Integrating Theoretical Orientations

Week 2 – Assignment

Case Analysis – Integrating Theoretical Orientations

Prior to beginning this assignment, read the PSY650 Week Two Treatment Plan ,Preview the document Case 16: Attention-Deficit/Hyperactivity Disorder in Gorenstein and Comer (2014), and Attention-Deficit/Hyperactivity Disorders in Hamblin and Gross (2012).

Assess the evidence-based practices implemented in this case study by addressing the following issues:

  • Explain the connection between each theoretical orientation used by Dr. Remoc and the four interventions utilized in the case.
  • Consider Dr. Remoc’s utilization of two theoretical frameworks to guide her treatment plan.  Assess the efficacy of integrating two orientations based on the information presented in the case study. Describe some potential problems with prescribing medication as the only treatment option for children with ADHD.
  • Identify tasks and positive reinforcements that might be included in Billy’s token economy chart given the behavior issues described in the case. (There are articles in the recommended resources that may assist you in this portion of the assignment.)
  • Evaluate the effectiveness of the four treatment interventions implemented by Dr. Remoc and support your statements with information from the case and two to three peer-reviewed articles from the Ashford University Library.
  • Recommend three additional treatment interventions that would be appropriate in this case. Use information from the Hamblin and Gross “Attention-Deficit/Hyperactivity Disorders” chapter to help support your recommendations. Justify your selections with information from the case.

The Case Analysis

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

“Future of Nursing: Leading Change, Advancing Health,”

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals

Include the following:

  1. Discuss your options in the job market based on your educational level.
  2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Then, explain your reasons for wanting to become a CLC within the next year and then attain a Masters Degree in Education within the next 10 years along with becoming a IBCLC.
  3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
  4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
  5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice

Day 3 And Day4 2 Steps

As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.

Scenario 1

You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?

Scenario 2

You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.

By Day 3

Select one of the scenarios, and post the following:

Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.

 

The final step is to develop the plan discussing the steps clearly and succinctly. The plan must be evidence based .

By Day 4

Post an explanation of how you could apply key interventions supported by the scholarly research evidence to potentially help resolve the issue in measurable ways. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

The original assessment involving Helen and Magda.

***Each response needs to be ½ page or more***

RESPONSE 1

Respond to two colleagues and explain how their assessments support the NASW Code of Ethics (2008). Include two values and/or guiding principles to support your explanation.

Colleague 1: Gradnette

Magda is an 81-year-old widow, she lives 30 minutes away from her son, John and her daughter-in-law, Helen. Six months ago, Magda appeared to be self-sufficient which means she was able to take care of her daily needs without the support of others. Recently, she experienced an incident where she fell and broke her hip. During her incident a tragic discovery was found that she had early signs of dementia. Since the incident Magda has been unable to care and provide for herself. She has had several caretakers; a church member of her son and daughter-in-law, Helen, and her grandson, Alec. Her daughter-in- law, Helen is the lead caretaker which means she takes on majority of the responsibility for caring after Magda. Outside of Helen, her son Alec insisted on helping her take on the responsibility for caring after Magda. Instead of properly caring for Magda, he causes her health to worsen as he misused her medication, robs her during several occasions, and leaves her unattended for a long period of time. After the incident; Helen had to go in to help Magda recuperate from the damage caused by Alec careless motives. As of now Magda only income is the support she receives from John and Helen. There have not been any signs of injuries to report from Alec living with Magda. It appears as Magda is aware of her surroundings and as of now Helen is her only care taker.

The original assessment involving Helen and Magda.

The original assessment will consist of implementing a two month; twice a week family counseling session involving Helen and Magda. During the first session; I will have each participant state their feelings towards one another. Afterwards, I will have Helen state her thoughts towards caring for Magda. Once she gets done, I will have Magda discuss her feelings and thoughts towards Helen being her care provider. After hearing and documenting all discussion; I will next put in place a treatment plan whereas Helen responsibility for caring for Magda can be convenience. During the treatment plan; I will educate Helen on the responsibilities of caring for elderly. I will also recommend her to take some educational courses which will further educate her on caring for Magda along with the funding available. Next, I will educate Magda on the guidelines, responsibilities, and anxieties of a caregiver. I will also educate Magda on several agencies which provides support with medication and proper care. Afterwards, I will ask for Magda’s consent to conduct further research to see if she is eligible to receive senior assistance; if so, I will refer her to a home care agency. Overall, her compliance to this treatment plan will help take the burden and stress off Helen and the family.

Questions I will Ask Magda:

1. How would you consider your overall physical well-being and health?

2. How much social support you receive from your family? Do your family fulfills your needs when you need someone to talk to or transportation?

3. How often do you receive support from outsiders and family members when they visit you in your home?

4. How are you able to perform everyday activities? Do you need any support to fulfill your everyday activities?

5. Are you able to move around within your home and community without supervision?

6. Can you complete your own house chores, prepare your own meals, and complete your own laundry?

7. Are you able to take care of your own appearance without the support of others?

8. How often do you take your medication? How many different kinds of medication do you take? What are the names of your prescribed medication?

Reference

Christ, G., & Diwan, S (2008). Chronic Illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from: www.cswe.org/getattachment/Centers-Initiative/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurements/CI-Sec-Role-SW.pdf.aspx

Plummer, S.B. Makris, S., & Brocksen, S.M.(Eds), (2014a). Sessions: case histories, Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader] The Petrakis Family(pp.20-22)

Colleague 2: Chelsie

An assessment was completed on 81 year old Magda Petrakis after concern was expressed by Helen Petrakis  (Magda’s daughter in-law) regarding Magda’s health and well-being.To conduct the assessment, 7 different domains by Grace Christ & Sadhna Diwan (2008) were analyzed regarding Magda’s life including; 1)Physical well-being and health 2) Psychological well-being and health, 3)Cognitive capacity 4)Ability to perform various activities of daily living 5)Social functioning 6)Physical environment and 7)Assessment of family caregivers.

When assessing Magda from the first domain, Magda overall is a fairly healthy woman for her age. However, Magda is at an increased risk for falling due to the lost of stability that occurs with increased age. Because of this, Magda recently encountered an event in which she fell and broke her hip, causing her health to begin deteriorating. While assessing Magda from the second domain of psychological health, it was apparent that her physical health and mental health co-existed. According to Paveza (2013), assessing the mental health of an elder individual is often the most important step during the assessment process because the social worker needs to be cautious that the information they are receiving is accurate. In Magda’s case, as a result of her fall, Magda begins experiencing early onset of dementia which has caused her to lose most self-sufficiency. During the assessment process, it was apparent that Magda’s cognitive capacity and ability to perform basic ADL’s was severely impacted by her dementia. Magda is now unable to comprehend how to pay her bills, cook her own meals, or even keep her medications in track. Magda does not have much social interaction due to being confined to her home most of the day but does speak with her caregivers daily which include her daughter-in-law, grandson, and a woman from church. It is apparent from the assessment that caring for Magda is taking a toll on her caregivers as Magda’s daughter-in-law has expressed a large amount of stress. Magda’s grandson has also been stealing money and medications from Magda.

To include Magda in the assessment, I would ask Helen to bring Magda to a session with her. Because Magda is only experiencing early signs of dementia, she is most likely still able to answer questions regarding her health and well-being. If Magda was unable to present to the meeting, I would ask Magda if I could make a home visit where I would be better able to assess the situation. I would work closely with Magda to develop a safety plan to follow for when caregivers were not present and would work with Magda to look into assisted living facilities.

During the assessment, to gain further insight into Magda’s current situation, there certain questions that would be important to ask. I would ask Magda questions such as “what care do you feel you need? Are you satisfied with the care you currently receive? What activities are you able to do without assistance? Have you thought about the idea of an assisted care facility? What activities do you engage in to keep your brain thinking?” I would also ask questions to Magda’s doctors such as “What is the severity of Magda’s dementia? Are there activities that can slow the progress of Magda’s dementia?

Christ, G., & Diwan, S (2008). Chronic Illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from: www.cswe.org/getattachment/Centers-Initiative/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurements/CI-Sec-Role-SW.pdf.aspx

Paveza, G.J. (2013), Assesment of the elderly. In M.J. Holosko, C.N. Dulmus, & K.M. Sowers (Eds), Social Work Practice with Individuals and Families: Evidence-informed assessments and interventions. (pp177-195). Hoboken, N.J.: Wiley.

Plummer, S.B. Makris, S., & Brocksen, S.M.(Eds), (2014a). Sessions: case histories, Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader] The Petrakis Family(pp.20-22)

RESPONSE 2

Respond to at least two colleagues by suggesting alternative strategies on a micro, mezzo or macro level.

Colleague 1: Christine

The quality of life for older individuals who are experiencing elder abuse largely decreases the quality of life in many areas. Typically, this can been seen in multiple ways as functional and financial status decline, limited self-reported health is evident, and possibly feelings of hopelessness and loneliness increase in regard to psychological distress. Research also suggests that older individuals that are abused tend to die earlier than those that have not been abused. With limit reports from individuals that are experiencing elder abuse it is difficult to weigh in how one is experiencing abuse. With consideration to this, there is no single pattern of abuse proving that there is a cycle of long-standing patterns to violent/physical abuse, and emotional/financial abuse within families and nursing homes.

While performing assessments with someone that is suspected of elder abuse there are several attempts to secure accuracy in reported or non-reported cases. There are many signs/and or symptoms to be aware of as a service provider, for which these should prompt further investigation to determine and remedy the cause. Service providers working with someone experiencing elder abuse can approach assessment with the following cues:

1) Perform assessments while inquiry about risk factors. 2) Using effective tools to do this such as the Elder Abuse Suspicion Index. Which was developed to raise awareness to a level to which it may assist in further investigation. 3) Screen for cognitive impairment. 4) Understanding medical concerns and medications that individual is currently taking to know the difference and comparison of similar traits. 5) While performing assessments and screening; know that these should be separate from the caregiver (possible suspected abuser) and the person that is being abused. 6) Identifying your client for specific patterns of injury.

Other factors to consider while performing assessments will weigh in the symptoms of: physical abuse such as; bruises, repeated unexplained injuries, dismissive behavior about injuries, and refusal to seek medical attention. Verbal and emotional symptoms can play a large role here while assessing the lack of social connections, the observation of isolation, and the lack of communication with outside resources. Sexual abuse can also go undetected as someone will experience bruising or an increase in diseases. The list of these symptoms can also weigh in on care that is received in nursing homes. Financial exploitation is also something to look at while inquiring about bank accounts and financial assets.

Interventions toward elder abuse can happen on all levels to address. prevent, or stop abuse within the elderly. As the rights of of individuals must be guaranteed everywhere ending and creating possible solutions among the general public as well as authorities are needed. This can be approached with care toward programming while creating training opportunities for added caregivers within institutions. Setting up community programming that will open up social interactions and increase the level of participation. Building social networks for the elderly within housing units, and creating more programming toward self help options. On another level, supporting the abuser can go a long way while connecting one to mental health resources, providing more jobs and education, and creating new ways caregivers can resolve conflict. On a larger perspective (macro) institutions can provide policies and programming that can address work related stress, develop comprehensive work plans to hold employee accountable, while also improving the social and physical environment of the institution.

Robert M. Hoover MD, University of Tennessee Health and Science Center College of Medicine, Detecting Elder Abuse and Neglect: Assessment and Intervention, American Family Physician, (2014, March 15) (pp. 453-460)

Colleague 2: Chelsie

Unfortunately, elder abuse is a phenomena that will continue to increase as the elder population gets larger. According to an article by Minhong Lee (2008), the causes of elder abuse are in close relation to the stress experienced by caregivers. Other factors also include “socioeconomic status, cognitive problem’s, and difficulty with ADL’s (activities of daily living)” (p. 708). Elder abuse is also most likely to occur when the caregiver see’s the task as a burden.From the study conducted by Lee (2008), he also found that physical and cognitive abilities impacted the rate at which abuse occurred. For example, an elder individual that suffers from severe physical impairments is less likely to be abused compared to an individual that experiences cognitive impairments.

The article by Lee (2008) reinforces the importance of assessing potential abuse and neglect among the elderly because it discusses the need for more psychosocial support services for elders. According to the study by Lee (2008), elder abuse decreased significantly when the caregiver had other social support such as groups and classes on family care giving. It is suggested by Lee (2008) for caregivers to attend support groups to “share their care management skills and effective coping mechanisms to reduce elder abuse” (p.711). The article addresses elder abuse from a different perspective by not focusing on the elders themselves, by the mental health of the caregivers. If the cognitive health of caregivers is addressed and stress can be reduced, their will most likely be a reduction in elder abuse.

When working directly with an elderly individual, I would want to assess their physical and mental capacity to gain an understanding of what level of care they need. For example, is the client able to still participate in most ADL’s? Is the client mental cognizant or does the client suffer from dementia? Is the client able-bodied or do they need assistance to move around? The physical and cognitive abilities of the client is important, as described in the article by Lee (2008) because elders are most likely to be abused when they suffer from cognitive disability. From the assessment I would then determine if the client would be best served in their home setting or at an assisted living facility and the hours of assistance needed on a weekly basis. If a client needed assistance for multiple hours a week, I would want to assure the caregiver was someone that was compassionate, had good coping skills, and a good support system.

From a mezzo perspective I would work to prevent elder abuse by assuring that care coordination was occurring. Care coordination, as described by Christ & Diwan (2008),  is the “deliberate organization of patient care activities between two or more participants (including the patient)” (p. 10). Care coordination is important in prevention of elder abuse because it takes the stress off of one individual and distributes the work load evenly.  According to Paveza (2013) it is also important to assess the rate of satisfaction caregivers experience. A caregiver that is highly satisfied working with elder patients is less likely to commit elder abuse compared to a caregiver that is just doing to job for money.

Lastly, on the macro level to prevent elder abuse it is important that organizations provide care for their employees. Employees at assisted care facilities should have weekly meetings with their supervisor to discuss any concerns or stress related issues, residents of the facilities should also be asked on a weekly basis regarding the care they are receiving. Staying up-to-date and aware of the treatment of patients in the facility can reduce the chance of elder abuse because employees are less likely to commit the act if they know they are being closely watched.

 

Christ, G., & Diwan, S (2008). Chronic Illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from: www.cswe.org/getattachment/Centers-Initiative/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurements/CI-Sec-Role-SW.pdf.aspx

Lee, M. (2008). Caregiver Stress and Elder Abuse among Korean Family Caregivers of Older Adults with Disabilities. Journal of Family Violence,23(8), 707-712. doi:10.1007/s10896-008-9195-2

Paveza, G.J. (2013), Assesment of the elderly. In M.J. Holosko, C.N. Dulmus, & K.M. Sowers (Eds), Social Work Practice with Individuals and Families: Evidence-informed assessments and interventions. (pp177-195). Hoboken, N.J.: Wiley.

Behavior Therapy Disscussions

1.In your own words, explain the differences among pos & neg punishment, and extinction, and give an example of each from your work or home setting. Post a minimum of 300 wds.

2. Briefly discuss the how shaping and differential reinforcement are used in tandem to change behavior, and give an example how this might be done. Post a minimum of 300 wds.

3.Is aggression behavior learned? Discuss/explain 2 reasons for your answer, give 1 example. Post a minimum of 200 wds.

4. Describe a behavior you engage in, analyze it in terms of the three term contingency, explaining the relationship among the discriminative stimulus(S-D) – behavior – outcome (reinforcer), and how this relationship would be different with S-Delta as the antecedent stimulus condition, vs. S-D. Post a minimum of 300 wds.

5.Explain/describe how a DRO procedure could be used in tandem with a positive reinforcement procedure to reduce a behavior problem: Define the behavior and describe the methods you would use. Post a minimum of 300 wds.

6.Herrnstein’s Matching Law (concurrent schedules of reinforcement) has tremendous implications for using reinforcement-based behavior change methods in applied environments. Assume you have implemented a behavior change procedure in an applied environment (home, clinic, or classroom) using a token economy. Regarding the potency of your reinforcers, what must be considered if your plan is not working, and what is at least one change you could implement to make it work? Post a minimum of 250 wds.

Who is in charge when spineboarding an athlete and why?

Before beginning this assignment, please visit two or three of the following websites to view You Tube video clips on the correct way to backboard an injured athlete.

Video link: http://www.youtube.com/watch?v=hmCzFe5Xz_4

Video link: http://www.youtube.com/watch?v=tR4O9pvnFuw

Video link: https://youtu.be/IUY9Fz1FdrY

Answer the following questions about the videos (copy and paste the questions into a word processing document and upload your completed response here as either Word or PDF–your similarity index may seem high, but should only be triggering on the questions themselves–this is ok and will not be penalized).

1. Who is in charge when spineboarding an athlete and why?

2.  Describe 3 tools that can be used to remove a helmet and their role in its removal.

3.  Where do the assistants place their hands to perform a log roll and why? (Be very specific–consider the number of assistants, where their individual hands are placed, and why they put their hands in those spots.)

4.  If you were at the head, what commands would you provide to the assistants to perform a log roll?  Please write your response as if you were performing the roll in real time. (Be very specific–write your commands as if you were giving them to all of the assistants present to ensure a smooth/coordinated roll and placement onto the board.)

5.  Bullet point at minimum 12 key factors (total) that you feel are essential from two or three video clips. (For example: 4 for each video x 3 clips = total of minimum 12 key points -or- 6 from each video x 2 clips = total of minimum 12 points -or- 3 for each video x 4 clips = total minimum of 12 points.)

Advanced Coding: E/M, Medicine, And Anesthesia

1.   Anesthesia administered to a normal, healthy patient undergoing an esophageal procedure is coded as

A. 00500-P1.   B. 00502-P1.   C. 00500-P2.   D. 00506-P1.

 

2.   A new patient comes into the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?

A. G0185   B. G7869   C. G7452   D. G0147

 

3.   A new patient is seen for a home visit that involves a comprehensive history, examination, and medical decision making of high complexity. What code should be assigned?

A. 99349   B. 99345   C. 99342   D. 99350

 

4.   A prolonged evaluation and management service before and/or after direct patient care for one hour is coded as

A. 99359.   B. 99358.   C. 99361.   D. 99360.

 

5.   A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What anesthesia CPT code should be assigned?

A. 01242-P2   B. 01202-P1   C. 01202-P3   D. 01202-P5

 

6.   Anesthesia for procedures performed on the larynx and trachea in an 11-month-old child would be assigned to code

A. 00620.   B. 00625.   C. 00326.   D. 00532.

 

7.   A patient returns for a follow-up office visit regarding the repair of her fractured knee. The office visit consists of a detailed history, detailed examination, and medical decision making of moderate complexity. What CPT code is assigned?

A. 99213   B. 99212   C. 99211   D. 99214

 

8.   Intramuscular nonhormonal antineoplastic chemotherapy administration would be assigned to code

A. 96402.   B. 96405.   C. 96406.   D. 96401.

 

9.   Home infusion with specialty drug administration during a 6-hour visit would be assigned what codes?

A. 99606, 99607 ×3   B. 99601, 99602 ×4   C. 99604, 99605 ×2   D. 99603, 99604 ×2

 

10.   A patient is seen for a psychiatric diagnostic evaluation. The physician obtains a complete history of the patient’s mental status and does a complete biological and psychosocial assessment along with a complete physical examination. The physician’s final diagnosis is recurrent episode of severe major depressive disorder, without any psychotic behavior involved. The patient also has a history of psychological trauma. What codes are assigned?

A. F33.2, Z91.49   B. F33.1, Z91.47   C. F34.2, Z91.49   D. F36.2, Z91.46

 

11.   A 17-year-old patient is diagnosed with a severe form of nutritional anemia. What ICD-10-CM code should be assigned?

A. D45.9   B. D53.9   C. D74.9   D. D65.9

 

12.   A 32-year-old patient receives anesthesia for spinal surgery. The anesthesia is complicated by utilization of controlled hypotension. What add-on anesthesia code would be assigned?

A. 99174   B. 92117   C. 99100   D. 99135

 

13.   Nursing facility discharge day management of 19.5 minutes would be assigned to code

A. 99317.   B. 99319.   C. 99316.   D. 99315.

 

14.   A patient is admitted to the hospital for leukemia. She has a comprehensive history, comprehensive examination, and medical decision making of high complexity. What CPT code should be assigned?

A. 99202   B. 99223   C. 99213   D. 99251

 

15.   A service that is rarely provided, unusual, variable, or new may require a

A. physician’s authorization.   B. patient’s authorization.   C. staged or related procedure.   D. special report.

 

16.   A new patient is seen for a prescription refill. During the visit, the physician obtains a problem focused history, problem focused examination, and medical decision making is straightforward. What CPT code should be assigned for this service?

A. 99214   B. 99215   C. 99213   D. 99201

 

17.   A 7-year-old child is brought to the clinic due to recurrent ear infections. The physician performs a bilateral tympanostomy under general anesthesia. What CPT code should be assigned?

A. 69436-50   B. 69536-50   C. 69426-50   D. 69736-50

 

18.   Code 00906 is assigned for

A. an angioscopy.   B. anesthesia for surgery performed on the bony pelvis.   C. an osteotomy.   D. anesthesia provided for a vulvectomy.

 

19.   A 25-year-old patient receives a Hepatitis A vaccination. The vaccine is administered intramuscularly in the clinic. What CPT codes should be assigned?

A. 90632, 90471   B. 90541, 90489   C. 90637, 90472   D. 90672, 90451

 

20.   A dark adaptation examination with interpretation and report is assigned to code

A. 92326.   B. 92284.   C. 92287.   D. 92325.

Evaluation of Technical Quality Resources

Evaluation of Technical Quality

Resources

In Unit 2, you selected one standardized test that has relevancy to your academic and professional goals to be the focus of your course project. Your Unit 2 assignment focused on the first four elements of the Code for selecting a test. For this assignment, you will complete a deeper analysis of the technical quality of your selected test by focusing on the fifth element of the Code, which states that the test user will “evaluate evidence of the technical quality of the test provided by the test developer and any independent reviews.” To complete this assignment, you will draw upon the knowledge you gained in Units 3 and 4 about psychometrics in general and reliability and validity in particular.

For this assignment, you will use the test you selected for your project in Unit 2. Locate and summarize a minimum of seven articles related to the technical qualities of the selected test. You are encouraged to use the PSY7610 Library Research Guide, linked in the Resources, to assist your search.

For each article:

  • List the APA reference for each journal article (a minimum of seven).
  • Identify if the article addresses reliability or validity.
  • Discuss if the article addresses sources of error variance, reliability estimates, evidence of validity, or bias and fairness.
  • Identify the specific type of reliability or validity (for example, test-retest reliability, predictive validity, et cetera).
  • Identify the overall results of the research, including any psychometric or statistical outcome.

Submit your analysis as a paper using the outline provided in the section “Organize Your Paper” below.

Guidelines for Selecting the Literature

Use the most current sources you can find. Do not use sources older than 8 years. (You may cite older sources if they are classics, if you want to show the chronology of something, or if you have another good reason. If you choose to use older sources, you will need to explain why.). Use current, peer-reviewed journal articles. Do not use sources without an author or a publication date. Do not use quotes; use only your own words. Please see the Plagiarism in Coursework document in the resources for concerns with high content matching in papers. Evaluate whether or not the results supports the use of your test as appropriate for your field and populations to be served.

Note: The articles you need to complete this assignment should be available inside the library collection. In future courses, you may use the library’s Interlibrary Loan service to obtain articles outside of the collection, but you should not have to use the service for PSY7610. In the event that you cannot find articles covering a newer test edition, please refer to the List of Tests by Type, linked in the Resources. Note which tests have been designated as acceptable for searching prior test editions.

Organize Your Paper

For your paper, use the following headings:

  • Title page (required).
  • Abstract (optional).
  • Introduction.
    • Identify the standardized test you selected in Unit 2.
    • Describe briefly the publisher’s stated purpose for its use.
    • Identify briefly a population or psychological condition that is within the standardization of the test.
  • Technical review article summaries. Each article is to be directly related to your chosen test and one aspect of its technical quality. Note: Use an annotated bibliography for evaluative information format (see the resources for additional information available at Capella about annotated bibliographies).
    • List the APA reference for each journal article (a minimum of seven).
    • Identify if the article addresses reliability or validity.
    • Explain how the article addresses sources of error variance, reliability estimates, evidence of validity, or bias and fairness.
    • Identify the specific type of reliability or validity (for example, test-retest reliability, predictive validity, et cetera).
    • Identify the overall results of the research including any psychometric or statistical outcome.
  • Conclusion.
    • Synthesize the information from all the articles you reviewed about reliability.
    • Synthesize the information from all the articles you reviewed about validity.
    • Evaluate if your test continues to be deemed as appropriate for your planned use in the field and with the population to be served.
  • References (required, use current APA format and style).

Submit your draft to Turnitin prior to uploading it to the assignment area.

Additional Requirements

Your paper should meet the following requirements:

  • References: A minimum of seven journal articles (textbooks, Web pages, literature reviews, and the MMY book reviews do not count for these references).
  • Length of paper: Evaluation must be at least five pages in length for content (not including title page, abstract, or references).
Reference

Joint Committee on Testing Practices. (2004). Code of fair testing practices in education. Retrieved from http://www.apa.org/science/programs/testing/fair-testing.pdf

Note: Your instructor may also use the APA Writing Feedback Rubric to provide additional feedback on your academic writing. The writing feedback rubric does not affect your assignment grade, but its feedback may factor into the grading criteria, if professional communication and writing is a course competency. Evaluate your own work using this rubric. Refer to the Learner Guide for instructions on viewing instructor feedback.

Define and explain the issue of incivility. Use scholarly nursing literature.

Criteria for Content

Reflect on the issue of incivility. Think of an experience in which you were directly involved or witnessed incivility in the workplace. Analyze scholarly literature related to the issue of incivility and strategies for cultivating healthful environments.

1.       In a four- to six-page written paper, address the following.

a.       Define and explain the issue of incivility. Use scholarly nursing literature.

b.       Discuss the importance of this issue to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. In this section, use at least three (3) different scholarly nursing literature in-text citations with matching references.

c.       Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected?

d.       Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.

e.       Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s-prepared advanced practice role to cultivate a healthful work environment.

 

f.        Provide a conclusion. Include a summary on the issue of incivility, strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection.

Literature Evaluation Table

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

In nursing practice, accurate identification and application of research is essential

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.