Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:

• How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
• Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
• Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

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Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

• Decision      #1: Differential Diagnosis
  • Which       Decision did you select?
  • Why       did you select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What       were you hoping to achieve by making this Decision? Support your response       with evidence and references to the Learning Resources.
  • Explain       any difference between what you expected to achieve with Decision #1 and       the results of the Decision. Why were they different?
• Decision      #2: Treatment Plan for Psychotherapy
  • Why       did you select this Decision? Support your response with evidence and       references to the Learning Resources.
  • What       were you hoping to achieve by making this Decision? Support your response       with evidence and references to the Learning Resources.
  • Explain       any difference between what you expected to achieve with Decision #2 and       the results of the Decision. Why were they different?
• Decision      #3: Treatment Plan for Psychopharmacology
  • Why       did you select this Decision? Support your response with evidence and       references to the Learning Resources.
  • What       were you hoping to achieve by making this Decision? Support your response       with evidence and references to the Learning Resources.
  • Explain       any difference between what you expected to achieve with Decision #3 and       the results of the decision. Why were they different?
• Also include how ethical considerations      might impact your treatment plan and communication with clients and their      family- see attachment for detail of question

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The Nurse as Advocate

Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious.

Tasks:

Write a 5-page brief to answer the following questions. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Read the following chapters from your course textbook:

• Taking Action: Nurse, Educator, and Legislator: My Journey to the Delaware Senate
• Taking Action: A Nurse in the Board Room

Answer the below questions:

• Describe what you believe to be the drivers for each of the individuals? What factors led them to become advocates?
• Discuss the challenges that each of them identified in their writings.
• Analyze these drivers and challenges and compare them with your own experience to date as an advocate. In what ways do you believe that you can expand your advocacy skills within the next five years?

Submission Details:

• Submit your response in a 5-page Microsoft Word document.
• Name your document SU_NSG4068_W5_Project_LastName_FirstInitial.doc.
• Submit your document to the Submissions area by the due date assigned.
• Cite sources in the APA format on a separate page.

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As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020

(Links to an external site.)

Links to an external site.

and your text as a guide, answer the following questions.

What additional information would you like to gather from Maria?

What are Maria’s real and potential health risks?

Why is Maria’s culture important when obtaining the health assessment?

Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?

What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.

Jarvis, C. (2016). Physical examination & health assessment (7 th ed.) Philadelphia, PA: Saunders.

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