Category: Nursing homework help

Present the Jewish teaching on the following  themes. How these themes are understood in Judaism.
1) Pain & Suffering – (Purposes, Causes, & Solutions)
2) Freedom & Free Will – Exodus 5:1, 8:1, 9:1 & Ezekiel 18
Each must be explained in at least one paragraph with at least 2 direct quotations, with accompanying in-text citations from a resource found on the “Judaism Resources” 
 
Incorporate 2 different sources.
Download Rubric – Judaism Discussion.pd

Information about Baker act.
What is the Baker Act?
What nursing implications should be implicated? 

Describe your clinical experience for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Describe your clinical experience for this week in clinical as a student nurse practitioner. 
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following: 
What additional information should you obtain about the pain the patient is experiencing?
What additional physical assessment needs to be performed with this patient?
What considerations are important to remember if the patient’s CRP level is elevated?
What differential diagnoses should be considered for the patient?
What patient teaching will be incorporated into the visit to modify the patient’s risk factors?
How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
Discussion hints 
DISCUSSION 3 HINTS:
A 52-year-old Caucasian male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. (Stable vs. Unstable Angina).  He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. (ASCVD estimator). The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife.
Additional Information:
-Total Cholesterol is 220
-HDL is 45
-He currently does not take ANY medications

 
Laura 
Discussion
The work environment that nurses care in often involves stressful and emotionally charged settings which makes emotional intelligence (EI) a vital skill to have in nursing practice. A large amount of nurses’ interaction with patients and their family members who are experiencing fear, anxiety, or grief. Because of that, EI is crucial in the management of these interactions. EI helps nurses not just to perceive and process their own emotions, but to detect and react to the feelings of others, improving 0/29/2024patient care, as well as the working environment. For example, in clinical settings, studies find that nurses who have higher EI levels do a better job, are more empathetic, and less likely to be burned out (Faria et al., 2019).
Clinical judgment, critical thinking, and decision making are interrelated, but separate aspects of nursing practice. Clinical judgment is the nurse’s ability to evaluate such patient assessments and make decisions taking into consideration clinical evidence and observations. Critical thinking takes it a step further allowing nurses to objectively evaluate information, question assumptions and consider alternative points of view. These skills are used to practice decision making, that is in patient care, nurses choose what actions to take. Such processes are made more efficient by emotional intelligence, that is, through increased self-awareness and an ability to cope with emotional stress, which are essential for cognition in clinical settings (White & Grason, 2019).
Bedside nurses and advanced practice nurses (APNs) are different in their decision-making processes. Rapid decisions are often made by bedside nurses during acute care situations as they manage a post-surgery distressed patient. This is where emotional intelligence comes in — seeing the patient’s anxiety and giving both physical and emotional comfort. However, by contrast, APNs make more complex decisions, often in consideration for long term care planning of chronic conditions. For example, if an APN is managing a diabetic patient, they must account for the emotional aspects of a sustainable care plan in a way that promotes having the patient slowly make lifestyle changes (White & Grason, 2019).
For someone who is not familiar with emotional intelligence, it can be described as one’s ability to recognize, understand and regulate his own emotions and also recognize, understand and regulate other people’s emotions. It’s not just being empathetic — it’s about having skills like self-regulation, motivation, relationship management. For nursing, EI is critical as it improves patient care, promotes health team dynamics, and helps nurses deal with the emotional burdens of performing their profession (Belay & Kassie, 2021).
In conclusion, both bedside and advanced nursing practices emphasize the importance of emotional intelligence as it enhances patient care, strengthens clinical judgments and enhances good decision making. Nurses can develop emotional intelligence which helps to raise patient satisfaction, lower personal burnout and support a more caring and effective practice environment.

 
Jose B
Emotional intelligence (EI) is increasingly being seen as an important competency within nursing, which helps the professional to cope better with the emotional complexities involved in patient care. EI is the ability to understand and manage one’s emotions while also being able to recognize and respond to the emotional states of others. Such a skill among the nurses, who are in frequent contact with patients and their families while they are in distress, ensures compassionate and patient-centered care. Research has, therefore, proved that nurses with a high EI can manage stressful situations and easily gain their patient’s trust, improving their outcomes. In nursing practice, EI enhances communication, reduces misunderstandings, and boosts the quality of care.
Nurses deal with patients and their families, who are at times distressed emotionally, and such interactions must be managed both with empathy and professionalism. Emotional intelligence allows the nurse to acknowledge and support the feelings of the patients, which in turn makes the patients feel seen, heard, and understood. This emotional awareness is important for the well-being of the nurses themselves, as nurses who tend to their emotional state are less likely to suffer from burnout and compassion fatigue (Morrow et al., 2023). EI further enhances a supportive and cohesive healthcare team through understanding and cooperation among colleagues, which is important for ensuring safety and quality in patient care.
Although interrelated, clinical judgment, critical thinking, and decision-making remain delineated skills. Clinical judgment is conceptualized as the interpretation of patient data to identify appropriate action based on prior experience and knowledge, whereas critical thinking represents a multifaceted, broader process in which information is analyzed and synthesized; decision-making represents the nexus between these processes, where choices deliberate the best course of action (Calcagni et al., 2023). While the bedside nurse might make rapid decisions based on urgent patient needs, the advanced practice nurse may make more complex, diagnosis-related decisions, developing long-term care plans.
The roles of the bedside nurse and the APN are reflective of the differences in decision-making. For instance, the bedside nurse may have to make immediate comfort intervention decisions, such as adjustment of position or modification of pain management strategy to eliminate distress. In contrast, an APN would make either diagnostic or therapeutic decisions based on greater knowledge of the patient’s health history and would have to balance clinical reasoning against empathy. It allows the bedside nurse and the APN to respond compassionately and appropriately when patients or family members become anxious or fearful (Lampreia-Raposo et al., 2022). Emotional intelligence, therefore, optimizes compassionate and efficient care in complex nursing interactions.
Emotional intelligence can be described as the competence to perceive, use, understand, and manage emotions in oneself and others. In perspective, to an individual who has never heard of this concept, it means being emotionally self-aware, empathic, and competent in regulating emotions according to the amount of stress. The implication of EI in a clinical setting would be the ability to notice the fear of a patient undergoing a diagnostic procedure and, therefore, be able to respond with empathy and patience through supportive communication. A level of sensitivity like that not only reassures the patients but also leads to a collaborative partnership since the patients are usually respected and valued (Raeissi et al., 2019). Thus, EI facilitates compassionate, patient-centered, and effective nursing care.

Respond to a classmate. Do you see yourself applying this knowledge within your clinical setting? What committees or initiatives could you join that would greatly value solid research skills? (150 words)
Classmate’s Post:
When I perform academic research, I have found different tricks that improve my search results. Using Boolean operators like “AND,” “OR,” and “NOT” has helped me refine searches to get better and more relevant articles that I want. For instance, combining terms such as “chronic pain AND physical therapy” helped narrow down my result to studies that discuss both concepts together. Using “OR” widened the search to include terms that are related to what I wanted (e.g., “NSAIDs OR nonsteroidal anti-inflammatory drugs”), and “NOT” helped exclude information that is not relevant or useful (e.g., “chronic pain NOT cancer”). Quotation marks (“”) around specific phrases also help to make sure that search engines retrieved matches, which was useful for long phrases or specific terms. (Kalyani, 2020). 
Some sources were better than others. For example, databases like PubMed and CINAHL offered citation links in different formats and gave relevant search results, making it easy to cite articles correctly. (NCBI, 2023). Google Scholar was helpful and better for finding a wide range of articles, but I often encountered some restrictions in that I had only limited access to the full-text versions. 
The Frustrations I went through during my research/search included finding duplicate results across various sources and having found a lot of restricted articles. However, using CFK’s access or requesting articles through libraries often helped me find articles. I plan to apply these search strategies to other tasks, such as searching for credible sources when writing reports or even finding reliable information for personal projects. 
References 
Kalyani, V. (2020). Boolean Searching: A useful tool for enhancing search results. Journal of Library & Information Science, 45(2), 120-127. 
Library of Congress. (n.d.). Boolean searching: Techniques for finding information. Retrieved from https://www.loc.gov/rr/scitech/Boolean.htmlLinks to an external site. 
NCBI. (2023). Using MeSH terms for more effective PubMed searches. National Center for Biotechnology Information. Retrieved from https://www.ncbi.nlm.nih.gov/Links to an external site. 

Follow rubric verbatim
Use template
What to Submit
Submit a 1-page Microsoft Word document. Sources should be cited according to APA style. 

 Follow Rubric Verbatim
Use APA Format
What to Submit
Submit this assignment as a 2-to 3-page Microsoft Word document. You must also include an APA-style title page. Use 12-point Times New Roman font, double spacing, and one-inch margins.
 2021 Comprehensive Accreditation Manual for Hospitals (Camh Hard Copy). (2020). [E-book]. JCR Publishing. https://e-dition.jcrinc.com/MainContent.aspx