CHAMBERLAIN NR 510 ALL DISCUSSIONS – LATEST 2016
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NR 510 WEEK 1 DQ 1, DQ 2 AND
DQ 3 LATEST 2016
DISCUSSION PART ONE (GRADED)
Mary, a baccalaureate prepared
registered nurse, has been practicing for fifteen years. Throughout her nursing
career, she worked in pediatric, surgical, and emergency departments. She
worked as a floor nurse, charge nurse, and was recently offered a position as a
nursing supervisor. A stipulation for becoming a nursing supervisor is that
Mary must attain a Master of Health Administration degree within 2 years of
accepting the position. The offer prompted Mary to contemplate her career. She
is interested in returning to college, but she realized that she does not want
to pursue working in administration and away from patients. Mary decided to
become an Advanced Practice Nurse (APN). Mary knows that working as an APN will
allow her the opportunity to make a larger contribution to individuals,
environment, health, and nursing. She researched graduate nursing programs and
discovered that there are four roles of the APN. Mary must choose one role and
apply to a program, but she is unsure about the different roles and their
individual scopes of practice. Discussion question: How would you decide?
Develop apros and cons list to assist Mary in making her decision. Include each
role of the APN on the list and be certain to provide appropriate rationales
and citations. dq 2
DISCUSSION PART TWO (GRADED)
A clear definition for the
various roles of CNM, CNP, CNS, and CRNA has been convoluted by various state
definitions that confuse the roles and often obscure their intended meaning.
Such state definitions reveal further confusion with regard to role separation,
competency, emphasis, approach, and variation. This misunderstanding extends to
nurse educators, providers, reimbursement, and even the public. The lack of
clarity regarding initial role preparation versus current certification serves
to further frustrate accreditors, consumers, and employers alike. Discussion
question: How does your state define the role and scope of the CNP? Provide a
correctly formatted citation for your reference resource. dq 3
DISCUSSION PART THREE (GRADED)
MARY EXPRESSED THAT SHE WANTS TO WORK DIRECTLY
WITH PATIENTS. SHE IS FAMILIAR WITH WORKING IN A LARGE HOSPITAL SYSTEM, AND
PREFERS TO REMAIN IN HER CURRENT TOWN WHEN SHE GRADUATES. SHE HAS CONSIDERABLE
CLINICAL EXPERIENCE IN PEDIATRIC, SURGICAL, AND EMERGENCY NURSING. DISCUSSION
QUESTION: BASED ON MARY’S EXPERIENCE AND INTERESTS, WHICH ROLE WOULD YOU CHOOSE
FOR HER, AND WHY?
NR 510 WEEK 2 DQ 1, DQ 2 AND DQ 3
LATEST 2016
Discussion Part One Graded
Mary, a registered nurse,
decided that she wants to become a CNP. She applied and was accepted to the
Family Nurse Practitioner program at Chamberlain College of Nursing. She
received a course curriculum which outlined the courses necessary to complete her
degree. One of the early courses in the program curriculum is NR-501
Theoretical Basis for Advanced Nursing Practice. You are a student colleague of
Mary’s enrolled in the same class. On the class Q&A discussion board, Mary
posted, “I took nursing theory classes fifteen years ago in my bachelor’s
program. I don’t understand why I need to take theory classes again.”
Discussion Question: How would you respond? Develop a logical response to
Mary’s post. Provide evidence to support your arguments.Topic responses
Discussion Question: How would
you respond? Develop a logical response to Mary’s post. Provide evidence to
support your arguments.Topic responses dq 2 Discussion Part Two (Graded) Mary wrote, “All nursing theories are the same and certainly there
is no connection to APN practice.” Discussion Question: How would you respond?
Develop a logical response to Mary’s post. Provide evidence to support your
arguments.
DISCUSSION PART 3 (GRADED)
The following response on the
discussion board was posted by the course instructor: “The advanced practice
roles of CNM, CNP, CNS, and CRNA require an intensive set of clinical skills,
understandings, and integrative abilities that synthesize advanced practice
nursing knowledge.” Discussion Question: What does the course instructor mean
by “integrative abilities”? Provide evidence to support your response.
NR 510 WEEK 3 DQ 1, DQ 2 AND
DQ 3 LATEST 2016
Discussion Part One (Graded)
You are a Family Nurse
Practitioner (FNP) employed as a contact employee in a busy primary care
practice for 2 years. The providers in the group include one physician, who is
also the owner of the practice, and two other nurse practitioners. The owner of
the practice recently made comments about the need to produce more revenue. You
relate with his concerns and feel that you have several strategies that could
be helpful. Your contract is up for renewal in 3 months. You are highly
satisfied with your job and want to stay in the group. You see 20 patients per
day on average, and take call every third weekend.
Discussion Question: What
negotiation strategies should you use to propose a contract renewal? Use
logical reasoning and provide evidence based rationales for your decisions.
Keep in mind that your negotiation terms and conditions must be within the
legal scope of practice for an ANP. dq 2
Discussion Part Two GRaded)
As revenue generators, NPs must
be aware of how their work contributes to the overall revenue of the clinical
practice. You see 20 patients per day on average, and take call every third
weekend. According to Buppert (2011), an NP who sees 15 patients per day at $56
per patient visit, on average, brings in $840 per day. Allowing 1 week off for
continuing education, 1 week off for illness, and 4 weeks off for vacation,
this NP will bring in $193,200 a year, potentially. However, not all bills are
paid. With a 90% collection rate—a reasonable collection rate for an efficient
practice—this NP actually will bring in $173,800 per year. An NP who sees 24
patients per day will bring in $1344 per day, or $309,120 per year in accounts
receivable. With a 90% collection rate, this NP will bring $278,208 to the
practice (Buppert, 2011).
Discussion Question: In this
scenario, what are you “worth” to the practice? Use logical reasoning and
provide evidence based rationales for your decisions. Keep in mind that your
negotiation terms and conditions must be within the legal scope of practice for
an ANP. dq 3
Discussion Part Three Graded
) Establishing a salary can be
a challenge for NPs. Deducting 40% of the NP’s gross generated income for
overhead expenses (rent, benefits, continuing education, supplies, malpractice,
lab expenses, and depreciation of equipment) leaves $104,280 for the
15-patient-per-day NP and $166,925 for the 24-patient-per-day NP. Further
deducting 15% of that figure to pay a physician for consultation services
leaves $88,638 in salary for the 15-patient-per-day NP and $141,887 in salary
for the 24-patient-per-day NP. Deducting 10% for employer profit leaves $79,775
in salary for the 15-patient-per-day NP and $127,699 for the 24-patient-per-day
NP (Buppert, 2011).
NR 510 WEEK 4
DQ 1, DQ 2 AND DQ 3 LATEST 2016
Discussion Part One (Graded)
You are a Family Nurse
Practitioneremployed in a busy primary care office. The providers in the group
include one physician and three nurse practitioners. The back office staff
includes eight medical assistants who assist with patient care as well as
filing, answering calls from patients, processing laboratory results and taking
prescription renewal requests from patients and pharmacies. Stephanie, a
medical assistant, has worked in the practice for 10 years and is very
proficient at her job. She knows almost every patient in the practice, and has
an excellent rapport with all of the providers. Mrs. Smith was seen today in
the office for an annual physical. Her last appointment was a year ago for the
same reason. During this visit, Mrs. Smith brought an empty bottle of
Amoxicillin with her and asked if she could have a refill. You noted the
patient’s name on the label and the date on the bottle was one week ago. You
also noted your name printed on the label as the prescriber. The patient
admitted that she called last week concerned about her cough and spoke to
Stephanie. You do not recall having discussed this patient with Stephanie, nor
do the other providers in the practice.
Discussion Question: What is
your next logically sound course of action? Provide evidence to support your
response. dq 2
DISCUSSION PART TWO (GRADED)
Upon further investigation, you
learn that Stephanie spoke with the patient and called the medication into the
patient’s pharmacy without consulting with a provider. Stephanie claimed that
the patient was insistent about needing a prescription. Since Mrs. Smith was
coming into the office the following week for an appointment, she didn’t think
you would mind if the patient received the prescription early. Discussion
Question: What are the ethical-legal concerns associated with this situation?
Provide evidence to support your response.
DISCUSSION PART THREE (GRADED)
Due to the incident, you are
concerned with office policies and procedure. Upon investigation, you find
there isn’t a policy in place to address non-urgent patient requests for
prescriptions. Discussion Question: What quality improvement strategies might
you implement as an APN in this practice to safeguard your role and assure
patient safety? Provide evidence to support your response.
NR 510 WK 5 DQ 1, DQ 2 & DQ 3 LATEST
2016
Discussion Part One (Graded)
You are a Family Nurse
Practitioner working in an outpatient primary care office of a large hospital
system. The practice has been operating for over 15 years, and many of the
administrative and clinical staff were hired when the practice opened. You have
been in the practice for less than 3 months. In that short amount of time, you
have witnesses several of the clinical staff have heated arguments with each
other, sometimes in patient areas. Today, one of the back office assistants
didn’t come to work. Unfortunately, this pattern of behavior is not unusual in
this practice. Your clinical schedule is especially busy. Working without
appropriate office staff will negatively influence your ability to spend time
with patients, impede the flow of patients through the office, and could impact
patient safety. Discussion Question: How should you logically respond in this
situation? Provide rationales and evidence to support your decisions.
Discussion Part Two (Graded)
Leadership is not random. It is
multifaceted and must be communicated as a stated plan to effect a change.
Organizational leaders provide a vision and move others toward a common goal.
Discussion Question: In this scenario, what evidence-based organizational
strategies and management skills might you employ to resolve co-worker
conflict? Provide evidence and rationales to support your decisions.
Discussion Part Three (Graded) According to
Buppert (2011),
quality improvement and patient
safety are inextricably intertwined. A work environment that supports
teamwork and respect for other people is essential to promote patient safety
and quality of care. Unprofessional behavior is disruptive and adversely
impacts patient and staff satisfaction, the recruitment and retention of
healthcare professionals, communication, teamwork and undermines a culture of
safety. Unprofessional behavior is therefore unacceptable.
NR 510 WEEK 6 DQ 1, DQ 2 & DQ 3 LATEST
2016
Discussion Part One (Graded)
You have completed your nurse
practitioner education, likely one of the most challenging tasks you have ever
undertaken. Several of your graduated colleagues live in different states,
including California, Washington, and Illinois. After a year of primary care
practice in your respective states, you get together for a reunion and share
your practice perspectives. It is apparent that your experiences are not equal.
Discussion Question: How do licensure, accreditation, certification, and
education (LACE) considerations differ for APN clinical roles for these three
states: California, Washington and Illinois? Provide evidence for your
response. dq 2
NR 510 Wk 7 Dq 1 & Dq 2 latest 2016
Discussion Part One (graded)
You are attending a large continuing education conference for primary care
providers. In the audience are physicians, nurse practitioners, and physician
assistants from all over the country. Seated at your table are physicians and
nurse practitioners. Following the lecture on teamwork and interdisciplinary
collaboration, a debate ensues at your table. One physician stated: I am
against nurse practitioners who want to take my job. There is a huge difference
in the two professions. Primary-care physicians receive extensive and diverse
medical education and clinical experience. The nurse practitioner should not
function as an independent healthcare provider…they should only function in an
integrated practice arrangement under the direction and responsible supervision
of a practicing, licensed physician.
Discussion Part Two (Graded)
A fellow NP at the table
responded: An increasing number of practices are scrapping the traditional
one-on-one doctor-patient relationship. Instead, patients are receiving care
from a group of health professionals who divide up responsibilities that once
would have largely been handled by the doctor in charge. While the supervising
physician still directly oversees patient care, other medical
professionals—nurse practitioners, physician assistants and clinical
pharmacists—are performing more functions. These include adjusting medication
dosage, ensuring that patients receive tests and helping them to manage chronic
diseases. Discussion Question:
Discussion Part Three (Graded)
The Federal Trade Commission
has weighed in on several state battles over scope of practice, arguing that
physician groups have no valid reason for blocking such laws other than to
thwart competition. Discussion Question: How does “restraint of trade” apply to
NP practice limitations? Provide evidence for your response.
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