“Professional Roles and Responsibilities”
Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients.
Share your thoughts
- What are the educational requirements to practice as a FNP?
- According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners.
- Who determines the scope of practice for FNPs?
- Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role?
- See rubric
Discussion 3
Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:
Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?
Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?
Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?
Discussion 4:
CS/SB 614 authorizes an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.
ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:
Presigning blank prescription forms.
Prescribing a Schedule II for office use.
Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.
Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.
Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.
Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.
Prescribing, dispensing, or administering a controlled substance to himself or herself.
Prescribing, dispensing, or administering laetrile.
Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.
Promoting or advertising controlled substances.
After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/
Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations?
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Nursing Discussion 18864213
/in Uncategorized /by developerThe U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update
https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html
The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available.
After reading these recommendations answer the following questions.
1. what are the clinical interventions for patients unwilling to quit cigarette smoking?
2. According to the best practices what are the best strategies to help your clients quit smoking?
3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?
APA 6th edition format for references as well as in-text citations is expected.
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Nursing Discussion 18865339
/in Uncategorized /by developerApplication of Health Literacy & Motivational Interviewing Concepts to Promote Wellness
Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.
After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf
Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans).
Posting should be a minimum of one short paragraph and a maximum of two paragraphs. Word totals for each post should be in the 100-200 words range.
APA 6th edition format for references as well as in-text citations is expected.
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Nursing Discussion 18865381
/in Uncategorized /by developerIdentify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Hispanics-Diabetes). Word totals for each post should be in the 100-200 words range.
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Nursing Discussion 18870753
/in Uncategorized /by developerElder abuse /end of life planning.
APA 6th edition format for references as well as in-text citations is expected.
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Nursing Discussion 18891981
/in Uncategorized /by developerMusculoskeletal and Neurologic System Using the South University Online Library or the Internet, research the conditions affecting the musculoskeletal and the neurologic systems. Based on your research and understanding, respond to one of the following scenarios:
2.A 12-year-old female is admitted with severe pain in her spine. While checking history, the patient and her mother state that several weeks ago the patient was treated for an upper respiratory infection. The infection subsided after several days of taking antibiotics. However, several days later, the child complained of joint swelling and pain in her right elbow, which subsided, but then seemed to migrate to her left knee. A week later, today, the child began to complain of worsening back pain. The mother has been treating the pain with over the counter pain medication and heat and ice packs, but this did not seem to help.
◦What are the possible causes of the pain and how you would proceed?
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Nursing Discussion 19363633
/in Uncategorized /by developerselect a challenging nursing care issue (examples include falls, medication errors, pressure ulcers, and other clinical issues that can be improved by evidence in nursing). Do not select a medical issue (disease, medical treatment). Do not select a workforce issue (staffing, call-offs, nurse to patient ratios). Explain the following for the selected clinical issue.
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Nursing Discussion 19422073
/in Uncategorized /by developerSelect a nursing concept, supported by a nursing theory, and address the following components included in a concept analysis:
Definition of concept and discussion of concept in the nurse practitioner role
Identification of three attributes of the concept
Description of one antecedent and one consequence of the concept
Identification of two empirical referents
A brief explanation of theoretical applications of the concept (How is the concept relevant to a nursing theory?)
Use apa format and one of the following references as well as another that you find within the last 5 years.
Parker, M. E., & Smith, M. C. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: F. A. Davis Company.
Lee, R.C., & Fawcett, J. (2013). The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nursing Science Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734
McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
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Nursing Discussion 19458931
/in Uncategorized /by developerHow was the “Family Systems Theory and Obesity Treatment: Applications for Clinicians” theory used? How do the research findings either support or refute the use of the theory in practice?
In childhood obesity it is important to involve the family. What other areas of practice would you especially want to involve caregivers or family members as a practicing NP?
Use this reference
Kaplan, S. G., Arnold, E. M., Irby, M. B., Boles, K. A., & Skelton, J. A. (2013). Family Systems Theory and Obesity Treatment. ICAN: Infant, Child, & Adolescent Nutrition, 6(1), 24–29. doi: 10.1177/1941406413516001
If other references are being used please find within the last 5 years, apa format
350-400 words
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Nursing Discussion 19484667
/in Uncategorized /by developerPost an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.
300 words
3 references within the last 5 years in APA format
Please do a grammar check for proper US English usage
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Nursing Discussion 2 18886243
/in Uncategorized /by developer“Professional Roles and Responsibilities”
Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients.
Share your thoughts
Discussion 3
Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:
Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?
Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?
Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?
Discussion 4:
CS/SB 614 authorizes an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.
ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:
Presigning blank prescription forms.
Prescribing a Schedule II for office use.
Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.
Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.
Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.
Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.
Prescribing, dispensing, or administering a controlled substance to himself or herself.
Prescribing, dispensing, or administering laetrile.
Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.
Promoting or advertising controlled substances.
After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/
Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations?
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