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  • NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

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    Assessing and Diagnosing Patients With Mood Disorders

    Accurately diagnosing depressive disorders can be challenging given their periodic and, at times, cyclic nature. Some of these disorders occur in response to stressors and, depending on the cultural history of the client, may affect their decision to seek treatment. Bipolar disorders can also be difficult to properly diagnose. While clients with a bipolar or related disorder will likely have to contend with the disorder indefinitely, many find that the use of medication and evidence-based treatments have favorable outcomes.

    · Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.

    · By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.

    · Consider what history would be necessary to collect from this patient.

    · Consider what interview questions you would need to ask this patient.

    · Identify at least three possible differential diagnoses for the patient.

    Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

    · Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?

    · Objective: What observations did you make during the psychiatric assessment? 

    · Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

    · Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    Mood Disorders

    Training Title 8 Name: Mrs. Abrianna Tilman Gender: female Age: 27 years old T- 98.6 P- 88 R 18 154/92 Ht 5’1 Wt 230lbs Background: Recently had her first child two months ago. Currently married; stay at home mother after working in community library for 5 years. Grew up with her mother after her parents divorced when she was 16; has two sisters in Troy, Alabama. Completed education through bachelor’s level, majoring in English Literature. No previous suicidal gestures. Brother committed suicide via GSW. She denied drugs/alcohol; brother was addicted to methamphetamines. Hx of HTN-prescribed Trandate 100mg twice daily, admits to missing doses due to forgetting. No legal hx. Allergies: PCN

    Transcript of the video

    00:00:15OFF CAMERA Mrs. Tilman, your husband is extremely worried about you.

    00:00:20MRS. TILMAN Yes, I know that.

    00:00:25OFF CAMERA Does coming her bother you?

    00:00:25MRS. TILMAN Yes. Yes it does. I’ve never been to a shrink before. I don’t think I need to be here now.

    00:00:35OFF CAMERA I’d like to ask you a few questions if that’s ok.

    00:00:40MRS. TILMAN Yeah, that should be fine.

    00:00:40OFF CAMERA How have you been feeling health wise?

    00:00:45MRS. TILMAN Fine. No health problems.

    00:00:45OFF CAMERA Sleep?

    00:00:50MRS. TILMAN I can’t sleep much. But that’s to be expected.

    00:00:50OFF CAMERA How so?

    00:00:50MRS. TILMAN The baby. It cries a lot.

    00:00:55OFF CAMERA And that wakes you?

    00:00:55MRS. TILMAN Well I’m usually already awake.

    00:01:00OFF CAMERA You have trouble sleeping?

    00:01:00MRS. TILMAN Just falling asleep. Especially after the baby cries.

    00:01:05OFF CAMERA What’s the baby’s name?

    00:01:10MRS. TILMAN Jessica.

    00:01:10OFF CAMERA Beautiful name. How old is she?

    00:01:15MRS. TILMAN Two months.

    00:01:15OFF CAMERA How has your appetite been lately?

    00:01:20MRS. TILMAN I don’t know. It’s not big, but I want to lose weight after the pregnancy.

    00:01:25OFF CAMERA You aren’t comfortable with the way you look?

    00:01:30MRS. TILMAN I’m terrible. Alright. I look terrible, I feel terrible. My body is bloated. I have lines on my face, bags. I look disgusting.

    00:01:45OFF CAMERA What do you do to lose weight?

    00:01:50MRS. TILMAN Well, I want to run, but… I don’t get out much.

    00:01:55OFF CAMERA Why?

    00:01:55MRS. TILMAN Cause I’m stuck at home. I have to take care of the baby, all day long. I guess I should just get used to it. This is my life now all day long, stuck at home with the kid.

    00:02:10OFF CAMERA You don’t have a nanny?

    00:02:10MRS. TILMAN Who could afford one? Especially with having to pay for the kid.

    00:02:15OFF CAMERA Have you said any of this to your husband?

    00:02:20MRS. TILMAN To Rick?

    00:02:20DR. GREY Uh huh.

    00:02:20MRS. TILMAN No. I couldn’t. He’d be so disappointed in me. How could I even tell him that I felt this way. That I wanted out. He comes home from work and… he plays with Jessica. This perfect family.

    00:02:50OFF CAMERA How has your relationship been?

    00:02:55MRS. TILMAN Not good.

    00:02:55OFF CAMERA What’s happened since Jessica was born?

    00:03:00MRS. TILMAN It’s not added much. I mean it is my fault. I can’t stop crying. All the time. [she cries] Sometimes I don’t even know who the baby is. And I yell a lot. Things just upset me. Everything and anything he does lately just upsets me.

    00:03:35OFF CAMERA For instance?

    00:03:40MRS. TILMAN Well… Well the other day he came home and changed her diaper but he threw the dirty diaper in the wrong trash can and he didn’t tie it up in the bag the way he was supposed to.

    00:03:55OFF CAMERA And that upset you?

    00:03:55MRS. TILMAN Yeah. And I told him, and I was yelling so he started yelling. So yeah. That’s our marriage right now.

    00:04:10OFF CAMERA Have you been sexually active since Jessica was born?

    00:04:10MRS. TILMAN No. Not really. I have no drive or desire. Rick keeps wanting to but I just… I push him away.

    00:04:20OFF CAMERA And how is your social life?

    00:04:25MRS. TILMAN Non-existent. I haven’t seen my friends in forever. They came over to see the baby but that’s about it. I might as well get used to it. I can’t go out anymore. She’s too young for a baby sitter, and even then we couldn’t afford one. I had to quit my job.

    00:04:55OFF CAMERA Were you forced to quit?

    00:05:00MRS. TILMAN No. They gave me maternity leave, but… but I figured this is never going to end. I might as well leave now.

    00:05:10OFF CAMERA Do you do anything for yourself? Something to relax, something creative?

    00:05:15MRS. TILMAN No. I tried writing. I liked writing but… I don’t know, I… nothing moves me.

    00:05:30OFF CAMERA You can’t write now?

    00:05:35MRS. TILMAN I have no inspiration, and it’s not fun. I know I’m going to be interrupted soon anyway. Before Jessica, I could write for hours a night. I hated anyone disturbing me. [she cries] Now I can’t have twenty minutes. And you can’t tell a baby to hold on with wanting her lunch. For an hour. When she’s hungry, she’s hungry.

    00:06:05OFF CAMERA Do you regret having a child?

    00:06:05MRS. TILMAN No. I… I’m just not sure. I’m not sure, okay.

    00:06:20OFF CAMERA Are you happy? Does anything give you pleasure?

    00:06:30MRS. TILMAN [Shakes her head] No. [she cries]. Look, please, I… I know I’m a mother now. I. [sigh] I don’t know how to put this, I feel terrible. [Cries harder]. I don’t want to be a bad mother. I love my daughter. But I don’t know… I don’t know why I say these things. It’s just really difficult… and Rick, I see Rick and he has this look. It’s this look, its like I know what you’re thinking. It’s like he’s judging me. It’s like he knows I’m not normal. I mean, what’s wrong with me? Sometimes I can’t even hold my own child, I… I, she’s crying and I can’t… I can’t touch her. And when I give her milk it disgusts me. I don’t know what to do. I don’t know what’s wrong with me. I don’t know what’s wrong with me. [She reaches for a tissue]

    00:08:15OFF CAMERA Mrs. Tilman, do you have thoughts of suicide or death?

    00:08:20[she shakes her head yes]

    00:08:25OFF CAMERA Have you acted upon them?

    00:08:30MRS. TILMAN [she shakes her head no] No. I couldn’t. I couldn’t do that to Rick or Jessica. And then I feel guilty again. It’s this… this endless cycle. I’m not happy and I want to get out and if I get out, then I would just… I would just… just ruin everyone and that makes me more unhappy.

    00:09:05[sil.]

    00:09:20SymptomMedia Visual Learning for Behavioral Health www.symptommedia.com

    00:09:20END TRANSCRIPT

    Important

    Informal blogs, internet posts and websites that are not part of a scholarly review process. This includes popular hospital websites (such as MayoClinic.org), Patient facing websites with information designed for the patient, not the provider (such as WebMD, Healthline and MedicineNet, among many others), and UptoDate.com. Information should not be utilized from UptoDate.com since all information is a synthesis of the most up to date literature available. If you wish to use information from UpToDate, use the original sources, not the UpToDate website.

    Another student’s work. Regardless of where it is obtained, the use of another student’s written work is never appropriate. This includes use of another student’s work as a “reference”, or exemplar assignment. Templates and examples are often provided in the classroom. If they are not and you would like one, please request this from your instructor.

    NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template

    Week (enter week #): (Enter assignment title)

    Student Name

    College of Nursing-PMHNP

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    Subjective:

    CC (chief complaint):

    HPI:

    Past Psychiatric History:

    · General Statement:

    · Caregivers (if applicable):

    · Hospitalizations:

    · Medication trials:

    · Psychotherapy or Previous Psychiatric Diagnosis:

    Substance Current Use and History:

    Family Psychiatric/Substance Use History:

    Psychosocial History:

    Medical History:

    · Current Medications:

    · Allergies:

    · Reproductive Hx:

    ROS:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    Objective:

    Physical exam: if applicable

    Diagnostic results:

    Assessment:

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    References

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  • You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the fol

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    Content Requirements
    You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:

    1. Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
    2. Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical examination.
    3. Assessment: Primary Diagnosis; Differential diagnosis
    4. Plan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
    5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner
    • The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
    • The presentation should consist of 10-15 slides and less than 5 minutes in length. 
    • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

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    • You are in the chief nursing officer role and have been asked by your healthcare system to represent the hospital on the board of a new not-for-profit entity

      The post You are in the chief nursing officer role and have been asked by your healthcare system to represent the hospital on the board of a new not-for-profit entity is a property of College Pal
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       Health Care Informatics

      Writing Assignment Content

      1. Nursing Leadership Informing Community Health Information Exchange Strategy

        You are in the chief nursing officer role and have been asked by your healthcare system to represent the hospital on the board of a new not-for-profit entity established by your community to build and manage the HIE within your region. Your region has been awarded a federal grant of $250,000 to build the HIE to serve the community. At the first board meeting of diverse stakeholders, including payers, providers, hospitals, public health, and healthcare consumers, the group must advise the chief executive on what type of exchange the group believes is needed. The chief executive indicates that a basic exchange using the Direct Project protocols for the size of the community is likely to exceed the federal grant dollars, and as such, the group needs to align on a value proposition of what the community needs. This is hoped to result in the community being willing to pay for the additional costs.
                   The community has a population of more than 250,000, with a significant indigent population that tends to use the ED as an access to care for routine healthcare needs. Hospital staff also suspect that they have drug seekers going from one ED to the next seeking additional medications, yet do not have the information to confirm this suspicion or to track patients from one institution to another.
                   The community has two major healthcare systems that are heatedly competitive and unlikely to be willing to share data in a central data repository. Providers in the community compromise one large-practice consortium and multiple independent providers. The large group of providers is demanding that some sort of exchange be established to support their referral base. As a result, there is heated debate as to whether the community aligns with a business and infrastructure strategy. 

        Based on information within Chapter 11, consider the following questions:

        1. Based on the needs of the community noted in the case study, what is your recommendation as to the best infrastructure and technical exchange model that the community should promote?

        2. What are some of the barriers consistent with other communities’ failures that might be issues for your community and how do you overcome those issues?

        Please note the grading rubric. The submission should be maximum 2 pages not counting the cover page and references.

      • attachment

        9780826167583_PPTX_CH11.pptx

      CHAPTER 11

      Electronic Health Records and Health Information Exchanges Providing Value and Results for Patients, Providers, and Healthcare Systems

      INTRODUCTION

      National Academy of Medicine envisioned:

      A safe, effective, patient-centered, timely, efficient, and equitable healthcare.

      eHealth Exchange was envisioned under the Health Information Technology for Economic and Clinical Health (HITECH) Act.

      To connect the nation through health information exchanges (HIEs) at regional, state and federal level.

      Health information exchange is fundamental to multiple acts like HITECH Act.

      To establish meaningful use (MU), Medicare Access and CHIP Reauthorization Act (MACRA) provisions, 21st Century Cures Act.

      Technical and financial issues hamper the realization of the envisioned healthcare system.

      2

      HISTORY OF HIEs COMPARED WITH CURRENT HIEs

      Historically significant community-based initiatives for healthcare data exchange includes:

      Community Health Management Information Systems (CHMIS): payer-driven model to assess eligibility and address high healthcare costs.

      Community Health Information Networks (CHINs): commercially driven endeavors to reduce costs for providers.

      Regional Health Information Organizations (RHIOs): neutral, third-party organizations involved in regional exchange of data.

      Health information exchanges (HIEs) are community-based initiatives funded under HITECH Act.

      To lay the architecture of exchange.

      eHealth exchange (eHEX) is a group of federal agencies and non-federal organizations.

      Aim is to maintain infrastructure to support health information exchange.

      3

      TRUSTED EXCHANGE FRAMEWORK and COMMON AGREEMENT (TEFCA)

      Trusted Exchange Framework and Common Agreement (TEFCA) is a set of common agreements among HIEs.

      Includes standards to establish a nationwide HIE.

      Expected to go live this year.

      Recognized Coordinating Entity (RCE) is the governance body responsible to:

      Draft the Common Agreement and requirements for joining TEFCA system.

      To join TEFCA, Qualified Health Information Networks (QHINs) must:

      Fulfill the minimum terms and conditions.

      Sign the Connected Agreement.

      Other national initiatives working to increase interoperability are:

      Sequoia Project

      Carequality

      CommonWell Health Alliance

      Strategic Health Information Exchange Collaborative (SHIEC)

      4

      ARCHITECTURAL AND DATA-EXCHANGE MODELS FOR HIE

      HIE can vary. It depends on whether the data is managed in a:

      Centralized repository

      Decentralized manner or

      A combined approach

      Two models supporting technical exchange of data:

      Direct-messaging

      Query-based transactions

      Direct-Messaging Project runs through DirectTrust, a collaborative non-profit association.

      Supports secure, interoperable health information exchange via Direct-message protocols.

      Query-based exchange allows the providers to find information when delivering unplanned care.

      The Patient Unified Lookup System for Emergencies (PULSE) enables query-based exchange for natural and other disasters.

      PULSE has helped providers during California wildfires and Hurricane Harvey.

      5

      STANDARDS AND INTEROPERABILITY FRAMEWORK

      National exchange of data is a major challenge.

      The Standards and Interoperability (S&I) Framework promotes interoperability.

      S&I Framework addresses development of specific areas involved in health information exchange.

      United States Core Data for interoperability (USCDI) contains standards applicable on application programming interfaces (APIs).

      6

      BUSINESS MODELS

      HIEs vary across the nation in terms of architecture and business model purposes.

      Value-based services that HIEs provide:

      Referral management

      EMR publishing and transfer

      Provider of clinical messaging and notifications

      Demographic and clinical data exchange

      Data feed and interfacing

      Analytics and reporting

      State agency connectivity

      Alerts

      7

      HIE AND 21ST CENTURY CURES ACT

      21st Century Cures Act:

      Has reformed the Federal Drug Agency.

      Supports Precision Medicine Initiative.

      The statutory definition of Interoperability as defined by the Act:

      Enables secure exchange of electronic health information

      Allows complete access for authorized use under applicable State and Federal law

      Does not constitute information blocking

      The Interoperability and Patient Access Final Rule:

      Clarifies what does and does not constitute information blocking under the Cures Act.

      Prohibits developers from restricting how the customer is using the service.

      Office of the National Coordinator (ONC) Rule includes eight circumstances.

      Failing to share information is not considered information blocking.

      8

      MASTER PATIENT INDEX AND RECORD LINKAGE

      Master Patient Index (MPI) and a record-locator helps identify unique patients across institutions.

      MPI applications provide passive or active functionality to identify individuals.

      Primary methods for linking records with HIEs:

      Deterministic

      Rule-based

      Probabilistic

      Linking records in a central data repository model can:

      Allow tracking and trending of outcome measures in a care setting.

      Examine chains of readmissions.

      To determine factors that might be targets for improvement.

      9

      VALUE OF HIE COUPLED WITH EHRs

      Studies have shown allowing physicians to access patient data from EHRs results in:

      Fewer repeat procedures

      Reduces medication errors

      Fewer diagnostic tests

      Follow-up visits decrease

      Cost savings increase

      Success of nationwide health information exchange depends on:

      The privacy and accuracy of the information being exchanged.

      The Data Use and Reciprocal Support Agreement (DURSA) serves as the main legal framework.

      For eHEX participants

      To ensure privacy protections are followed.

      10

      SUMMARY

      Health Information Exchange can help achieve goals for the eHEX and the TEFCA system.

      For safe, effective, patient-centered, timely, efficient, and equitable healthcare.

      TEFCA, expected to go live this year.

      Aims to establish a nationwide HIE by setting common standards for national information exchange.

      The HIEs can vary in architecture and business model.

      Based on the needs of the region or state.

      Linking the records of patients using MPI helps:

      Track and trend outcomes.

      To determine targets of improvement within healthcare delivery system.

      11

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    • Write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you

      The post Write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you is a property of College Pal
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       Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.

      • What challenges did you experience in developing your PICOT question?
      • In what ways could you apply your knowledge of PICOT question development to your current practice setting?

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      • With new information continually emerging, professional nurses must be equipped to critique scholarly literature and discern its value for practice. Select on

        The post With new information continually emerging, professional nurses must be equipped to critique scholarly literature and discern its value for practice. Select on is a property of College Pal
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        Remember i had you do my PICOT question 

        With new information continually emerging, professional nurses must be equipped to critique scholarly literature and discern its value for practice. Select one current, quantitative scholarly nursing article related to your PICOT question and determine its strengths, limitations, and potential application.

        Complete the Johns Hopkins Nursing Evidence-Based Practice Appendix E Evidence Appraisal ToolLinks to an external site. Download Johns Hopkins Nursing Evidence Based Practice Appendix E Evidence Appraisal Tool. Once you’ve completed the tool, use your own words to summarize your appraisal of the article. Include the following:

        • Description of the purpose
        • Explanation of research design
        • Discussion of sample
        • Description of data collection methods
        • Summary of findings
        • Strengths of the study (minimum of 1)
        • Limitations of the study (minimum of 1)
        • Recommendations regarding potential application for future practice that are insightful and appropriate.

        Attach the article to your post, in addition to including the full reference for the article in your post.

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        • When searching for the best online casinos in Austria, besteonlinecasinosoesterreich.at stands out as a reliable and comprehensive resource. This website is d

          The post When searching for the best online casinos in Austria, besteonlinecasinosoesterreich.at stands out as a reliable and comprehensive resource. This website is d is a property of College Pal
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          When searching for the best online casinos in Austria, besteonlinecasinosoesterreich.at stands out as a reliable and comprehensive resource. This website is dedicated to offering detailed reviews and expert insights into various online casinos, ensuring that players have access to the most reputable and exciting gaming options available.

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          • When making a real estate investment, the investor needs to evaluate a multitude of factors. One of these factors is the economic stability of the area where

            The post When making a real estate investment, the investor needs to evaluate a multitude of factors. One of these factors is the economic stability of the area where is a property of College Pal
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            When making a real estate investment, the investor needs to evaluate a multitude of factors. One of these factors is the economic stability of the area where the proposed investment is to take place. The Law of Comparative Advantage states that some geographic regions have an advantage of other regions for the production of specific goods or services due to profitability and efficiency provided by that area. As a result, certain industries tend to cluster into specific geographic areas, having a significant impact on that local economy. 

            From the perspective of someone investing in residential housing, address the following:

            • How do the economic factors of a geographical location impact the market for real estate investment?
            • What economic information would entice you to invest in an area? What information would be a red flag?
            • Does real estate investment follow the Law of Comparative Advantage? Support your response.

            Word limit: 200-300, must be in app format, must use Grammarly, and score 90.

            please do not use chat get and Ai text. It can detect  A.I text. 

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            • When doctors diagnose a patient’s mysterious pains, sudden sleep difficulties, changes in eating habits, inexplicable migraines or excessive fatigue as psycho

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              When doctors diagnose a patient’s mysterious pains, sudden sleep difficulties, changes in eating habits, inexplicable migraines or excessive fatigue as psychosomatic, it is easy to apply the layman’s translation of “It’s all in your head.” However, when it comes to these responses to stress, what may be “all in your head” might have a direct impact on what is going on in your body.

              With such symptoms as those just described, it is clear that stress, immune function, and depression are linked. For example, those suffering from posttraumatic stress disorder report high levels of depression. Additionally, while you will not find a doctor ordering extensive lab tests to diagnose depression, high levels of cortisol and other stress hormones are found in the blood of the depressed. Also, survivors of early life stress, such as childhood abuse, experience changes in the neurobiology of the brain, making them more vulnerable to depression later in life. Even acute life stressors are known to provoke depression, especially in an environment of poor social support and frequent life crisis. Finally, chronic stress results in lowered immune function and increased incidence of depression. Not only do the relationships between the brain, stress, immune function, and depression exist, but they are bidirectional and complex.

              For this Discussion, review this week’s Learning Resources as well as the “Stress, Depression, and the Immune Response” section of the “Stress, the Immune System, Chronic Illness, and Your Body” handout. Then reflect on the different ways stress, the stress response, and depression are connected. Finally, consider what part depression plays in the immune and inflammatory response systems.

              With these thoughts in mind: 

              Post by Day 4 an explanation of the relationships between stress and depression. Then describe two factors of stress response that influence the development of depression and explain how. Finally, explain the influence of depression on the immune and inflammatory response systems. Be specific.

              Be sure to support your postings and responses with specific references to the Learning Resources.

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              • When activated, the sympathetic nervous system prepares the body for fight-or-flight (i.e., emergency) actions by controlling the glands of the endocrine syst

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                Respond to the following in a minimum of 175 words: 

                When activated, the sympathetic nervous system prepares the body for fight-or-flight (i.e., emergency) actions by controlling the glands of the endocrine system. Your reading describes the physiological changes to the body that occur when the sympathetic nervous system is activated.

                Describe a scenario where you, or someone you know, experienced an activation of the sympathetic nervous system in response to a feared stimulus.

                • What did it feel like?
                • What was the feared stimulus?
                • What changes in your body did you notice?
                • What other changes could have occurred in your body that you did not notice at the time?
                • Was there a lesson learned or memory associated with the experience?

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                • What is?Emotional Intelligence [EI]?? Describe?some examples?of ways nurse?LEADERS?utilize emotional intelligence in their care of themselves and/or of patien

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                  What is Emotional Intelligence [EI]? 

                  Describe some examples of ways nurse LEADERS utilize emotional intelligence in their care of themselves and/or of patients and families. Why is EI significant  to nurse leadership? 

                  Provide a detailed outline of how EI can be used by nurse managers to develop a mentoring and coaching program for nurses within their unit (make sure to provide specific examples using course readings and textbooks).

                   Then describe specific strategies by which a nurse leader would utilize EI to foster collegial work relationships and promote a feeling of genuine belonging and community within a healthcare institution that helps the entire facility to promote putting the best needs of the patient first. 

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                    Week3LeadershipDiscussion.docx

                  Nursing Leadership and Management-DAX-DL01 Carmen Lazo

                  Discussion Question Week 3

                  Discussion Question Week 3

                   

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                  Let us consider the following:

                  What is  Emotional Intelligence [EI]? 

                  Describe  some examples of ways nurse  LEADERS utilize emotional intelligence in their care of themselves and/or of patients and families. Why is  EI significant  to nurse leadership? 

                  Provide a detailed outline of how  EI can be used by nurse managers to develop a mentoring and coaching program for nurses within their unit (make sure to provide specific examples using course readings and textbooks).

                   Then  describe specific strategies by which a nurse leader would utilize  EI to foster collegial work relationships and promote a feeling of genuine belonging and community within a healthcare institution that helps the entire facility to  promote putting the best needs of the patient first. 

                  As a reminder, all discussion posts must be a minimum of 350 words initial references must be cited in APA format 7th Edition, and must include a minimum of 2 scholarly resources published within the past 5 years. 

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