

Digestion is the process of physical and chemical breakdown of food to allow useful nutrients to pass through the intestinal membranes into

Question 4 options:

a) the spleen.
b) the liver.
c) alveoli.
d) blood circulation.

Question 5 (5 points)

 

The fetus takes on either male or female reproductive characteristics, with differences beginning at _______ of fetal development.

Question 5 options:

a) two days
b) two weeks
c) two hours
d) two months

Question 6 (5 points)

 

Gametes are produced in the essential reproductive organs called gonads, specifically the ovaries and _______.

Question 6 options:

a) testes
b) sperm
c) scrotum
d) penis

Question 7 (5 points)

 

The urinary system helps to maintain the proper pH (acid-base) balance of the

Question 7 options:

a) brain.
b) muscles.
c) blood.
d) intestines.

Question 8 (5 points)

 

Digestive enzymes are substances that break down complex nutrients such as proteins into

Question 8 options:

a) fatty acids.
b) triglycerides.
c) glucose.
d) simpler amino acids.

Question 9 (5 points)

 

Kidneys secrete _______, which helps to regulate blood pressure.

Question 9 options:

a) insulin
b) vitamin D
c) renin
d) erythropoietin

Question 10 (5 points)

 

The reproductive organs of both sexes are designed to produce and permit fertilization of the germ or “seed” cells called

Question 10 options:

a) protozoa.
b) sperm.
c) gametes.
d) ova.

Question 11 (5 points)

 

Choose all options that apply. 

Which of the following medications are commonly used to treat erectile dysfunction?

Question 11 options:

a) Vardenafil
b) Tadalafil
c) Sildenafil citrate
d) Furosemide
e) Bumetanide

Question 12 (5 points)

 

Place the following phases of human life in order of occurrence.

Question 12 options:

12345 Young adulthood
12345 Embryo
12345 Fetus
12345 Infancy
12345 Childhood

Question 13 (5 points)

 

Choose all options that apply. 

Which of the following medications are commonly used to treat an uncontrolled or overactive bladder?

Question 13 options:

a) Oxybutynin (Ditropan)
b) Tamsulosin (Flomax)
c) Tolterodine (Detrol)
d) Trospium (Santura)
e) Finasteride (Proscar)

Question 14 (5 points)

 

Choose all options that apply. 

External genitalia of the male include the

Question 14 options:

a) Testes
b) Pituitary gland
c) Vas deferens
d) Scrotum
e) Penis

Question 15 (5 points)

 

Match each of the following with the days of the menstrual cycle in which it generally occurs.

Question 15 options:

1234 Uterine lining continues to thicken.
1234 Uterine lining breaks down; menstruation occurs.
1234 Ovulation occurs.
1234 Uterine lining thickens.
1. Days 1–5
2. Days 6–10
3. Days 11–18
4. Days 19–28

Question 16 (5 points)

 

Match each phase of the menstrual cycle with the steps that occur during it.

Question 16 options:

1234 Proliferative stage
1234 Ovulation phase
1234 Luteal phase
1234 Menstrual phase
1. The uterus sheds the functional endometrium.
2. A Graafian follicle grows an ovum to maturity and estrogen signals the basal endometrium to start growing a new functional endometrium.
3. Ovary releases the ovum.
4. The corpus luteum produces hormones to make the endometrium receptive to implantation and early pregnancy.

Question 17 (5 points)

 

Choose all options that apply. 

Which of the following are forms of impotence?

Question 17 options:

a) Erectile dysfunction
b) Priapism
c) Enlarged prostate
d) Lack of sexual desire
e) Low sperm count

Question 18 (5 points)

 

Match the following generic nausea and vomiting medications to their correct class.

Question 18 options:

1234 Serotonin-receptor antagonist
1234 Phenothiazines
1234 Antihistamines
1234 Anticholinergic
1. Meclizine
2. Promethazine
3. Compazine
4. Zofran

Question 19 (5 points)

 

Match each of the following terms with its correct definition.

Question 19 options:

123 Chronic renal failure
123 Acute renal failure
123 Renal failure
1. A decreased or total lack of kidney function
2. The quick onset of decline in kidney function; generally reversible
3. Progressive decline in renal function resulting from age, hypertension, or diabetes

Question 20 (5 points)

 

Match each of the following STDs with the pathogen that causes it.

Question 20 options:

1234 Syphilis
1234 Trichomoniasis vaginalis
1234 Chlamydia
1234 Gonorrhea
1. Treponema pallidum
2. Chlamydia trachomatis
3. Trichomonas vaginitis
4. Neisseria gonorrhoeae

 

Fundamental Of Nursing

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Assignment 3- Nephropathy

Rubric

System Disorder Active Learning Template (fill in all the blanks) Points rec’d
Each box of template is worth 0.5 points
3 credible references in APA format (include reference list and in-text citations).  You need a citation in each box.
Mechanics/APA

There must be an in-text citation in EVERY BOX ( IN a concept mat)

 

Analyze the benefits of health insurance on access to care

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Week 5 Assignment – Health Insurance

Overview

Explore policies and regulations related to health insurance and examine different factors that impact patient access. In this assignment, you will explore health insurance, how it works, and the challenges in accessing healthcare to communicate the benefits of coverage to patients and families.

Instructions

Write a 2–3 page paper in which you:

  1. Analyze the benefits of health insurance on access to care, including two examples of the benefits of having insurance.
  2. Evaluate barriers to accessing healthcare, including two examples of barriers and recommendations for their removal.
  3. Summarize the Affordable Care Act including two provisions that affect patient care.
  4. In addition to the textbook, provide two sources to support your writing. Choose sources that are credible, relevant, and valid. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

Concept Map

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Nursing Diagnosis:

Short Term Goal:

Long Term Goal:

Clinical Manifestations:

Subjective:

Objective:

Evaluation of Plan or Anticipated Evaluation of Plan:

Nursing Interventions (at least 4):

Collaboration: With whom will the nurse be working and why?

Patient’s Laboratory & Test Results:

Patient’s Past Medical History and Significant Findings:

Patient’s Medical Diagnosis

 

Journal Entry

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Welcome to the last week of your practicum! As you have proceeded through the practicum experience, you have been regularly challenged to reflect on your growth and development as you made progress on your goals. Additionally, you have been evaluated by and gained feedback from your Preceptor. As you end this practicum, consider what you have gained from the experiences in your practicum setting. Did you meet your goals and objectives? What were the challenges, and how did you manage them? What were the successes, and what lessons can you take from those experiences and apply to future experiences? Use your reflections to seek opportunities for growth in the areas you found challenging, while simultaneously celebrating your successes.

This week, you complete a reflective journal on your practicum experience

Assignment: Journal Entry

Photo Credit: Image by Free-Photos from Pixabay

Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.

To Prepare

  • Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
  • Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
  • Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences 

  • Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
  • Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each?
  • What did you learn from this experience?
  • What resources were available?
  • What evidence-based practice did you use for the patients?
  • What would you do differently?
  • How are you managing patient flow and volume?

Communicating and Feedback 

  • Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
  • Answer the questions: How am I doing? What is missing?
  • Reflect on the formal and informal feedback you received from your Preceptor.

RUBRIC

Assimilation and Synthesis: Content Reflection: Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Insightful and relevant connections are made through contextual explanations and examples

Assimilation and Synthesis: Personal Growth Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications.

Written Expression and Formatting

Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors.

APA: Contains no APA errors.

PLEASE USE THE FOLLOWING POINTS FOR THE ASSIGNMENT (REFLECTION WRITE UPS.)

Objective 1: I will be able to recognize specific signs and symptoms (associated with certain mental health issues by the end of this quarter

Planned Activities: I will observe and have my preceptor explain to me how the Patient’s potential diagnoses are chosen and concluded

2 Mode of Assessment: 1 Verification will be documented in Meditrek

PRAC Course Outcome(s) Addressed: I will be able to confidently put together a list of potential diagnoses for each patient seen by the end of the quarter. Also, I will be able to list up to 10 potential diagnoses with their reasons at the end of this quarter

Objective 2: My goal is to work with my preceptor and the rest of the treatment team for the best outcome for the Patient’s health this quarter by improving my Assessment skills

Planned Activities: I will assess the Patient’s reaction to therapy and appropriately choose how to adjust their care by using the pt’s both past and current information

2 Mode of Assessment: 1 Verification will be documented in Meditrek

PRAC Course Outcome(s) Addressed: I will assess and reassess the patients as needed and modify their treatment for a positive outcome and for the utmost result

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Objective 3: My goal is to improve my communication skills, increase my attentiveness to the Patient’s concerns, and learn communication strategies by the end of the semester to facilitate the best outcome of the Patient’s care.

Planned Activities: I will watch my preceptor’s style of relating with the Patients. I will also ask my preceptor and the treatment team questions related to patients to enhance my learning. Finally, I will interact with the Patients on my clinical days as much as possible for detailed information and to improve my communication skill