Discuss the potential ethical issues facing the staff nurses caring for Rebecca in both the acute care hospital setting currently and the state psychiatric hospital setting?

Assignment Title: Managing Mood Disorders and Adjunctive Tx Options; Due date: March 22, 2022; No of pages: 1 page (250-300 words); Detailed Instructions: Rebecca Cole is a 39 years old, single, African American female. She has never been married or had children. She has been institutionalized at a state mental health hospital for more than 7 years since she was diagnosed with unspecified schizophrenia. She was diagnosed at age 21 and has undergone more than 8 psychiatric hospital admissions over her lifespan. Ms. Cole has been transferred to a local acute care hospital due to uncontrolled diabetes and hypertension. She has been refusing blood glucose monitoring daily, so the charge nurse on the women’s floor has not been able to check her blood sugar for 2 days. She has also been refusing her antihypertensive and antipsychotic medication for 3 days. This has now led to more uncontrolled hypertension and an increase in psychosis and behavioral issues today. The nursing staff has become very frustrated and voiced their issues with hospital administration because they don’t feel the administration is listening to their concerns about the challenges faced on the psychiatric units, and particularly the challenges they are facing in caring for Rebecca. You are the PMHNP who is assigned and is managing her psychiatric care while in the acute care hospital.  At this point, can Rebecca make her own healthcare decisions? Why or why not? What legal risk for the PMHNP could be associated with caring for Rebecca in the acute care hospital setting? How can integrative care be an approach that is utilized with this patient? What other specialties should be involved and when she they be involved? Discuss the potential ethical issues facing the staff nurses caring for Rebecca in both the acute care hospital setting currently and the state psychiatric hospital setting? Why is continued integrative care a better option for patient outcomes and a better option from an ethical and legal perspective? 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. Title: Mental Health Policy Paper Deadline: April 2, 6 PM. Instructions For this assignment, you will write a paper summarizing a current bill either federal or state that impacts psychiatric mental healthcare and collaborative care for access to treatment. The paper should contain the following main points as listed below: Select a House of Representatives or Senate bill (national or state level), either currently in process or one that has been passed within the last two years that directly focuses on or impacts psychiatric mental health care advanced practice nursing, financing, operations, or collaborative care for access. (Include the name of the bill: e.g., H.R. 4909 (115th): Stop School Violence Act of 2018. Be sure to note if the bill is federal or state-level legislation and indicate the state, if appropriate. Also note if the bill was passed and the date, if in committee [house or senate], or if awaiting the president’s signature). Discuss your encouragement or opposition of the Bill based on ethical, legal, and policy considerations, and the nursing view and perspective for patient care. Discuss how the bill impacts or will impact, the role of the PMHNP. Discuss the impact on health care quality and outcomes for psychiatric mental healthcare. Discuss how the policy negatively or positively contributes to collaborative care for psychiatric mental healthcare and increased access to care for psychiatric mental health diagnoses. This paper must be written in current APA format, be 4-6 pages (excluding the title page and reference page), and have at least 3 scholarly, peer-reviewed references in addition to the course textbooks. 2nd Assignment due date is April 5 at 6:00pm Eastern Time. TOPIC: Telehealth one page (250-300 words) Here is the Instructions: Telehealth is an integral part of our healthcare system and becoming more prominent. Being comfortable with multiple platforms is a must for the PMHNP. Discuss the specific questions in your initial post: Part 1: Nurses, in general, are seeing telehealth increase. When might telehealth be preferred over an in-person medical visit and why? Part 2: As healthcare incorporates various mobile health applications, describe how mHealth (mobile health) is different from telehealth? How should we adjust healthcare due to mobile access by patients? Part 3: As a PMHNP, what clients would best be suited for telehealth visits, and which would you rule out from seeing in telehealth and require in-person and why? 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. Please review the rubric to ensure that your response meets the criteria. 3rd assignment: Advocacy Against Violence and Abuse Paper Due date April 15; Number of pages 4-6. Here is the instructions: For this assignment, you will write a paper discussing the ethical stance and position of the PMHNP in relation to violence and abuse against, particularly vulnerable populations. For each section listed below, you will discuss specific issues, trends, and advocacy for that specific vulnerable population and then discuss how the PMHNP role can address this prevalent health crisis in our society and world. Introduction and Statistics What is abuse and violence against others? Vulnerable Population: Pregnant Women and Children Vulnerable Population: Elder Abuse Vulnerable Population: Minorities; ethnicity, immigrants, and or gender, sexual preference etc… related Screenings PMHNP role in advocacy and prevention Conclusion This paper must be written in current APA format, be 4-6 pages (excluding the title page and reference page), and have at least 3 scholarly, peer-reviewed references in addition to the course textbooks. Assignment 4 Title: Suicide Risk; Due Date: April 18; No. of pages: 1 (250-300 words). Here is the detailed Instructions: Ms. Smith is a Psychiatric-Mental Health Nurse Practitioner working in an outpatient psychiatric clinic.  She is seeing Dale Knox, a 32-years old man for a psychiatric evaluation for the first time. Dale is currently separated from his wife, Sofie.  Dale and Sodie have been married for 9 years.  Dale has fully completed all of his pre-evaluation paperwork and he has signed the consent for treatment.  During the psychiatric evaluation, Ms. Smith observes that Dale is distraught, tearful and verbalizing feelings of worthlessness and no motivation for life in general.  He states directly that he is going to kill his wife and then kill himself tonight when she returns home from work because he can’t stand the thought of being divorced and he knows she is preparing to leave him. Mr. Knox states he has a handgun in his car and has bought additional ammunition. Answer the following questions based on the case presentation: Discuss the importance of informed consent in psychiatric-mental health treatment. Would Mr. Knox meet the criteria for involuntary commitment, explain why or why not, and then discuss the involuntary commitment process for your state and if PMHNP is able to involuntarily commit a patient the state where you practice? Should the PMHNP notify Mrs. Knox about her husband’s threat to kill her, or should the PMHNP protect the confidentiality of Mr. Knox treatment? What additional resources should you consider in this case for help for the patient and his family? What is the prevalence of suicide-related to someone who has a plan and the means? Are there any other criteria that this patient meets that places him in a higher risk category for carrying out suicide?

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