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  • [Solved] Assessing and Diagnosing Patients With Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders

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    Executive Solution Overview

    See instructions attached – 2 years ago **files (2)** – ## Week7assignment.docx – ## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate2.docx **## Week7assignment.docx** Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking pro…

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    Assignment Prompt & Instructions

    See instructions attached

    – 2 years ago

    **files (2)**

    – ## Week7assignment.docx

    – ## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate2.docx

    **## Week7assignment.docx**

    Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

    Incorporate the following into your responses in the template:

    ·
    **Subjective:** What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?

    ·
    **Objective:** What observations did you make during the psychiatric assessment?

    ·
    **Assessment:** Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

    ·
    **Reflection notes:** What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    **Case:**

    https://video.alexanderstreet.com/p/w0rxjDOQw

    **## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate2.docx**

    **NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template**

    **Week (enter week #): (Enter assignment title)**

    Student Name

    College of Nursing-PMHNP, Walden University

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    **Subjective:**

    **CC** (chief complaint):

    **HPI**:

    **Past Psychiatric History**:

    ·
    **G** eneral Statement:

    ·
    **C** aregivers (if applicable):

    ·
    **H** ospitalizations:

    ·
    **M** edication trials:

    ·
    **P** sychotherapy or
    **P** revious Psychiatric Diagnosis:

    **Substance Current Use and History:**

    **Family Psychiatric/Substance Use History:**

    **Psychosocial History:**

    **Medical History:**

    ·
    **Current Medications**:

    ·
    **Allergies**:

    ·
    **Reproductive Hx**:

    **ROS**:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    **Objective:**

    **Physical exam:** if applicable

    **Diagnostic results**:

    **Assessment:**

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    **References**

    © 2021 Walden University Page 1 of 3

    **## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate2.docx**

    **NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template**

    **Week (enter week #): (Enter assignment title)**

    Student Name

    College of Nursing-PMHNP, Walden University

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    **Subjective:**

    **CC** (chief complaint):

    **HPI**:

    **Past Psychiatric History**:

    ·
    **G** eneral Statement:

    ·
    **C** aregivers (if applicable):

    ·
    **H** ospitalizations:

    ·
    **M** edication trials:

    ·
    **P** sychotherapy or
    **P** revious Psychiatric Diagnosis:

    **Substance Current Use and History:**

    **Family Psychiatric/Substance Use History:**

    **Psychosocial History:**

    **Medical History:**

    ·
    **Current Medications**:

    ·
    **Allergies**:

    ·
    **Reproductive Hx**:

    **ROS**:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    **Objective:**

    **Physical exam:** if applicable

    **Diagnostic results**:

    **Assessment:**

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    **References**

    © 2021 Walden University Page 1 of 3

    **## Week7assignment.docx**

    Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

    Incorporate the following into your responses in the template:

    ·
    **Subjective:** What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?

    ·
    **Objective:** What observations did you make during the psychiatric assessment?

    ·
    **Assessment:** Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

    ·
    **Reflection notes:** What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    **Case:**

    https://video.alexanderstreet.com/p/w0rxjDOQw

    **## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate2.docx**

    **NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template**

    **Week (enter week #): (Enter assignment title)**

    Student Name

    College of Nursing-PMHNP, Walden University

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    **Subjective:**

    **CC** (chief complaint):

    **HPI**:

    **Past Psychiatric History**:

    ·
    **G** eneral Statement:

    ·
    **C** aregivers (if applicable):

    ·
    **H** ospitalizations:

    ·
    **M** edication trials:

    ·
    **P** sychotherapy or
    **P** revious Psychiatric Diagnosis:

    **Substance Current Use and History:**

    **Family Psychiatric/Substance Use History:**

    **Psychosocial History:**

    **Medical History:**

    ·
    **Current Medications**:

    ·
    **Allergies**:

    ·
    **Reproductive Hx**:

    **ROS**:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    **Objective:**

    **Physical exam:** if applicable

    **Diagnostic results**:

    **Assessment:**

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    **References**

    © 2021 Walden University Page 1 of 3

    **## Week7assignment.docx**

    Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

    Incorporate the following into your responses in the template:

    ·
    **Subjective:** What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?

    ·
    **Objective:** What observations did you make during the psychiatric assessment?

    ·
    **Assessment:** Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.

    ·
    **Reflection notes:** What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

    **Case:**

    https://video.alexanderstreet.com/p/w0rxjDOQw

    **## NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate2.docx**

    **NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template**

    **Week (enter week #): (Enter assignment title)**

    Student Name

    College of Nursing-PMHNP, Walden University

    NRNP 6635: Psychopathology and Diagnostic Reasoning

    Faculty Name

    Assignment Due Date

    **Subjective:**

    **CC** (chief complaint):

    **HPI**:

    **Past Psychiatric History**:

    ·
    **G** eneral Statement:

    ·
    **C** aregivers (if applicable):

    ·
    **H** ospitalizations:

    ·
    **M** edication trials:

    ·
    **P** sychotherapy or
    **P** revious Psychiatric Diagnosis:

    **Substance Current Use and History:**

    **Family Psychiatric/Substance Use History:**

    **Psychosocial History:**

    **Medical History:**

    ·
    **Current Medications**:

    ·
    **Allergies**:

    ·
    **Reproductive Hx**:

    **ROS**:

    · GENERAL:

    · HEENT:

    · SKIN:

    · CARDIOVASCULAR:

    · RESPIRATORY:

    · GASTROINTESTINAL:

    · GENITOURINARY:

    · NEUROLOGICAL:

    · MUSCULOSKELETAL:

    · HEMATOLOGIC:

    · LYMPHATICS:

    · ENDOCRINOLOGIC:

    **Objective:**

    **Physical exam:** if applicable

    **Diagnostic results**:

    **Assessment:**

    Mental Status Examination:

    Differential Diagnoses:

    Reflections:

    **References**

    © 2021 Walden University Page 1 of 3

  • [Solved] Introduction

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (1)** – ## Welcometoyourfirstpostingassignment.docx **## Welcometoyourfirstpostingassignment.docx** Welcome to your first posting assignment. Though you may already know a little bit about one another, please use this discussion assignment to introduce yourself to the instructo…

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    Immediate access to the full model answer, formatted citations, and rubric breakdown.

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## Welcometoyourfirstpostingassignment.docx

    **## Welcometoyourfirstpostingassignment.docx**

    Welcome to your first posting assignment. Though you may already know a little bit about one another, please use this discussion assignment to introduce yourself to the instructor and your classmates. Please post at least the following information:

    · What is your name?

    Laura Dominguez

    I’m from Cuba, emigate 12 years ago

    · What previous experiences do you bring to this course (degrees, work experience, etc.)?

    RN, BSN, MSN

    I work now in Azura vascular with a vascular surgeon

    I worked in cath lab in Mercy Hospital

    Home Health

    · What do you hope to get out of this course?

    Learn more about my specialty, be a psychiatric nurse

    Instructions:

    1. Compose your introduction in a Word document.

    2. Check for spelling and grammar, copy the text from your Word document, and click on the topic name
    **Introductions Discussion** to enter the discussion and post the response that you copied from Word.

    3. Enter your full name as the subject in the subject line.

    4. When satisfied, click Post.

    This an example from one of my classmate

    Hello, everyone!

    My name is Dayana Gonzalez Palenzuela, and I am originally from Cuba. I moved to the United States 10 years ago, driven by a desire for freedom and the opportunity to pursue my professional dreams in healthcare. Since then, I have built a career in nursing, and I am currently working as an admission nurse for a hospice company, where I provide compassionate care and support to patients and their families during difficult times.

    I have been a nurse for several years, and I am now pursuing my goal of becoming a psychiatric nurse practitioner. This course is an exciting step in my journey, as I have always had a strong interest in mental health and am eager to expand my knowledge in this field. I bring with me a background in nursing as well as direct experience in hospice care, where I’ve developed skills in providing holistic and emotional support to patients.

    Through this course, I hope to deepen my understanding of psychiatric disorders, treatment options, and evidence-based practice. My goal is to gain the skills and knowledge necessary to provide high-quality care to individuals struggling with mental health challenges, particularly in underserved communities. I look forward to collaborating with all of you, learning from your experiences, and applying what I learn to my future practice as a Psychiatric Nurse Practitioner.

    I am excited to be part of this program and look forward to the opportunity to learn and grow with all of you.

    Best regards,

    Dayana Gonzalez Palenzuela.

    **## Welcometoyourfirstpostingassignment.docx**

    Welcome to your first posting assignment. Though you may already know a little bit about one another, please use this discussion assignment to introduce yourself to the instructor and your classmates. Please post at least the following information:

    · What is your name?

    Laura Dominguez

    I’m from Cuba, emigate 12 years ago

    · What previous experiences do you bring to this course (degrees, work experience, etc.)?

    RN, BSN, MSN

    I work now in Azura vascular with a vascular surgeon

    I worked in cath lab in Mercy Hospital

    Home Health

    · What do you hope to get out of this course?

    Learn more about my specialty, be a psychiatric nurse

    Instructions:

    1. Compose your introduction in a Word document.

    2. Check for spelling and grammar, copy the text from your Word document, and click on the topic name
    **Introductions Discussion** to enter the discussion and post the response that you copied from Word.

    3. Enter your full name as the subject in the subject line.

    4. When satisfied, click Post.

    This an example from one of my classmate

    Hello, everyone!

    My name is Dayana Gonzalez Palenzuela, and I am originally from Cuba. I moved to the United States 10 years ago, driven by a desire for freedom and the opportunity to pursue my professional dreams in healthcare. Since then, I have built a career in nursing, and I am currently working as an admission nurse for a hospice company, where I provide compassionate care and support to patients and their families during difficult times.

    I have been a nurse for several years, and I am now pursuing my goal of becoming a psychiatric nurse practitioner. This course is an exciting step in my journey, as I have always had a strong interest in mental health and am eager to expand my knowledge in this field. I bring with me a background in nursing as well as direct experience in hospice care, where I’ve developed skills in providing holistic and emotional support to patients.

    Through this course, I hope to deepen my understanding of psychiatric disorders, treatment options, and evidence-based practice. My goal is to gain the skills and knowledge necessary to provide high-quality care to individuals struggling with mental health challenges, particularly in underserved communities. I look forward to collaborating with all of you, learning from your experiences, and applying what I learn to my future practice as a Psychiatric Nurse Practitioner.

    I am excited to be part of this program and look forward to the opportunity to learn and grow with all of you.

    Best regards,

    Dayana Gonzalez Palenzuela.

  • [Solved] Evidence-Based Practice II

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **DISCUSSION RESPONSE** – 2 years ago **files (1)** – ## EvidenceBasedPracticeIIDISCUSSIONRESPONSE.odt **## EvidenceBasedPracticeIIDISCUSSIONRESPONSE.odt** **Evidence Based Practice II** **DISCUSSION RESPONSE** **DUE January 9** **Read** a selection of your colleagues’ blog posts. **Respond** to **a…

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    Assignment Prompt & Instructions

    **DISCUSSION RESPONSE**

    – 2 years ago

    **files (1)**

    – ## EvidenceBasedPracticeIIDISCUSSIONRESPONSE.odt

    **## EvidenceBasedPracticeIIDISCUSSIONRESPONSE.odt**

    **Evidence Based Practice II**

    **DISCUSSION RESPONSE**

    **DUE January 9**

    **Read** a selection of your colleagues’ blog posts.
    **Respond** to
    **at least two** of your colleagues on
    **2 different days** by supporting or expanding on their work thus far with their practice focused question. Work to share additional perspectives on the issue described by your colleague.

    PEER #1

    [Shannon Hilling](https://waldenu.instructure.com/courses/142884/users/109810)

    Manage Discussion by Shannon Hilling

    Reply from Shannon Hilling

    **Initial Post**

    The proposed practice change for my project is staff education on increasing knowledge on HIV testing in the primary care clinic. Transformational leadership is most fitting for this practice change. Transformational leadership allows for a fostering of eagerness, passion, commitment, and most importantly a shared vision for improvement. Transformational leaders also are inspiring to their team which can lead to a better chance to embrace the change.

    **Leadership Style for Proposed Change**

    Transformational leadership promotes collaboration between the leader and team for a common end result (Bradshaw & Vitale, 2024). Transformational leaders also encompass unique qualities to facilitate implementation of practice change. These qualities include being effective and efficient, confident and wise, a visionary, and clinical expert (Broome, 2025).

    **Leadership Style and Dissemination**

    Leadership style is significant in practice change and project dissemination. Transformational leadership can successfully advance healthcare change for the overall good of the population (Broome, 2025). Transformational leadership allows us to work together within the healthcare organization while also promoting the change across healthcare systems and settings (Broome, 2025). The collaboration efforts also promote positive communication and dispersing of information and results.

    **Leadership Style, Issues, and Support**

    In regard to my HIV staff education project, I have established a collaborative relationship with my preceptor and team. I never tried to take charge and boss the team around in any way. After all, I am grateful they allowed me to use their site for the proposed practice change. According to Broome (2025), when the team feels safe, cared for, and able to speak freely, project success is much more likely. Transformational leadership often coincides with a happy and healthy work environment, making performance enhanced in most instances (Curado & Santos, 2021). A potential gap with this leadership style could be within the healthcare team and administration when research is involved (Curado & Santos, 2021). My preceptor is there for additional support for project implementation. She has been such a positive influence and such a valuable mentor!

    **Leadership Style and Application to Proposed Change**

    Transformational leadership applies to increasing knowledge on HIV testing through various avenues. Routine meetings and check ins allow for streamlined communication as well as gaining a sense of the team’s perspective (Sinclair et al., 2021). Trust can also be built within the team and with stakeholders through routine feedback. Transformational leadership creates the culture in which productivity and engagement are welcomed (Sinclair et al., 2021). When the team feels safe and valued, the shared vision of the practice change will likely be honored. This will then result in a successful practice change, which will benefit the patients in which we serve.

    **References**

    Bradshaw, M. J., & Vitale, T. R. (2024).
    _The DNP project workbook: A step-by-step process for success._ Springer Publishing Company.

    Broome, M. E. (2025).
    _Transformational leadership in nursing: From expert clinician to influential leader._ Springer Publishing Company.

    Curado, C., & Santos, R. (2022). Transformational leadership and work performance in health care: the mediating role of job satisfaction.
    _Leadership in Health Services, 35_(2).

    Sinclair, M. A., Stephens, K., Whiteman, K., Swanson-Biearman, B., & Clark, J. (2021). Managing and motivating the remote employee using the transformational leadership model.
    _Nurse Leader, 19_(3).

    – Reply to post from Shannon Hilling
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **PEER #2**

    [Olufunmilayo Elizabeth Adeloye](https://waldenu.instructure.com/courses/142884/users/125106)

    Manage Discussion by Olufunmilayo Elizabeth Adeloye

    Reply from Olufunmilayo Elizabeth Adeloye

    **Main Post**

    **Leadership Style Needed for Implementation**

    The leadership style essential for implementing training programs aimed at minimizing restraint use in mental health settings is Transformational Leadership. This leadership model emphasizes inspiring and empowering others through various forms of encouragement, fostering individual and collective growth (Ugochukwu, 2021). A key element of Transformational Leadership is its early application, which allows leaders to effectively adapt to situations, identify underlying issues, and develop strategies to achieve desired goals or changes (Ugochukwu, 2021). Additionally, Transformational Leadership requires leaders who can guide individuals through progressive stages of development, helping them move from foundational skills to achieving their objectives at a measured pace. Leaders play a critical role in defining a clear purpose for each individual and providing consistent support to help them accomplish their goals. Increased use of restraints in healthcare is a preventable issue that demands systemic improvement and strategic changes. Transformational Leadership is well-suited for addressing this challenge, as it fosters positive attitudes among nurses, enhances job satisfaction, strengthens structural empowerment, and ultimately improves the quality of care. These factors contribute to reducing adverse patient outcomes and minimizing restraint incidents (Asif et al., 2019).

    **Necessary Skills to implement this proposed change?**

    Effective transformational leadership hinges on several essential qualities. Leaders must first recognize and embrace the need for change, fostering an environment where the necessity of that change is clear to others. They should inspire and challenge the mindset of their team by communicating effectively, helping workers understand and accept the purpose behind initiatives, such as a restraint prevention program. Encouraging active participation is equally important, as leaders should create opportunities for team members to ask questions, contribute ideas, and engage in educational efforts. Through clear and compelling communication, leaders can ensure that their message resonates, and their vision is understood. A transformational leader must also possess the ability to empower and persuade workers to act in ways that align with the organization’s best interests. Integrity is critical leaders must remain true to their words and uphold their commitments. Furthermore, they should inspire their team by articulating a clear, ambitious vision of organizational goals, fostering loyalty by appreciating their employees and aligning themselves with shared objectives. Ultimately, these qualities combine to create a leadership style that motivates and unites teams around meaningful, positive change (Asif et al., 2019).

    **Connection to Disseminating Results**

    Transformational leadership emphasizes the importance of continuous communication and recognition of achievements to keep teams motivated and committed. By regularly sharing updates and celebrating accomplishments, transformational leaders create an environment that fosters engagement and alignment with organizational objectives. This leadership style prioritizes collaboration, transparency, and feedback, ensuring that everyone remains focused on shared goals. Maintaining open lines of communication as outcomes unfold is essential for sustaining trust and momentum within the team. A key aspect of transformational leadership is granting employees autonomy to plan and make decisions, particularly after they have been adequately trained. Empowering employees in this way makes them feel valued and encourages them to contribute meaningfully to addressing healthcare challenges. Implementing coaching and evidence-based training programs can further enhance communication, motivation, and innovation. These initiatives inspire employees to think creatively and develop effective solutions, ultimately driving positive change in the workplace (Khan et al., 2020).

    **Assessing Current Leadership Style and Need for Additional Support:**

    Transformational leaders excel at inspiring and motivating their teams, but they may face challenges when it comes to organizing and implementing complex changes. This potential knowledge gap in change management can be mitigated by incorporating additional support, such as collaboration with change management specialists or training in effective change management strategies. According to Khan et al. (2020), this leadership style may falter due to factors like burnout, social loafing, or negative group dynamics caused by leaders treating individuals as mere parts of the collective. To bridge this gap, leaders should focus on fostering a positive environment by maintaining an optimistic attitude, empowering individuals, actively listening, avoiding judgment, encouraging open communication, and providing consistent support to employees.

    **Applying Leadership Style to the Proposed Change**

    Transformational leadership enhances the implementation plan by inspiring a shared vision for improved mental health outcomes through evidence-based practices. It empowers staff to view restraint reduction as an opportunity to enhance patient care rather than a mandated policy. By fostering trust and motivation, this approach addresses resistance and low engagement, ensuring stronger commitment. Emphasizing idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration (Asif et al., 2019), transformational leadership encourages positivity and collaboration. Actively involving staff in design and feedback ensures seamless, sustainable adoption, ultimately strengthening the initiative’s success.

    **References**

    Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: assessing the role of job satisfaction and structural empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381. doi: 10.3390/ijerph16132381.
    [https://www.ncbi.nlm.nih.govLinks to an external site.](https://www.ncbi.nlm.nih.gov/)/pmc/ articles/ PMC6651060/Links to an external site.

    Craig, W. (2022). 8 Must-have transformational leadership qualities. Forbes.https://www.forbes. com/sites/williamcraig/2019/01/31/8- must-have-transf

    Khan, H., Rehmat, M., Butt, T. H., Farooqi, S., & Asim, J. (2020). Impact of transformational leadership on work performance, burnout and social loafing: a mediation model. Future Business Journal, 6(40). doi: https://doi.org/10.1186/s43093-020-00043-8Links to an external site.. https://fbj.springeropen.com/articles/10.1186/s43093-020-00043- 8#citeaslinks to an external site.

    Ugochukwu, C. (2021). Transformational Leadership. Simply Psychology.
    [https://www.simplyLinks to an external site.](https://www.simply/) psychology.org/what-is-transformationalleadership.htmlLinks to an external site.

    – Reply to post from Olufunmilayo Elizabeth Adeloye
    **Reply**

    – Mark as Unread
    **Mark as Unread**

    **## EvidenceBasedPracticeIIDISCUSSIONRESPONSE.odt**

    **Evidence Based Practice II**

    **DISCUSSION RESPONSE**

    **DUE January 9**

    **Read** a selection of your colleagues’ blog posts.
    **Respond** to
    **at least two** of your colleagues on
    **2 different days** by supporting or expanding on their work thus far with their practice focused question. Work to share additional perspectives on the issue described by your colleague.

    PEER #1

    [Shannon Hilling](https://waldenu.instructure.com/courses/142884/users/109810)

    Manage Discussion by Shannon Hilling

    Reply from Shannon Hilling

    **Initial Post**

    The proposed practice change for my project is staff education on increasing knowledge on HIV testing in the primary care clinic. Transformational leadership is most fitting for this practice change. Transformational leadership allows for a fostering of eagerness, passion, commitment, and most importantly a shared vision for improvement. Transformational leaders also are inspiring to their team which can lead to a better chance to embrace the change.

    **Leadership Style for Proposed Change**

    Transformational leadership promotes collaboration between the leader and team for a common end result (Bradshaw & Vitale, 2024). Transformational leaders also encompass unique qualities to facilitate implementation of practice change. These qualities include being effective and efficient, confident and wise, a visionary, and clinical expert (Broome, 2025).

    **Leadership Style and Dissemination**

    Leadership style is significant in practice change and project dissemination. Transformational leadership can successfully advance healthcare change for the overall good of the population (Broome, 2025). Transformational leadership allows us to work together within the healthcare organization while also promoting the change across healthcare systems and settings (Broome, 2025). The collaboration efforts also promote positive communication and dispersing of information and results.

    **Leadership Style, Issues, and Support**

    In regard to my HIV staff education project, I have established a collaborative relationship with my preceptor and team. I never tried to take charge and boss the team around in any way. After all, I am grateful they allowed me to use their site for the proposed practice change. According to Broome (2025), when the team feels safe, cared for, and able to speak freely, project success is much more likely. Transformational leadership often coincides with a happy and healthy work environment, making performance enhanced in most instances (Curado & Santos, 2021). A potential gap with this leadership style could be within the healthcare team and administration when research is involved (Curado & Santos, 2021). My preceptor is there for additional support for project implementation. She has been such a positive influence and such a valuable mentor!

    **Leadership Style and Application to Proposed Change**

    Transformational leadership applies to increasing knowledge on HIV testing through various avenues. Routine meetings and check ins allow for streamlined communication as well as gaining a sense of the team’s perspective (Sinclair et al., 2021). Trust can also be built within the team and with stakeholders through routine feedback. Transformational leadership creates the culture in which productivity and engagement are welcomed (Sinclair et al., 2021). When the team feels safe and valued, the shared vision of the practice change will likely be honored. This will then result in a successful practice change, which will benefit the patients in which we serve.

    **References**

    Bradshaw, M. J., & Vitale, T. R. (2024).
    _The DNP project workbook: A step-by-step process for success._ Springer Publishing Company.

    Broome, M. E. (2025).
    _Transformational leadership in nursing: From expert clinician to influential leader._ Springer Publishing Company.

    Curado, C., & Santos, R. (2022). Transformational leadership and work performance in health care: the mediating role of job satisfaction.
    _Leadership in Health Services, 35_(2).

    Sinclair, M. A., Stephens, K., Whiteman, K., Swanson-Biearman, B., & Clark, J. (2021). Managing and motivating the remote employee using the transformational leadership model.
    _Nurse Leader, 19_(3).

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    [Olufunmilayo Elizabeth Adeloye](https://waldenu.instructure.com/courses/142884/users/125106)

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    **Main Post**

    **Leadership Style Needed for Implementation**

    The leadership style essential for implementing training programs aimed at minimizing restraint use in mental health settings is Transformational Leadership. This leadership model emphasizes inspiring and empowering others through various forms of encouragement, fostering individual and collective growth (Ugochukwu, 2021). A key element of Transformational Leadership is its early application, which allows leaders to effectively adapt to situations, identify underlying issues, and develop strategies to achieve desired goals or changes (Ugochukwu, 2021). Additionally, Transformational Leadership requires leaders who can guide individuals through progressive stages of development, helping them move from foundational skills to achieving their objectives at a measured pace. Leaders play a critical role in defining a clear purpose for each individual and providing consistent support to help them accomplish their goals. Increased use of restraints in healthcare is a preventable issue that demands systemic improvement and strategic changes. Transformational Leadership is well-suited for addressing this challenge, as it fosters positive attitudes among nurses, enhances job satisfaction, strengthens structural empowerment, and ultimately improves the quality of care. These factors contribute to reducing adverse patient outcomes and minimizing restraint incidents (Asif et al., 2019).

    **Necessary Skills to implement this proposed change?**

    Effective transformational leadership hinges on several essential qualities. Leaders must first recognize and embrace the need for change, fostering an environment where the necessity of that change is clear to others. They should inspire and challenge the mindset of their team by communicating effectively, helping workers understand and accept the purpose behind initiatives, such as a restraint prevention program. Encouraging active participation is equally important, as leaders should create opportunities for team members to ask questions, contribute ideas, and engage in educational efforts. Through clear and compelling communication, leaders can ensure that their message resonates, and their vision is understood. A transformational leader must also possess the ability to empower and persuade workers to act in ways that align with the organization’s best interests. Integrity is critical leaders must remain true to their words and uphold their commitments. Furthermore, they should inspire their team by articulating a clear, ambitious vision of organizational goals, fostering loyalty by appreciating their employees and aligning themselves with shared objectives. Ultimately, these qualities combine to create a leadership style that motivates and unites teams around meaningful, positive change (Asif et al., 2019).

    **Connection to Disseminating Results**

    Transformational leadership emphasizes the importance of continuous communication and recognition of achievements to keep teams motivated and committed. By regularly sharing updates and celebrating accomplishments, transformational leaders create an environment that fosters engagement and alignment with organizational objectives. This leadership style prioritizes collaboration, transparency, and feedback, ensuring that everyone remains focused on shared goals. Maintaining open lines of communication as outcomes unfold is essential for sustaining trust and momentum within the team. A key aspect of transformational leadership is granting employees autonomy to plan and make decisions, particularly after they have been adequately trained. Empowering employees in this way makes them feel valued and encourages them to contribute meaningfully to addressing healthcare challenges. Implementing coaching and evidence-based training programs can further enhance communication, motivation, and innovation. These initiatives inspire employees to think creatively and develop effective solutions, ultimately driving positive change in the workplace (Khan et al., 2020).

    **Assessing Current Leadership Style and Need for Additional Support:**

    Transformational leaders excel at inspiring and motivating their teams, but they may face challenges when it comes to organizing and implementing complex changes. This potential knowledge gap in change management can be mitigated by incorporating additional support, such as collaboration with change management specialists or training in effective change management strategies. According to Khan et al. (2020), this leadership style may falter due to factors like burnout, social loafing, or negative group dynamics caused by leaders treating individuals as mere parts of the collective. To bridge this gap, leaders should focus on fostering a positive environment by maintaining an optimistic attitude, empowering individuals, actively listening, avoiding judgment, encouraging open communication, and providing consistent support to employees.

    **Applying Leadership Style to the Proposed Change**

    Transformational leadership enhances the implementation plan by inspiring a shared vision for improved mental health outcomes through evidence-based practices. It empowers staff to view restraint reduction as an opportunity to enhance patient care rather than a mandated policy. By fostering trust and motivation, this approach addresses resistance and low engagement, ensuring stronger commitment. Emphasizing idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration (Asif et al., 2019), transformational leadership encourages positivity and collaboration. Actively involving staff in design and feedback ensures seamless, sustainable adoption, ultimately strengthening the initiative’s success.

    **References**

    Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: assessing the role of job satisfaction and structural empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381. doi: 10.3390/ijerph16132381.
    [https://www.ncbi.nlm.nih.govLinks to an external site.](https://www.ncbi.nlm.nih.gov/)/pmc/ articles/ PMC6651060/Links to an external site.

    Craig, W. (2022). 8 Must-have transformational leadership qualities. Forbes.https://www.forbes. com/sites/williamcraig/2019/01/31/8- must-have-transf

    Khan, H., Rehmat, M., Butt, T. H., Farooqi, S., & Asim, J. (2020). Impact of transformational leadership on work performance, burnout and social loafing: a mediation model. Future Business Journal, 6(40). doi: https://doi.org/10.1186/s43093-020-00043-8Links to an external site.. https://fbj.springeropen.com/articles/10.1186/s43093-020-00043- 8#citeaslinks to an external site.

    Ugochukwu, C. (2021). Transformational Leadership. Simply Psychology.
    [https://www.simplyLinks to an external site.](https://www.simply/) psychology.org/what-is-transformationalleadership.htmlLinks to an external site.

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    310 This week we are introduced to both _genetics_ and _genomics_ in healthcare. As you complete the readings for this week, consider both the risks and benefits of using both _genetics_ and _genomics_ in caring for patients. What are three risks and three benefits? What safeguards would you suggest…

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    310

    This week we are introduced to both _genetics_ and _genomics_ in healthcare. As you complete the readings for this week, consider both the risks and benefits of using both _genetics_ and _genomics_ in caring for patients. What are three risks and three benefits? What safeguards would you suggest to ensure that the benefits of using genetics and genomics in healthcare outweigh the risks?

    315

    Antibiotic resistance has exponentially increased in the last two decades and this is widely contributed to the liberal prescriptions of antibiotics for various conditions, even when medically unnecessary. Even though antibiotics are some of the most effective medications for treatment of infectious diseases, the over prescription of them leads to an accelerated rate of resistance. It is also interesting that conditions such as C Diff, with overt symptoms such as diarrhea, are treated with high dose and various antibiotics that have the potential to compound the already present issue. Please review the following article and share your experience with the use of antibiotics as treatment and potential consequences for future patient care.

    Anwar, M., Raziq, A., Shoaib, M., Baloch, N. S., Raza, S., Sajjad, B., Sadaf, N., Iqbal, Z., Ishaq, R., Haider, S., Iqbal, Q., Ahmad, N., Haque, N., & Saleem, F. (2021). Exploring Nurses' Perception of Antibiotic Use and Resistance: A Qualitative Inquiry. _Journal of multidisciplinary healthcare_, _14_, 1599–1608. [https://doi.org/10.2147/JMDH.S309020](https://doi.org/10.2147/JMDH.S309020)

    [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254422/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254422/)

    400

    For this week's discussion, please select or describe a current ethical issue in the healthcare of veterans.  This may be one you found on the VA Scandals webpage, or another topic of interest to you.

    Describe the issue, which ethical principle it violates, and then share at least 2 recommendations that could

    improve the ethical treatment of veterans.

    – 2 years ago

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as cardiovascular disease. For this discussion, you will explore how lifestyle changes-such as nutrition, physical activity, stress management, and avoiding harmful behaviors–can prevent or modify…

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as cardiovascular disease. For this discussion, you will explore how lifestyle changes-such as nutrition, physical activity, stress management, and avoiding harmful behaviors–can prevent or modify disease processes and promote restoration of health. (CSLO#4).

    1. Choose a Disease Process: Select a specific disease process (e.g., hypertension, Type 2 diabetes, coronary artery disease, chronic obstructive pulmonary disease).

    2. Discuss Lifestyle Changes: Describe at least two lifestyle changes that can prevent, modify, or restore health in relation to your selected disease. Use evidence-based practice (EBP) to support your discussion.

    o Include specific examples of dietary changes, physical activity, smoking cessation, or stress management techniques.

    3. Explain the Impact: Discuss how these lifestyle changes influence the disease process. Explain the physiological or behavioral changes that occur as a result.

    4. Relate to Nursing Practice: Identify the nurse's role in educating and promoting these lifestyle modifications. How can nurses empower patients to adopt and sustain these changes?

    5. Support with Evidence: Integrate at least two peer-reviewed scholarly sources published within the last five years. Use APA format for in-text citations and your reference list.

    Please this discussion most has between 400-500 words.

    – 2 years ago

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as cardiovascular. For this discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease …

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as cardiovascular. For this discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease processes and promote restoration of health. (CSLO #4)

    1. Choose a Disease Process: Select a specific disease process (e.g., hypertension, Type 2 diabetes, coronary artery disease, chronic obstructive pulmonary disease).

    2. Discuss Lifestyle Changes: Describe at least two lifestyle changes that can prevent, modify, or restore health in relation to your selected disease. Use evidence-based practice (EBP) to support your discussion.

    o Include specific examples of dietary changes, physical activity, smoking cessation, or stress management techniques.

    3. Explain the Impact: Discuss how these lifestyle changes influence the disease process. Explain the physiological or behavioral changes that occur as a result.

    4. Relate to Nursing Practice: Identify the nurse's role in educating and promoting these lifestyle modifications. How can nurses empower patients to adopt and sustain these changes?

    5. Support with Evidence: Integrate at least two peer-reviewed scholarly sources published within the last five years. Use APA format for in-text citations and your reference list.

    – 2 years ago

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as cardiovascular. For this discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease …

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    Overview: Lifestyle modifications play a crucial role in preventing and managing chronic diseases such as cardiovascular. For this discussion, you will explore how lifestyle changes—such as nutrition, physical activity, stress management, and avoiding harmful behaviors—can prevent or modify disease processes and promote restoration of health. (CSLO #4).

    1. Choose a Disease Process: Select a specific disease process (e.g., hypertension, Type 2 diabetes, coronary artery disease, chronic obstructive pulmonary disease).

    2. Discuss Lifestyle Changes: Describe at least two lifestyle changes that can prevent, modify, or restore health in relation to your selected disease. Use evidence-based practice (EBP) to support your discussion.

    o Include specific examples of dietary changes, physical activity, smoking cessation, or stress management techniques.

    3. Explain the Impact: Discuss how these lifestyle changes influence the disease process. Explain the physiological or behavioral changes that occur as a result.

    4. Relate to Nursing Practice: Identify the nurse's role in educating and promoting these lifestyle modifications. How can nurses empower patients to adopt and sustain these changes?

    5. Support with Evidence: Integrate at least two peer-reviewed scholarly sources published within the last five years. Use APA format for in-text citations and your reference list.

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    Please use  around 400 to 500 words.

    – 2 years ago

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    **Instructions: Select two of the following neurotransmitters:** – Serotonin – Norepinephrine – Dopamine – Acetylcholine – Glutamate – Melatonin – Histamine – GABA For each neurotransmitter, please discuss the following: pharmacologic action, the drug class it is most closely linked to, expected out…

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    **Instructions: Select two of the following neurotransmitters:**

    – Serotonin
    – Norepinephrine
    – Dopamine
    – Acetylcholine
    – Glutamate
    – Melatonin
    – Histamine
    – GABA

    For each neurotransmitter, please discuss the following: pharmacologic action, the drug class it is most closely linked to, expected outcomes, and potential side effects. Based on this information, which condition would these neurotransmitters be considered for the treatment plan?

    – 2 years ago

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