Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process of recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.
Login to all social media sites in which you engage. Review your profile, pictures, and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.
In 500-750 words, summarize the findings of your review. Include the following:
Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include a discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human values and dignity for all individuals. Describe areas of your social media activity that could be improved.

Asthma and chronic obstructive pulmonary disease (COPD) are significant public health burdens. Currently, more than 25 million people in the United States have asthma (HealthyPeople.gov, 2019). As an advanced practice nurse, you will likely encounter patients who will present with respiratory disorders, including asthma or COPD. Understanding specific treatment protocols as well as the types of pharmacotherapeutics used to treat respiratory disorders is important to ensure the effective and safe delivery of advanced nursing practice.

This week, you will evaluate drug therapy plans for patients who present with asthma and analyze the stepwise approach to asthma treatment and management from a patient in your professional practice.

Assignment Description:

Care planning is an essential skill for successful practice in nursing. In practice, there will be varying levels of ‘formal’ care planning that take place. In some care settings, there will be a complete documentation of a care plan in the medical record, in other environments nurses will care plan to organize their patient care but documentation will not be performed. No matter the level of documentation that is completed, all nurses go through the exercise of care planning as a way of applying nursing science to patient care delivery.

 

This assignment directly addresses the following course objectives for NUR 320 – Foundations of Nursing:

1. Identify aspects of critical thinking important to the communication process. (SLO: 1, 4, 5)
2. Utilize patient care scenarios to apply the nursing process in developing a plan of care. (SLO: 2, 3, 4)
3. Assess evidence-based practices delivering holistic, ncp-1-example incp-2 incp-2-grading-rubric. (SLO: 1, 2, 3, 4, 5)
4. Develop accurate, safe performance of nursing concepts and skills. (SLO: 2, 3, 5)

 

In this assignment you, the student, will be both patient and nurse. You will be writing a care plan for yourself. All of the assessment data will be about you, the interventions will be performed by you, and the evaluation will be based on your outcomes.

 

You will be using the Nursing Care Plan Form for school, provided to you on Canvas. The following tips will help you to complete a Care Pan Form:

• NANDA
  • Including ‘related to’ and ‘as evidenced by’ statements, as appropriate
  • No more than one ‘risk for’ NANDA may be used for the assignment
• Data
  • 3-5 subjective and objective data points
• 2 Goals
  • SMART format
• 3 Interventions per goal
  • Total of 6 interventions per Care Plan
• Rationale
  • Every intervention must have a rationale
  • Cite the source of your rationale appropriately (APA)
• Evaluation
  • Every intervention needs to be evaluated with the statement Met, Partially Met, or Not Met
  • Total of 6 Evaluations per Care Plan

 

Any citations or references used in the completion of this assignment must be noted using correct APA reference citation, for both in-text citations and references. Any evidence of plagiarism will result in a 0 for the assignment and will be pursued to the fullest extent of the academic integrity policy outlined in the student handbook.

 

The due dates for this assignment are outlined on the syllabus, and as follows:

 

Care Plan 1                          Week 4

Care Plan 2                          Week 6

 

The act of creating care plans is difficult for students learning to implement the nursing process. As your professor, I strongly suggest seeking assistance if the assignment is difficult to complete or if your performance is not as you would like.

Psychoanalyst Case Narrative Examination

Instructions For Completion Of Case Narratives To Meet The Examination Requirement For Licensure In New York State

The State Board has determined that two case narratives that describe the assessment and treatment of separate clients will allow you to demonstrate a basic level of competence in applying the knowledge and skills necessary to practice psychoanalysis in New York State. You will be able to select your own cases in advance, but you will write the case narratives in a supervised, secure test center. Each narrative will be reviewed and scored by two members of the State Board or its designees to determine the thoroughness and appropriateness of your interactions with and your therapeutic approach to the treatment of a client.

The Examination

You may not bring notes, case files, or any other materials into the examination site. Prior to the examination, you should have selected a case of sufficient duration and depth to allow you to complete the seven required examination sections. Select a case that involves the treatment of an individual (rather than a couple, family, or group), and that reflects standard theoretical orientations, rather than experimental or eclectic approaches to treatment.

Your case narrative should provide sufficient evidence of treatment planning and implementation appropriate to the patient, regardless of the number of sessions.

The narrative should clearly state your theoretical orientation. The reviewers will evaluate the narrative as to whether your assessment and treatment of the patient is appropriate to that theoretical orientation.

Your case narrative must be organized according to the format of the scoring sheet used by the reviewers. Following this format increases the likelihood that you address each area in your case narrative and receive maximum credit for your narrative. Although the use of titles can suggest that the case narrative is a collection of discrete subjects, the acceptable narrative will reflect the relationship between areas (e.g., presenting problem, assessment, and treatment) in the practice of psychoanalysis. Any narrative that is not in compliance with the required computerized format will not be scored and the candidate will be notified to that effect.

Format for the Narrative

Your case narrative must demonstrate the relationships among: the presenting problems, the background material, formulation of case dynamics, a diagnostic formulation, the phases of the psychoanalytic process, an assessment of patient functioning, application of psychoanalytic theory appropriate to the case and supervisory issues. You must write the case narrative in the order and format provided on the score sheet directly on the computer. You will have three hours to write, review, and complete the narrative. When you are finished, it will be submitted electronically to the State Board for Mental Health Practitioners for scoring.

Do not include your name or any other identifying information in the case narrative. Do not use actual names of clients, supervisors or agencies; use fictitious names or initials.

Scoring the Case Narrative

Each case narrative will be reviewed and scored by two licensed professionals selected by the Department who are competent in the practice of psychoanalysis. The Department will make every effort to assign the scoring of a case narrative to a licensed psychoanalyst with the same theoretical orientation as the applicant.

The reviewer provides a score for each of the sections on the scoring sheet; these are added to produce a total score for the case narrative. A reviewer may assign zero credit, partial credit or full credit for each item on the score sheet. A total score of 75 or higher from each reviewer is required for a case narrative to be acceptable. The criteria to be used by the reviewer is detailed on the next three pages.

If your case narrative is acceptable, you will be notified that it has met the requirement for one of the two case narratives necessary for licensure.

If a case narrative receives a failing score, the applicant will receive the reviewers’ score sheets with point values assigned to the narrative. (Raters may also have written comments about narrative deficiencies in the “comments” area under each scoring section.) An applicant may choose to revise the case narrative to improve scores in the deficient areas, in which case the applicant must schedule a session with the test center; there is no additional charge for revision. A failing case narrative may only be revised one time. As the applicant may not bring materials into the test room, the applicant will be provided with a copy of the rating sheets at the test center so that he/she may again see how the narrative was rated. If an applicant wishes to submit a new case narrative, he/she must contact the test center to schedule a session and pay the required examination fee for a single case narrative.

An applicant is limited to submitting and revising two case narratives per calendar year.

Credit for a passing score on the narrative is retained until the applicant meets the requirements for licensure or the applicant withdraws the application or after five consecutive years of inactivity.

Criteria For Rating The Case Narrative

For candidate use in organizing and writing the case narrative to satisfy the examination requirement for licensure as a psychoanalyst.

The passing score is 75. The point value of each numbered criterion in the sections below appears in parentheses at the end of each criterion. Structure your case narrative exactly as the sections appear below in order.

Section I: Identifying Data & Description of Patient (10 points)

In this section, the applicant should:

1. Describe the initial contact and any resistances to it (1)
2. Describe the initial appointment and any resistance to it (1)
3. Include referral source and referral condition if unusual (1)
4. Include descriptive characteristics (age, ethnic background, physical appearance and body language, employment history, educational background, living circumstances) (2)
5. Include pertinent medical and psychotherapeutic history (2)
6. Clarify contracts regarding length, frequency and fee of sessions (1)
7. Show understanding of dynamics of resistance in any of these contracts (1)
8. Present the material with clarity, relevance, and appropriate language (1)

Section I maximum score = 10

Section II: Presenting Problem (10 points)

In this section, the applicant should:

1. Adequately describe the presenting problem as the patient perceived it (2)
2. Demonstrate a psychoanalytic understanding of the patient’s presenting problem (3)
3. Psychoanalytically define what a presenting problem is (a reason or excuse to enter treatment; a symptom; a metaphor; resistance; symbol, etc.) (2)
4. Relate background information to presenting problem (2)
5. Present the material with clarity, relevance, and appropriate language (1)

Section II maximum score = 10

Section III: Background Material and Social History (12 points)

In this section, the applicant should:

1. Adequately present a description of the patient’s psychological and sexual history and understanding of himself (childhood shyness, aggression, loneliness, popularity, modes of functioning and adapting) (4)
2. Include patient’s recollections of significant events, memories, traumas, developmental milestones (2)
3. Include patient’s descriptions of and interactions with mother, father, siblings, other important people of childhood (2)
4. Include any conceptions of relations between past functioning and present circumstances (3)
5. Present the material with clarity, relevance, and appropriate language (1)

Section III maximum score = 12

Section IV: Diagnostic Understanding and Formulation (18 points)

In this section, the applicant should:

1. Include assessment of defenses and autonomous functioning in the diagnostic process (2)
2. Include assessment of self and object manifestations and intra-psychic issues in the diagnostic process (2)
3. Integrate background material into diagnostic understanding (2)
4. Integrate presenting problem into diagnostic understanding (2)
5. Demonstrate understanding of the therapeutic relationship as part of the diagnostic process (1)
6. Present interventions between patient and analyst and patient’s responses to interventions (2)
7. Demonstrate understanding of environmental/social issues in diagnostic process (2)
8. Formulate a diagnosis and present a rationale consistent with supporting evidence and theory (4)
9. Present the material with clarity, relevance, and appropriate language (1)

Section IV maximum score = 18

Section V: Initial Phases of Psychoanalytic Process (22 points)

In this section, the applicant should:

1. Include descriptions of therapeutic relationship between analyst and patient: typical interactions and control issues concerning fees, use of couch, free association, lateness, missed sessions, etc. (2)
2. Demonstrate an understanding of psychoanalytic interventions (interpretations, communications, and interactions) and provide examples of such interventions, including the rationale for their use (4)
3. Demonstrate recognition of resistance and provide examples (3)
4. Demonstrate recognition of transference and provide examples (3)
5. Demonstrate recognition of defense mechanisms and provide examples (3)
6. Demonstrate recognition of counter-transference with the analytic process and provide examples (4)
7. Demonstrate the use of dreams to further the analytic process (2)
8. Present the material with clarity, relevance, and appropriate language (1)

Section V maximum score = 22

Section VI: Later Developing Phases of Psychoanalytic Process (16 points)

In this section, the applicant should:

1. Include descriptions of shifts, changes, or deepening of transference relationships (3)
2. Include descriptions of how the continuing/deepening of transference relationship was facilitated through analyst’s interventions and communications (3)
3. Demonstrate evidence (or lack of) of patient’s emotional growth, changes that have occurred in patient and patient’s life as a result of analysis (2)
4. Demonstrate evidence (or lack of) of patient’s strengthened ego functioning and reality testing (2)
5. Provide an understanding of major themes appearing in the therapy (object constancy, narcissistic injury, obsessive/compulsive tendencies, depression, etc.) (3)
6. Provide a rationale for continuation or termination of analysis (2)
7. Present the material with clarity, relevance, and appropriate language (1)

Section VI maximum score = 16

Section VII: Supervisory Issues (12 points)

In this section, the applicant should:

1. Demonstrate an understanding of the use of clinical supervision (2)
2. Clearly identify supervisory issues pertinent to the case (2)
3. Adequately convey the supervisor’s guidance with respect to resistance and transference issues (2)
4. Convey understanding of the supervisor’s explanation of counter-transference issues and what the applicant has learned about them (3)
5. Demonstrate implementation of the supervisor’s recommendations in the analysis (2)
6. Present the material with clarity, relevance, and appropriate language (1)

Section VII maximum score = 12

Final Score

Section	I	II	III	IV	V	VI	VII		Total
Points Available	10	10	12	18	22	16	12		100

The pass point is 75. A score of 75 or higher is a passing score and shall be considered satisfaction of the examination requirement for licensure as a psychoanalyst in New York State

As you develop your Professional Nursing Philosophy and Professional Development Plan be sure to include the following:

• Professional Nursing Philosophy: Limit to 1 page that includes:
• • Philosophy statement:
  • • The reason(s) for becoming a nurse, and personal beliefs about nursing.
    • Nursing theory used to frame your philosophy that demonstrates a connection between the theory and the personal philosophy of nursing.
  • Professional Development Plan: Click to download the Professional Development Plan template. Limit to 2-4 pages that includes:
  • Expectations and plans:
  • • Where you are now? Where you are going? How you plan to get there?
  • Strengths and weaknesses:
  • • What are your strengths?
    • What are your weaknesses or areas that need improvement or additional development?
  • Goals:
  • • 2-year goals (career and educational). What action steps are needed?
    • 5-year goals (career and educational). What action steps are needed?
    • 10-year goals (career and educational). What action steps are needed?
  • Professional Socialization:
  • • Which professional nursing certification(s) are you qualified to obtain?  Describe your plan (including timeline and study strategies) for obtaining your certification.  If you are not qualified, what is your barrier?  How can you overcome it?  What is your timeline for doing so?
    • Professional organizations (identify at least 1 that you plan to join.  How can you contribute to this organization?  How can this organization contribute to your professional development and enhancing your nursing practice?  How can this organization help promote self-advocacy and advocacy for the nursing profession?

Course Learning Outcome(s)

• Identify the roles and efforts of professional nursing organizations to influence healthcare policy, ethically evaluate healthcare policies for their social utility, and advocate for vulnerable populations.
• Apply legal, ethical, and professional nursing standards to promote and advocate for safe, high-quality, cost-conscious healthcare.
• Create a professional development plan, which includes goals and timelines related to professional certification, professional organization membership, and ongoing professional development.
• Demonstrate leadership skills and apply leadership principles to promote safe, quality, and cost-effective nursing care in complex healthcare settings.
• Demonstrate effective preparation for career growth into advanced professional nursing roles.