Category: Health Care and Life Sciences : Nursing

OVERVIEW
Consistent with the module objectives, the purpose of this assignment is to explore the ethics related to family nursing practice.  Select one of the two case studies listed below and respond to the concerns raised related to this case.  Support your discussion using at least 1-2 professional nurse practitioner or medical journal by the end of Week 9. Respond to the posts of at least two colleagues by the due date. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting -in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…and add supportive reference. Avoid comments such as “I agree” or “good comment.”
Case Study #1
Susie, age 45 years, and Johny, age 50 years, present to the healthcare clinic to consult with the APRN about their pregnancy.  They are pregnant with their first child.  It was recommended to them by their nurse midwife that they consider genetic testing and screening. Susie has a strong family history of cystic fibrosis (her sister and mother both had disease), and Johny has a strong family history of sickle cell anemia (his father and brother have this disease).  Susie and Johny have mixed feelings about the genetic testing.  As their primary care provider, how will you assess them, and what intervention strategies might you use to support them?
Case Study #2
Mrs. Jones, age 88 years, recently presented with rectal bleeding x 2 weeks.  She is more fatigued than normal, pale and weak in appearance and has developed a significant cardiac murmur which was not present on her last well exam three months ago.  She has declined any preventive screening such as a colonoscopy or pelvic exam despite a strong family history of colon cancer.  A physical exam reveals a large friable mass extending from her recturm.  As the APRN primary care provider, you recommend additional diagnostic testing, and have offered to talk to her son (age 62 years) and daughter (age 60 years).  She declines further diagnostic testing, and absolutely forbids you to talk to her children.  What is the best course of action?
Due Date:
Initial Post: Thursday week 10 by 11:59 p.m. (EST)
Response Posts: Sunday week 10 by 11:59 p.m. (EST)
Point Value: 10
Instructions:
To be successful, complete the following steps in order:
STEP 1: Review the the above overview and the Discussion Board general instructions under the COURSE HANDBOOK tab by clicking the ASSESSMENT INSTRUCTIONS link.
STEP 2:  Review the Grading Rubric 
STEP 3: Click on the above link titled “Click to launch” or click on the “DISCUSSIONS” tab on the left to view your assigned group and post to the graded discussion board forums
Got questions? Please post them to the ‘Q&A forum’ in the GENERAL DISCUSSIONS area.

We are in an era of artificial intelligence (AI). The use of AI in higher education has drawn some significant debate. Its use is integrating more and more, so comprehending how to use it is important. You will use AI for this assignment. AI has been faulted with removing feelings and emotion with generic computerized responses. For this assignment you will ask one person a narrative qualitative question and put the same question into the AI chatbot to obtain it’s response.
Narrative Qualitative Question: Describe your experiences with life during and following COVID-19.
You will transcribe (word for word) the person’s response in the discussion question with their initials next to it. (For example if I respond to the question you would use N.S. for Nicole Stephens).
Put the same question into the AI generator and copy and paste the response into the discussion board. If your AI states “I’m an AI language model, so I don’t have personal experiences since I’m not a physical being nor do I possess the capacity to directly interact with the environment around me” remove that aspect of the response to make it look like an actual person stated the response. If you feel the response could be improved feel free to improve the response (by regenerating it in the AI) and see what else your AI will generate.  Use the following APA citation format for your AI response:
Compare the human response to the life experience question to the AI experience. How do the two responses compare? How do they differ? How does the human response qualify this question as a narrative qualitative question? Does the AI response qualify as a narrative qualitative question?
Use APA formatting, normally I would have you cite the person your received the information from, but anonymity is very important in research so this time you will not do a personal communication citation.
AI response “The COVID-19 pandemic has drastically changed my life and the way I live it. Before the pandemic, I was a student in college, living a fairly normal life. I was able to go out with friends, attend classes in person, and simply enjoy the freedom of being a young adult.
However, once the pandemic hit, my life changed significantly. I had to move back home and attend classes online. I was no longer able to go out with friends, and I had to stay home for most of the day. It was a difficult adjustment to make, and I often felt isolated and lonely.
Fortunately, I was able to keep myself busy with online activities such as reading, playing video games, and watching movies. I also made sure to stay connected with family and friends through video calls. It was a great way to stay connected while still being socially distant. Additionally, I started to take up various hobbies like baking and photography, which helped me pass the time and keep my mind off of the pandemic.
As the pandemic progressed, I started to adjust to the new normal. I began to attend classes online, and I even got involved with virtual internships and job opportunities. I also took up new hobbies such as gardening and writing.
Now, as the pandemic seems to be slowly winding down, I am grateful for the experiences I have gained and the lessons I have learned. I now appreciate the small things in life and understand the importance of staying connected with family and friends. I am also more aware of the importance of taking care of myself mentally and physically.
Overall, the pandemic has been a difficult experience, but it has also taught me a lot about life and how to navigate it. I am thankful for all the opportunities I have been able to take advantage of, and I am looking forward to a future filled with new experiences.”
AI reference -Toolbaz. (2022). ChatGPT alternative tool [Large language model]. https://toolbaz.com/writer/chat-gpt-alternative#google_vignetteLinks to an external site. The citation is (Toolbaz, 2022) or Toolbaz (2022)

Instructions
Short Paper

This paper will be written in APA format.  Please see the resource in your Student Handbook for APA directions.  The paper should be three to four, double- spaced pages in length with at least three references from current and professional sources.
1.  Write a case scenario of a nurse interacting with a patient from a different country and culture.  Choose one of these countries, China, Mexico, India, Iran, South Korea.
2.  Use the six factors on p. 316, Box 15-2 (verbal and nonverbal communication, personal space, body language, time orientation, social organization, and the person’s perspective on environmental control) as a framework for the paper and scenario.
3.  In your case study, the nurse should have some behaviors that are congruent with the patient’s culture and at least four behaviors that are not considerate of the patient’s cultural specifics.
4.  In your paper, following the case scenario, present the specifics of the patient’s culture and point out what the nurse did that was considerate and what the nurse did that was not considerate and why.
5.  Give a brief argument for why cultural competence would lead to a higher quality of care for the person in your case study.

Grading Rubric

APA format (10 pts)
References (10 pts)
Writing/grammar (10 pts)
Case Study (20 pts)
Explanation of six factors (35 pts)
Argument for cultural competence (15 pts)

These are two different assignments please seperate the two  assignments.
please see attachment please complete on same page but seperately.

The purpose of this assignment is to construct a family genogram depicting family structure and function, with an emphasis on impact of genetics.
Instructions:
In your assigned group, locate the Genogram Case Presentation and submit your case. 
(family name)
Describe a family unit. This may be a family from the clinical setting or a fictional family. Describe the family through at least three generations. 
Using a genogram template (these are available free on the web), or word document (with boxes and lines), construct a three-generation genogram. You may also use a PowerPoint slide and you can cut/paste/screenshot the image in your Case Presentation post (Do not use the standard ‘Attach’ option outside this textbox area; instead use the ‘Add Content icon’  Click for more options ).
You can insert an image (acceptable formats include: PNG, GIF, JPG, SVG, BMP and ICO) into the discussion board by first saving a photo on your computer.  When you create a new thread, all you have to do is select the ‘Add Content icon’  Click for more options
Click for more options

To find an image from your computer choose ‘Insert local files’ and browse for it or select from other available sources listed. You can resize an image after it has been added in the text area by simply dragging the image corners.
Indicate health disorders, diseases, deaths, ages, gender of all family members. Indicate if there are conflicting relationships using appropriate genogram abbreviations. 
Summarize the genogram in terms of potential health risks to individual family members. Is genetic testing/screening indicated? Why or why not? 
Assignment Evaluation:
Use at least 3 peer-reviewed articles from *professional nursing or medical journals should be used to support your case presentation. Use 1 reference (per response) to support your response to the peer’s question.
When responding to a peer’s question(s), state the name of that peer, and copy/paste the question (bold) and respond to it.
You may respond to both peer’s questions or one from two different peers. When responding to a peer’s case presentation/question(s), do not choose one who has already been responded to- if possible.
*Professional journals include nurse practitioner journals or medical journals, preferably published in the US. Wikipedia, up-to-date, dictionaries or national clinical practice guidelines are not acceptable for this paper. Use primary source when possible. Correct APA format, punctuation, spelling and grammar is expected.
Assignment Evaluation:
Use at least 3 peer-reviewed articles from *professional nursing or medical journals should be used to support your case presentation. Use 1 reference (per response) to support your response to the peer’s question.
When responding to a peer’s question(s), state the name of that peer, and copy/paste the question (bold) and respond to it.
You may respond to both peer’s questions or one from two different peers. When responding to a peer’s case presentation/question(s), do not choose one who has already been responded to- if possible.

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For health promotion program development, analyze how reviewing research regarding an underserved populations (such as rural settings) would be involved in the process. Explain how you would determine costs, maintain quality, and provide culturally-sensitive care. Review how an understanding of change behavior is important. (Minimum 350 words, references not included in word count).
Please write maximum of 400 words not including references.

Based on your current and future advanced practice nursing role, why do you believe it important to understand the details of the healthcare delivery system?

Reflection #2
Purpose
Reflection is a process by which learners “think about the things they are doing…and how one is learning” (Fink, 2013, p.115).
Using this definition, this assignment requires the student to reflect on the content associated with Week 2 and make meaning of the learning experience.
Instructions
Please answer the following questions using APA style where appropriate.
Kagan, Smith, & Chinn (2014) note that we need to begin thinking of ourselves as a political profession (p. 86). What are your thoughts on viewing and/or describing nursing as one that requires collective action?
Do you believe nursing should be engaged in changing policy through political action?
Why or why not?
Describe the necessary actions needed to move towards antiracist nursing practice from both a personal and systems level.
How might the movie: Sisters of Selma inspire in current times?
Chin, Kramer, and Sitzman (2022) discuss “Most people are socialized to accept an unfair status quo as the way things are (hegemony) and not to question the uncomfortable fact that some people are privileged and others are disadvantaged” (p. 61). Consider an example from a healthcare situation or laws currently presented in the news that demonstrates options are not accessible to everyone. Whether you agree or disagree with this situation in mind, answer the four critical questions posed on page 61.
Who benefits?
What is wrong in this picture?
What are the barriers to freedom?
What changes are needed?
Resources
Chinn, P., Kramer, M., & Sitzman, K. (2022). Chapter 3
Kagan, P., Smith, M., & Chinn, P. (2014).
Sisters of Selma movie
Evaluation
Please see rubric.

Reflection #2
Purpose
Reflection is a process by which learners “think about the things they are doing…and how one is learning” (Fink, 2013, p.115).
Using this definition, this assignment requires the student to reflect on the content associated with Week 2 and make meaning of the learning experience.
Instructions
Please answer the following questions using APA style where appropriate.
Kagan, Smith, & Chinn (2014) note that we need to begin thinking of ourselves as a political profession (p. 86). What are your thoughts on viewing and/or describing nursing as one that requires collective action?
Do you believe nursing should be engaged in changing policy through political action?
Why or why not?
Describe the necessary actions needed to move towards antiracist nursing practice from both a personal and systems level.
How might the movie: Sisters of Selma inspire in current times?
Chin, Kramer, and Sitzman (2022) discuss “Most people are socialized to accept an unfair status quo as the way things are (hegemony) and not to question the uncomfortable fact that some people are privileged and others are disadvantaged” (p. 61). Consider an example from a healthcare situation or laws currently presented in the news that demonstrates options are not accessible to everyone. Whether you agree or disagree with this situation in mind, answer the four critical questions posed on page 61.
Who benefits?
What is wrong in this picture?
What are the barriers to freedom?
What changes are needed?
Resources
Chinn, P., Kramer, M., & Sitzman, K. (2022). Chapter 3
Kagan, P., Smith, M., & Chinn, P. (2014).
Sisters of Selma movie
Evaluation
Please see rubric.