Do you believe it fair to say that white culture and white identity are privileged in Canada and that with this social position comes social power?

Question 5:
1. Do you believe it fair to say that white culture and white identity are privileged in Canada and that with this social position comes social power? Remember, the argument is also being made that most white Canadians will not recognize their unearned privileges because it is the norm.

2. Answer the same question asked above, but this time imagine you are a member of a different racial group than the one you were born into. Would this change your answer?

3. The norms, the laws and many of the most powerful institutions in the country are formed around white ideals and ideas in such a way that they are usually not questioned. For example, white people are not racially seen or labeled as white. They are ‘just the norm.’ What are some of the possible consequences of this for people who, by no choice of their own, can never fit ‘the norm’? What can be done to change this situation?

Examine Case Study: A Young Caucasian Girl With ADHD

The Assignment

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

· Decision #1

o Which decision did you select?

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with

Decision #1 and the results of the decision. Why were they different?

· Decision #2

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

· Decision #3

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with

o 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.

Note: Support your rationale with a minimum of three academic resources no more than five years old in APA Format

Attention Deficit Hyperactivity Disorder
A Young Girl With ADHD

BACKGROUND

Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition.

The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work.

Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father.

 

SUBJECTIVE

Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.”

Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time.

 

MENTAL STATUS EXAM

The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.

Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation

Decision Point One:

Begin Wellbutrin (bupropion) XL 150 mg orally daily

RESULTS OF DECISION POINT # ONE

Client returns to clinic in four weeks

Katie’s parents inform you that they stopped giving Katie the medication because about 2 weeks into the prescription, Katie told her parents that she was thinking about hurting herself. This scared the parents, but they didn’t want to “bother you” by calling the office, so they felt that it would be best to just stop the medication as they would be seeing you in two weeks

Decision Point #Two:

Select what the PMHNP should do next:

Educate the parents that Bupropion sometimes causes suicidal ideation in children and that this is normal, and restart the drug at the previous dose

RESULTS OF DECISION POINT TWO

Client returns to clinic in four weeks

Katie’s parents again report that after about a week of treatment with the Bupropion, Katie began telling her parents that she wanted to hurt herself and began having dreams about being dead. This scared her parents and they stopped giving her the medication

At this point, they are quite upset with the results of their daughter’s treatment and are convinced that medication is not the answer

Decision Point # Three:

Select what the PMHNP should do next:

Refer the parents to a pediatric psychologist who can use behavioral therapy to treat Katie’s ADHD

Guidance to Student

Bupropion is used off-label for ADHD and is used more commonly in adults. It’s mechanism of action results in increasing the neurotransmitters norepinephrine/noradrenaline and dopamine. Since dopamine is inactivated by norepinephrine reuptake in frontal cortex, (which largely lacks dopamine transporters) bupropion can increase dopamine neurotransmission in this part of the brain, which may explain its effectiveness in ADHD. However, Bupropion as well as other antidepressants have been linked to suicidal ideation in children and adolescents- despite the fact that it was being used initially to treat ADHD, it is still an antidepressant.

At this point, the parents are probably quite frustrated as no parent wants to hear their child talking about hurting themselves or having dreams about being dead. If the parents are adamant about no more medications, referral to a pediatric psychologist or similar therapist skilled in the use of behavioral therapies to treat ADHD in children. However, it should be noted that behavioral therapies work best when combined with medication, however, if the parents are insistent, then behavioral therapy may be the only alternative left in the treatment of Katie.

In terms of the pathophysiology of ADHD, whereas it may be true that increasing age may demonstrate some improvement in symptoms (some people will actually experience complete resolution of symptoms by adulthood), it is not helping Katie in the here and now. Katie still needs help with her symptoms which are causing academic issues.

The PMHNP should attempt to repair the rupture in the therapeutic alliance (the parents now believe that medications are not the answer) by explaining rationale for the use of Bupropion (many people like to start with Bupropion because it has a low-risk for addiction). The family should be encouraged to allow the PMHNP to initiate Adderall as it has a very good track record in terms of its efficacy in treating ADHD.

Based on what you have learned about long term care services, policies and regulations, you are to prepare a brief report that provides recommendations for improvement.

The Scenario

Sagecrest Nursing and Rehabilitation Center in Las Cruces, NM has been identified by Medicare as a “special focus facility” and is in danger of losing its certification status with CMS. You have been hired as a consultant to evaluate and improve this facility. Based on what you have learned about long term care services, policies and regulations, you are to prepare a brief report that provides recommendations for improvement.

Use the web to find pertinent information with which to guide your recommendations. Some important resources may include:

· Nursing Home Compare: https://www.medicare.gov/nursinghomecompare/search.html

· State of New Mexico Nursing Home Regulations: http://www.hpm.umn.edu/nhregsplus/NHRegs_by_State/New%20Mexico/NM%20Complete%20Regs.pdf

· CMS.gov – Nursing Homes: https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/nhs.html

· Federal Nursing Home Regulations and State Laws: http://www.nursinghomealert.com/federal-nursing-home-regulations-and-state-laws

· Facility website ( http://www.sagecrestrehabilitation.com/ ). IMPORTANT NOTE: Do NOT contact the site directly. This is a learning exercise. Since you are not actual consultants, contacting the facility directly would be inappropriate.

In your report, include the following:

Summary of identified problems

Relevant policy that guides nursing home practice

Prioritized list of recommendations

Suggested action plan for implementing changes

Your report should be 3-4 pages in length, page length does not include the title page, tables, graphs, charts, pictures or reference page.. The paper should be double-spaced with 1” margins on all sides. Format, in-text citations and references should adhere to APA format.

What assessments should be done to gain further information from D.H?

  1. Please give full citation, book page number, and sources not more than 6yrs.2. do not use first name as last name for references.please use Maternal Child Nursing Care (5th
    ed.). Perry, E. Shannon
    Hockenberry, J. Marilyn
    Lowdermilk, Deitra Leonard
    Wilson, David (2014)
    Elsevier Mosby
    3251 Riverport Lane St. Louis, Missouri 63043
    pls check for proper citation on online for this book.use also All-in-one care planning resources: medical surgical, pediatric, maternity, psychiatric nursing care plan by Swearingen, L. Pamela, ceck for proper citation.
    D not include questions in the 4 pages.

Case Study for NSG 250

Scenario

D.H. comes the labor and delivery unit having contractions and feeling somewhat extremely uncomfortable and doubling over with contraction pain. She says she was shopping in the mall with her friend and “It was really bad! I could barely walk to the car!” A nurse takes her to the intake room, provides privacy, has her change into a gown, and prepares for assessment. ALL Answers should have evidenced based rationale.

  1. D.H. has contractions 2 minutes apart lasting 45 seconds. This is her fifth pregnancy at 38 weeks gestation. She has two children 8 and 3 at home both term deliveries, had one miscarriage at 12 weeks gestation. The membranes are intact at this time. A nurse should most appropriately ask for what information before doing a vaginal exam?
  1. What is the GTPAL based upon her maternal history?
  1. What assessments should be done to gain further information from D.H?
  1. The digital vaginal exam reveals 80% effacement, 8 cm dilated and 0 station. The fetal heart rate (FHR) is 150 beats/min and moderate variability. The client is admitted to a labor and delivery room on the unit. What nursing measures should be done at this time?
  1. Review the stages of labor. What stage is D.H. in at this time based on the above information?
  1. D.H.is assessed with external electronic toco and fetus is assessed with an external electronic fetal monitorthroughout labor. What abnormalities should a nurse assess for?
  1. The nurse notes the following pattern on the external fetal monitoring strip. What are the most appropriate nursing interventions at this time?
  1. The client delivers 45 minutes later. D.H. has a 2nd degree episiotomy to allow more room for the infant to descend and delivers an 6lb 8 oz female infant.What is involved in the immediate care of the newborn?
  1. D.H. has her episiotomy repaired and the placenta delivered. Describe the signs that the placenta has released from the uterine wall?
  2. Write the priority nursing diagnosis for D.H at this timein appropriate format with all data to support.
  1. What is the goal for this diagnosis? Include three interventions that will resolve or relieve the problems with rationale. What medication and method of delivery can be anticipated at this time?
  1. What assessments are important for D.H. immediately following delivery?
  1. The infant at 1 hour of age is without respiratory distress and has been assessed with the New Ballard Score. The infant is determined to be SGA. What type of care would a nurse plan to care for this infant.
  1. The mother is breastfeeding the infant every 2-3 hours for the past 24 hours. The nurse assesses the feeding and notes that the mother winces each time the baby latches on and assesses as erythema, sore area on the left nipple. What is the most likely cause of this?
  1. How would a nurse assist the mother and infant to correct this problem?
  1. The infant will be discharged home with the mother. Write one goal for the newborn based upon the information in question 15.

Explain the benefits of a clinical experience in this chosen environment.

This course, NURS 484, has 9 course outcomes and your learning will address all of these to some degree. Since all clinical situations and settings are unique, more specific/individualized outcomes are needed. Thus, please do the following:

  1. Identify and describe your clinical environment. (1 point)
  2. Explain the benefits of a clinical experience in this chosen environment. (1.5 points)
  3. Provide at least three additional learning outcomes/goals for your practicum based on your clinical environment and personal learning needs. Please write thoughtful, thorough outcomes. Use bullet points. (4.5 points)
  4. Include particular ways you intend to meet the additional learning outcomes.(3 points)

Please write thorough responses, use paragraph breaks, and follow APA formatting. The assignment is worth 10 points.

Bearing witness to trauma has its own set of consequences. Watching repeated episodes of bullying can evoke strong emotional and behavioral responses from an adolescent.

Bearing witness to trauma has its own set of consequences. Watching repeated episodes of bullying can evoke strong emotional and behavioral responses from an adolescent. During the impressionable stage of social development in adolescents, these experiences can contribute to a change in perception about the ways people should and do treat each other. Furthermore, ongoing exposure to this behavior can jeopardize an adolescent’s healthy social development. For this Discussion, consider how the act of bullying experienced by one adolescent may change the experience of another who witnesses it.

Post a scenario that illustrates how bullying experienced by one adolescent may change the experience of another who witnesses it. Then address the availability of any social work intervention, skill, or practice that might change this cycle of events. Please use the Learning Resources to support your answer.

Human Growth and Development 

a) Research Paper must comply with APA written standards: (Extra)

· Title page (1)

· Abstract (1)

· Content pages (5)

· Conclusion (1)

· Reference Page (1)

Therefore, there must be a minimum of nine (9) pages per project.

· In addition, you can utilize the services from the Writing Lab at the Hialeah campus and online with Professor Ileana Torres: http://www.fnu.edu/writing-lab/. She can also be reached at the school website: irojas@fnu.edu

Human Growth and Development

Identify specific employee files that show progressive discipline of employees.

Imagine your Learning Team is the human resources management team at the Patton-Fuller Community Hospital virtual organization. The new chief executive officer (CEO) of your hospital has asked your team to prepare a presentation about human resources at the hospital.

Prepare a 2-5 slide Microsoft® PowerPoint® presentation for the new CEO in which you:

  •  Describe the due diligence of progressive discipline of employees
  • Identify specific employee files that show progressive discipline of employees. Determine if due diligence is followed in the corrective action file of the following employees:
  • Bennie Bellamy
  • Alva Branham

What are the legal and ethical implications of change?

Assignment 2: Required Assignment 2—Five-Year Global Workforce Forecast
Not only is the U.S. experiencing a demographic shift, but the world is also changing, and national borders are becoming blurred. This increased connectivity will highlight human differences while putting organizations in a position to benefit from the multiple perspectives gained through a diversified workforce. BANKS Industries continues to look for business acquisitions and plans to continue to expand over the next five years.
Consider forecasted changes in the U.S. and on a global level, and write an 8–10-page executive report addressing the following:

Given increased globalization and demographic shifts, what changes in the workplace are likely to occur? Explain in terms of workforce demographics, new challenges, and benefits.
How will these changes impact the way organizations function?
How will HR practices change staffing, rewarding, employee relations, communication, performance management, training and development, and technology? Within that discussion, point out current best practices that may require modification as well as the most appropriate modifications.
What are the legal and ethical implications of change?
How should current employees and leaders begin to prepare for this change? Prepare a change management plan that includes strategies to communicate relevant information to employees.

Write an 8–10-page executive report in Word format.

Evaluate the appropriateness of the research methods and analytical approaches used in the study.

Qualitative Research Critique
[WLO: 3] [CLOs: 2, 5, 6]
Prior to beginning work on this assignment, review the assigned readings and the instructor guidance for the week, read the Ashford Writing Center resource Writing an Article Critique (Links to an external site.), and view the Ashford University Library tutorial How to Read a Scholarly Article (Links to an external site.). Your instructor will post an announcement with the reference for the qualitative research study to be critiqued in this assignment. After reading the posted study, use the Qualitative Research Critique Template to compose and organize your assignment.

In your paper,

Summarize the research question, methods, and findings of the assigned qualitative study.
Evaluate the appropriateness of the research methods and analytical approaches used in the study. Support the position with evidence cited from the textbook and at least one other scholarly source about the research design or method.
Analyze ethical issues pertaining to how the study was carried out.
Critique the strengths, weaknesses, and limitations of the study.
Recommend a research question and methods for a follow-up study on the topic.
Utilize the provided template with section headings.
The Qualitative Research Critique paper

Must be four to five double-spaced pages in length (not including title and references pages) using the template provided and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)’s APA Style (Links to an external site.) The template is a Word document that is pre-formatted in APA style. If unable to use the pre-formatted template, see the following instructions for formatting.
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).

Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.
Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.
For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Ashford Writing Center resources.
Must use at least one scholarly/peer-reviewed source in addition to the study being critiqued and the course text, for a total of at least three references.
The Scholarly, Peer Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications.
Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.