The menstrual phase of the uterine cycle occurs: While the endometrium is thickening From days 6-14 of a 28-day cycle When progesterone spikes When estrogen and progesterone are at their lowest levels Question 2 The follicular phase of the ovarian cycle: Lasts from day involves a surge of estrogen secretion Involves activity of the corpus luteum D) Involves inhibition of testosterone secretion

How do the procedures contribute to the oral health of a patient? How can you prepare or train to excel in this type of specialty? Reflection on what you learned during this research

Explain how the nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.

We engage in a variety of interactions with people every day whether at work or elsewhere. We build opinions based on their verbal and nonverbal contact during interactions. According to Riley (2017), “when our verbal message does not match our posture, tone of voice, body language, or facial expression, client or coworkers decode the disparate information as two dissimilar messages.” (p.87).

Once when I arrived to work ten minutes late during a shift change.

My colleague casually asked me the reason for being late. Even though I was late because I had left late from home, I explained that it was because of the heavy traffic on the way.

My facial expressions did not seem to go along with what I was saying, and I could not maintain eye contact. She was rolling her eyes, though, so it appeared as though she could tell that my spoken message and body language were not coordinated.

Our vocal communication can be planned; however, our nonverbal communication can reveal concealed facts. By analyzing a person’s body language or the manner they transmit a message, we can ascertain whether they are telling us the truth (Riley, J.B, 2017).

2. Discrepancies between you and the external world:
We occasionally come across circumstances with which we disagree. However, we keep moving forward, accepting the discrepancies.

For instance, in nursing, documentation is critical; however, keeping the paperwork up to date takes away time from bedside nursing.

Additionally, the workload can be excessive, sometimes compromising patient care quality.

A nurse must care for sick people, so she should spend more time at the bedside rather than documenting. I understand that documentation is essential, but it can be planned more straightforwardly, taking less time and leaving more time to provide patient-centered care.

3. Discrepancies between you and the client:
Making others aware of their behavior’s destructiveness or lack of productivity is the first step in confrontation. The second is offering suggestions for how they may conduct themselves more constructively or productively. At the same time, we know some people tend to argue when challenged.

As a result, we do not want to discuss their behaviors. People encounter problems because of their misdirected actions/behavior; at this moment, we might regret not discussing the destructive behavior before (J.B. Riley, 2017).
According to Riley (2017), confrontation can be done in such a way that the other person does not feel offended and will also appreciate your opinion.
If I would have a dispute with my client at any time, I would first listen to what my client has to say, then clarify the problematic behavior and explain why I believe this behavior is the issue—additionally making a polite request to change the behavior and making a respectful suggestion in a way that the client is not offended.

Finally, I would encourage the client to change their behavior by emphasizing the positive consequences of changing or negative implications (J.B. Riley, 2017)

Reference

Riley, J.B. (2017). Communication in Nursing: Learning confrontation skills. (8th Ed.). Elsevier.

Identify the problem areas for the facility described below, and prepare a written recommendation addressing a plan of correction for each site. You have been hired as a consultant for a behavioral health care facility comprising 11 client service sites. They are Joint Commission accredited and are anticipating a survey soon. After initial visits to each site, your analysis of deficiencies includes:

Site 1—Residential Chemical Dependency Program for Adolescents The medical records are well organized and in good order, but after closer inspection, you find that the physician responsible for completing physical exams does not assess clients’ motor skills, which is a requirement for adolescent admissions. You also find that although the history and physical is performed and dictated by the physician within 24 hours, the typed report does not appear in the chart for weeks.

Site 2—Residential Chemical Dependency Program for Adult Women the Joint Commission and state standards require that a master treatment plan be completed within 14 days of admission. A representative sample review of the facilities’ charts reveals no treatment plans. Upon closer scrutiny, you learn that none of the clients admitted in the past 3 months has a treatment plan in the charts either.

Site 3—Outpatient Mental Health Clinic with 600 Active Clients After conducting a study to determine the record re-trialability rate, it is learned that 75% of the records are inaccessible. The day the study was completed, only 40 clients had been scheduled for appointments. This location has only two health information clerks, and one has been pulled frequently to answer the phone at the intake desk.

Site 4—Outpatient Chemical Dependency Site with 125 Active Clients A quantitative analysis process has been set up and the record clerk trained, but no quantitative analysis has occurred. Upon a return visit to analyze the situation, it is found that the records clerk is also the office manager with responsibilities to answer the phone, schedule appointments, conduct financial intakes, maintain time sheets for clinicians, and complete general correspondence.

Site 5—Outpatient Chemical Dependency Site with 40 Active Clients Upon receiving a subpoena duces tecum and a court order, a clinical supervisor fails to notify the organization’s clinical director, health information manager, or an administrator. Instead, she takes the records home and asks her husband, who