Case study MSN5600L

 review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references.  All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study  

Attached you can find both case study

discussion 11/1/2023 Nur 605

EXAMINING NURSING SPECIALTIES

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.


Note

: Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

 

RESOURCES

· Bickford, C. J., Marion, L., & Gazaway, S. (2015). 

Nursing: Scope and standards of practice, third edition – 2015Links to an external site.
. Retrieved from http://ebooks.iospress.nl/publication/12524

· Cherry, B., Caramanica, L, Everett, L. Q., Fennimore, L., & Elaine, S. (2019).

Leveraging the power of board leadership in professional nursing organizationsLinks to an external site.

JONA: The Journal of Nursing Administration, 49(11), 517-519.

· Echevarria, I. M. (2018). 

Make connections by joining a professional nursing organizationLinks to an external site.

Nursing, 48(12), 35–38.  

· Truant, R., & Chan, R. J. (2017). 

Future ready: Strengthening oncology nursing leadership in the context of professional oncology nursing organizationsLinks to an external site.

Canadian Oncology Nursing Journal, 27(1), 2-4.

· Walden University. (n.d.).

Master of Science in Nursing (MSN)Links to an external site.
. Retrieved November 14, 2018, from https://www.waldenu.edu/masters/master-of-science-in-nursing

·
Document:

 Academic Success and Professional Development Plan Template


 Download Academic Success and Professional Development Plan Template
(Word document)

·
Choose among the following to review your specialization’s Scope and Standards of Practice or Competencies:

·
Nursing Informatics
Ebook: Nursing Informatics: Scope and Standards of Practice 

American Nurses Association. (2015). 


Nursing informatics: Scope and standards of practice (2nd ed.)

Links to an external site.
. Silver Spring, MD: Author.

· “The Scope of Nursing Informatics Practice: Functional Areas of Nursing Informatics” (pp. 18–39)

·
Nursing Education

Website: Core Competencies for Academic Nurse Eeducators

National League for Nursing. (2022).

Nurse educator core competencyLinks to an external site.
. Retrieved from https://www.nln.org/education/nursing-education-competencies/core-competencies-for-academic-nurse-educators

Note: The competencies for the Academic Nurse Educator do not encompass the competencies or scope and standards of practice for the Nursing Professional Developer. The set of competencies associated with that specific role within the Nurse Education specialization will be examined in future competencies throughout your specialization program of study.

·
Nurse Executive

Website: Nurse Executive Competencies

American Organization for Nursing Leadership. (2015). 

AONL Nurse Executive competenciesLinks to an external site.
. Retrieved from https://www.aonl.org/resources/nurse-leader-competencies

·
Public Health Nursing

Website: Public Health Nursing Competencies

Quad Council Coalition. (2018). 

Community/Public Health NursingLinks to an external site.
 [C/PHN] competencies. Retrieved from https://www.cphno.org/wp-content/uploads/2020/08/QCC-C-PHN-COMPETENCIES-Approved_2018.05.04_Final-002.pdf

· American Nurses Association. (2013). 

Public health nursing: Scope and standards of practiceLinks to an external site.
(2nd ed.). Silver Spring, MD: Author.

·
APRN

Website: APRN Consensus Model

APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. (2008). 


Consensus model for APRN regulation: Licensure, accreditation, certification & education

Links to an external site.
. Retrieved from https://www.nursingworld.org/~4aa7d9/globalassets/certification/aprn_consensus_model_report_7-7-08.pdf

·
Adult-Gerontology Acute Care and Primary Care NP Competencies

Website: AGAC and ACPC NP Competencies

Adult-Gerontology NP Competencies Work Group. (2016). 


Adult-gerontology acute care and primary care NP competencies

Links to an external site.
. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/NP_Adult_Geri_competencies_4.pdf

·
Nurse Practitioner Core Competencies

Website: Nurse Practitioner Core Competencies

The National Organization of Nurse Practitioner Faculties. (2012). 

Nurse Practitioner core competenciesLinks to an external site.
. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf

·
Nurse Practitioner Programs

Website: Nurse Practitioner Programs

National Task Force on Quality Nurse Practitioner Education. (2016).

Criteria for evaluation of Nurse Practitioner programsLinks to an external site.
(5th ed.). https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Docs/EvalCriteria2016Final.pdf

·
Population-Focused NP Competencies

Website: Population-Focused Nurse Practitioner Competencies

Population-Focused Competencies Task Force. (2013). 

Population-focused Nurse Practitioner competenciesLinks to an external site.
. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Competencies/CompilationPopFocusComps2013.pdf

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

To Prepare:

Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

BY DAY 3 OF WEEK 10

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

BY DAY 6 OF WEEK 10

Respond to at least 
two of your colleagues' posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose.

Unit 12 Discussion Impulsivity and Compulsivity. 800w. 4 references. Due 11-13-23.

Unit 12 Discussion Impulsivity and Compulsivity. 800w. 4 references. Due 11-13-23.

1. Please describe the role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors. 

2. Please provide two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction. 

3. Summarize the following article “Behavioral Functions of the Mesolimbic Dopaminergic System: an Affective Neuroethological Perspective” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2238694/

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

1. Role of the mesolimbic dopamine pathway in the development or continuation of impulsive/compulsive behaviors. The mesolimbic pathway is the dopamine pathway. This pathway extends from the “VTA of the brainstem (mesencephalon) to the nucleus accumbens in the ventral striatum which is part of the limbic system (Stahl, 2021, p. 90). This pathway is important as it is involved in the regulating motivation and reward. Hyperactivity of the mesolimbic pathway called hyperdopaminergia, is significant in the display of positive symptoms seen in psychosis, schizophrenia, and depression and can result in impulse, agitation, hostile, and aggressive symptoms. In addition, the hyperactivity of the DA pathway can be because of various psychostimulants. Such as, cocaine and methamphetamine (Stahl, 2021, p.90). In terms of impulsivity and compulsivity Stahl (2020, p.541) states, “Impulsivity can be thought of as the inability to stop the initiation of actions and involves a brain circuit centered on the ventral striatum, linked to the thalamus (T), to the ventromedial prefrontal cortex (VMPFC), and to the anterior cingulate cortex (ACC). Compulsivity can be thought of as the inability to terminate ongoing actions and hypothetically is centered on a different brain circuit, namely the dorsal striatum, thalamus (T), and orbitofrontal cortex (OFC). Impulsive acts such as drug use, gambling, and obesity can eventually become compulsive due to neuroplastic changes that engage the dorsal habit system and theoretically cause impulses in the ventral loop to migrate to the dorsal loop.” 2. Two examples of current research on interventions to reduce or eliminate compulsive/impulsive behavior related to addiction. According to Hartney (2021), compulsions are considered obsessions with repeated thoughts that create a feeling of distress (Hartley, 2021). The person’s behavior reduces anxiety and fear. An example to consider is obsessive compulsive disorder. In this disorder, the obsession revolves around the need to wash their hands. In the case of addiction, the desire to use will far outweigh the reality that there may be negative consequences. Such as financial strains, health issues, social problems, legal problems and/or decreased self-esteem (Hartney, 2021). Hartney (2021), suggests for treatment of the OCD behavior should include antidepressant medications like serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs). These medications may be augmented with antipsychotics at the discretion of the provider. In terms of impulsivity, Kozak and her colleagues (2018) denote there are strong overlaps in the neural circuitry and functional mechanisms between impulsivity traits and addiction, which has directed treatment approaches. Therefore, it has been recommended, SUD treatment should include subjective and objective data and target the pharmacological, behavioral, and neurophysiological areas to individualize the patient’s care (Kozak et al., 2018). This study source was downloaded by 100000769192234 from CourseHero.com on 10-22-2023 17:11:39 GMT -05:00 https://www.coursehero.com/file/139195954/Discussion-12-ImpulsivityCompulsivitydocx/ For example: Alcohol use disorder – Naltrexone, Aripiprazole, and Topiramate were successful in decreasing impulsivity behaviors and Problem gambling – paroxetine was found to be successful in impulsivity (Kozak et al., 2018). References: Hartney, E. (2021). The difference between an addiction and a compulsion. Retrieved on March 30, 2022, from https://www.verywellmind.com/the-difference-between-an-addiction-and-acompulsion-22240 Kozak, K., Lucatch, A. M., Lowe, D., Balodis, I. M., MacKillop, J., & George, T. P. (2019). The neurobiology of impulsivity and substance use disorders: implications for treatment. Annals of the New York Academy of Sciences, 1451(1), 71–91. https://doi.org/10.1111/nyas.13977 Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical application (5th ed.). p. 90 & 54, Cambridge: Cambridge University Press.

Please Reply to the following 2 Discussion Posts:

Please see the attachment for the instructions

QUESTION

See attached

Question

Using the DMAIC model of Six Sigma, discuss a recent process improvement model in which you were involved with in your role as an assistant director of nursing at your long-term care facility. Define the project, explain how data was measured and analyzed. Discuss improvement methods employed and if the process improvement was controlled or hardwired.

6566 repeat

Please note that i am resending this to re- do because the previous answer was not valid 

caseSW2

THE ASSIGNMENT

· Assign 
DSM-5-TR and ICD-10 codes to services based upon the patient case scenario. 

Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.

· Explain what pertinent information, generally, is required in documentation to support 
DSM-5-TR and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.   

·
Hi, attached the case scenario and in this word are the questions to answer. Please free of plagiarism, the paper follows correct APA format, valid references.

·
the teacher is a whip, extremely demanding.

·
Thank you

· American Psychiatric Association. (2022).  


ICD-10-CM Codes UpdateLinks to an external site.


https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/updates-to-dsm-5-tr-criteria-text

· American Psychiatric Association. (2022). 


Changes to ICD-10-CM Codes for DSM-5 DiagnosesLinks to an external site.


https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/coding-updates

· American Psychiatric Association. (2020). 


Updates to DSM–5 criteria, text and ICD-10 codes

Links to an external site.
. https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5

· American Psychiatric Association. (2013). 


Insurance implications of DSM-5Links to an external site.


https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM_Insurance-Implications-of-DSM-5.pdf

· Clicking on this link will initiate the download of the PDF.