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  • [Solved] XL04DQ

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    – 2 years ago **files (1)** – ## APASTYL1.docx **## APASTYL1.docx** **APA STYLE , AT LEAST THREE REFERENCES , 200-250 WORLD EACH QUESTION** 1.During your nursing career, have you advocated for any policy changes at the state or local level? 2.Do you think nurses should participate in healthcare poli…

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    – 2 years ago

    **files (1)**

    – ## APASTYL1.docx

    **## APASTYL1.docx**

    **APA STYLE , AT LEAST THREE REFERENCES , 200-250 WORLD EACH QUESTION**

    1.During your nursing career, have you advocated for any policy changes at the state or local level?

    2.Do you think nurses should participate in healthcare policy change advocacy? Why or why not?

    **## APASTYL1.docx**

    **APA STYLE , AT LEAST THREE REFERENCES , 200-250 WORLD EACH QUESTION**

    1.During your nursing career, have you advocated for any policy changes at the state or local level?

    2.Do you think nurses should participate in healthcare policy change advocacy? Why or why not?

  • [Solved] Leader vs. Manager

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    Explain, with concrete examples, the differences among leadership, management, and followership. Then, discuss the following: – At times, do the examples overlap with a nurse acting in all three capacities at the same time? – Are two of the three capacities more likely to overlap? If yes, which two …

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    Assignment Prompt & Instructions

    Explain, with concrete examples, the differences among leadership, management, and followership. Then, discuss the following:

    – At times, do the examples overlap with a nurse acting in all three capacities at the same time?
    – Are two of the three capacities more likely to overlap? If yes, which two capacities?
    – Pick a current local, state, or national political leader and differentiate the leadership and management qualities of the leader. Who are these leaders and followers?
    –  Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    – All replies must be constructive and use literature where possible.

    – 2 years ago

  • [Solved] XL02work

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    – 2 years ago **files (4)** – ## XL4002_M1_Template.docx – ## ASSESSMENT.docx – ## XL4002_Rubric.pdf – ## XL4002_CON_Writing_Template.docx **## XL4002_M1_Template.docx** ## **XL4002 Performance Task Submission Template for Module 1, Part 1** Choose one of the topics listed below and review t…

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    – 2 years ago

    **files (4)**

    – ## XL4002_M1_Template.docx

    – ## ASSESSMENT.docx

    – ## XL4002_Rubric.pdf

    – ## XL4002_CON_Writing_Template.docx

    **## XL4002_M1_Template.docx**

    ## **XL4002 Performance Task Submission Template for Module 1, Part 1**

    Choose one of the topics listed below and review the images, graphs, charts, and statistics related to that topic.

    ·
    [Immigrant, Refugee, and Migrant Health](https://www.cdc.gov/immigrantrefugeehealth/index.html)

    ·
    [Vulnerable Populations](https://www.cdc.gov/pcd/issues/2016/15_0567.htm)

    ·
    [Childhood Obesity](https://www.cdc.gov/obesity/childhood/index.html)

    Respond to the following questions:

    1. What is the background of the population you chose? What key social determinants of health are conveyed in the visual presentations? (1 paragraph)

    Type your answer here . . .

    2. Apply the political analysis strategies in Chapter 8 of Mason et al. (2021) to this population. Name two stakeholders relevant to this population and explain their role in your political analysis. (1 paragraph)

    Type your answer here . . .

    3. Name one political strategy that could be implemented to leverage facilitators or constraints into political momentum to address the issues relevant to this population through policy. (1 paragraph)

    Type your answer here . . .

    **## ASSESSMENT.docx**

    **ASSESSMENT**

    Choose one of the topics listed below and review the images, graphs, charts, and statistics related to that topic.

    ·
    [Immigrant, Refugee, and Migrant Health](https://www.cdc.gov/immigrantrefugeehealth/index.html)

    ·
    [Vulnerable Populations](https://www.cdc.gov/pcd/issues/2016/15_0567.htm)

    Download the XL4002 Performance Task Assessment Template for Module 1, Part 1. In the template, write your response to the following points:

    What is the background of the population you chose? What key social determinants of health are conveyed in the visual presentations? (1 paragraph)

    Apply the political analysis strategies in Chapter 8 of Mason et al. (2021) to this population. Name two stakeholders relevant to this population and explain their role in your political analysis. (1 paragraph)

    Name one political strategy that could be implemented to leverage facilitators or constraints into political momentum to address the issues relevant to this population through policy. (1 paragraph)

    Complete the Learning Activities in Module 2.
    [Review Code of Ethics for Nursing, Provisions 7–9](https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/).

    Use the
    [CON Writing Template](https://tempolearning.brightspace.com/content/enforced/309756-XL4002/assets/XL4002_CON_Writing_Template.docx?isCourseFile=true) to write a paper addressing the following points:

    · Explain nurse leaders’ critical role in political influence and how they can build upon their own sources of power.

    · Based on your understanding of the Code of Ethics for Nurses, explain nurses’ responsibilities in advancing ethical nursing and health policies.

    · Provide an example of how to enhance effective policy advocacy engagement to address social determinants of health, either at the individual or organizational level.

    **## XL4002_Rubric.pdf**

    © 2024 Walden University, LLC 1

    XL4002: Economic and Social Influences in Policy: Formulate leadership and advocacy strategies to reduce
    health disparities, advance ethical nursing, and health policy engagement.

    Assessment Rubric
    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet

    Expectations
    Module 1: Introduction to Economic and Social Trends in Policy
    Part 1: Political Analysis and Strategies to Improve Social Conditions (Template)
    What is the background of
    the population you chose?
    What key social
    determinants of health are
    conveyed in the visual
    presentations?

    Learning Objective 1.1:
    Identify economic and social
    influences on health

    Response provides a fully
    developed explanation of
    the background of the
    population and their social
    determinants of health.

    Response provides an
    adequately developed
    explanation of the
    background of the
    population and their social
    determinants of health.

    Response does not provide
    an adequate explanation of
    the background of the
    population and their social
    determinants of health.

    Name two stakeholders
    relevant to this population
    and explain their role in
    your political analysis.

    Learning Objective 1.2: Apply
    political analysis strategies to
    healthcare scenarios

    Response provides a fully
    developed political analysis
    including the role of the two
    stakeholders relevant to
    the chosen population.

    Response provides an
    adequately developed
    political analysis including
    the role of the two
    stakeholders relevant to
    the chosen population.

    Response does not provide
    an adequate political
    analysis; does not include
    the role of two
    stakeholders relevant to
    the chosen population.

    Name one political strategy
    that could be implemented
    to leverage facilitators or
    constraints into political
    momentum to address the

    Response provides a fully
    developed political strategy
    that could be implemented
    to leverage facilitators or
    constraints into political

    Response provides an
    adequately developed
    political strategy that could
    be implemented to
    leverage facilitators or

    Response does not provide
    an adequate political
    strategy that could be
    implemented to leverage
    facilitators or constraints

    © 2024 Walden University, LLC 2

    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    issues relevant to this
    population through policy.

    Learning Objective 1.3:
    Apply political strategies
    to leverage facilitators or
    constraints into political
    momentum to promote
    health equity

    momentum to address the
    issues relevant to this
    population through policy.

    constraints into political
    momentum to address the
    issues relevant to this
    population through policy.

    into political momentum to
    address the issues relevant
    to this population through
    policy.

    Module 2: Professional Ethics in Policy and Politics
    Part 2: Paper on Professional Ethics in Policy and Politics
    Explain nurse leaders’
    critical role in political
    influence and how they can
    build upon their own
    sources of power.

    Learning Objective 2.1:
    Explain nurse leaders’ role in
    political influence and how
    they can build upon their own
    sources of power

    Response provides a fully
    developed explanation of
    nurse leaders’ critical role
    in political influence and
    how they can build upon
    their own sources of
    power.

    Response provides an
    adequately developed
    explanation of nurse
    leaders’ critical role in
    political influence and how
    they can build upon their
    own sources of power.

    Response does not provide
    an adequate explanation of
    nurse leaders’ critical role
    in political influence and
    how they can build upon
    their own sources of
    power.

    Based on your
    understanding of the Code
    of Ethics for Nurses,
    explain nurses’
    responsibilities in
    advancing ethical nursing
    and health policies.

    Response provides a fully
    developed explanation of
    nurses’ responsibilities in
    advancing ethical nursing
    and health policies.

    Response provides an
    adequately developed
    explanation of nurses’
    responsibilities in
    advancing ethical nursing
    and health policies.

    Response does not provide
    an adequate explanation of
    nurses’ responsibilities in
    advancing ethical nursing
    and health policies.

    © 2024 Walden University, LLC 3

    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Learning Objective 2.2:
    Describe how nurses use
    professional ethics in health
    policy to advance ethical
    nursing and health policies
    Provide an example of how
    to enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Learning Objective 2.3:
    Describe how nurses use
    professional ethics in health
    policy to improve social
    determinants of health and
    health equity

    Response provides a fully
    developed example of how
    to enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Response provides an
    adequately developed
    example of how to
    enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Response does not provide
    an adequate example of
    how to enhance effective
    policy advocacy
    engagement to address
    social determinants of
    health, either at the
    individual or organizational
    level.

    Professional Writing Skills

    Professional Writing Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Context, Organization,
    Audience, Purpose, Tone,
    Style, Clarity, Flow

    Demonstrates full
    awareness of writing
    context, audience, and
    purpose.

    Demonstrates some
    awareness of writing
    context, audience, and
    purpose.

    Demonstrates minimal
    awareness of writing
    context, audience, and
    purpose.

    © 2024 Walden University, LLC 4

    Professional Writing Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Content is consistently
    clear, logical, and well-
    organized with
    appropriate sentence and
    paragraph structure.

    Tone is highly
    professional, scholarly, and
    free of bias.

    Style is consistently
    appropriate for a
    professional
    setting/workplace context.

    Free of spelling,
    punctuation, and
    grammar/syntax errors.

    Content is mostly clear,
    logical, and well-organized
    with
    adequate sentence and
    paragraph structure.

    Tone is adequately
    professional, scholarly,
    and/or free of bias.

    Style is mostly appropriate
    for a professional
    setting/workplace context.

    Contains few spelling,
    punctuation, and/or
    grammar/syntax errors.

    Content lacks clarity, logic,
    and/or discernible
    organization; does not use
    proper sentence and
    paragraph structure.

    Tone is not
    professional/scholarly
    and/or contains bias.

    Style is inconsistent with
    a professional
    setting/workplace context.

    Contains significant
    spelling, punctuation,
    and/or grammar/syntax
    errors.

    Originality, Source Credibility,
    and Attribution of Ideas

    Writing fully reflects
    original thought and
    paraphrasing and adheres
    to reference requirements,
    including the use of
    credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    Writing adequately reflects
    original thought and
    paraphrasing and adheres
    to reference requirements,
    including the use of
    credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    Writing does not reflect
    original thought and
    paraphrasing and does not
    adhere to reference
    requirements, including the
    use of credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    – Assessment Rubric
    – Professional Writing Skills

    **## XL4002_CON_Writing_Template.docx**

    5

    **Title of the Paper in Full Goes Here**

    Student Name Here

    Program Name or Degree Name, Walden University

    Course Number, Section, and Title

    (Example: NURS 0000 Section 01, Title of Course)

    Instructor Name

    Month, Day, Year

    (enter the date submitted to instructor)

    **Title of the Paper**

    This is your introductory paragraph designed to inform the reader of what you will cover in the paper. (
    _BSN Students_ –
    _Carefully follow your course-specific Grading Rubric concerning the content that is required for your assignment and the Academic Writing Expectations [AWE] level of your course.)_ This template’s formatting—Times New Roman 12-point font (other options include Calibri 11, Arial 11, Lucida Sans Unicode 10, and Georgia 11), double spacing, 1” margins, 1/2” indentations beginning of each paragraph, page numbers, and page breaks—is set for you, and you do not need to change it. Do not add any extra spaces between the heading and the text (you may want to check
    _Spacing_ under Paragraph, and make sure settings are all set to “0”). The ideas in this paper should be in your own words and supported by credible outside evidence. Cite the author, year of publication, and page number, if necessary, per APA. The introductory paragraph should receive no specific heading because the first section functions as your paper’s introduction. Build this paragraph with the following elements:

    1. Briefly detail what has been said or done regarding the topic.

    2. Explain the problem with what has been said or done.

    3. Create a purpose statement (also commonly referred to as a
    [thesis statement](https://academicguides.waldenu.edu/writingcenter/writingprocess/thesisstatements)) as the last sentence of this paragraph: “The purpose of this paper is to describe…”.

    **Level 1 Heading (Name According to the Grading Rubric Required Content)**

    This text will be the beginning of the body of the paper. Even though this section has a new heading, make sure to connect this section to the previous one so the reader can follow along with the ideas and research presented. The first sentence, or topic sentence, in each paragraph should transition from the previous paragraph and summarize the main point in the paragraph. Make sure each paragraph addresses only one topic. When you see yourself drifting to another idea, make sure you break into a new paragraph. Avoid long paragraphs that are more than three-fourths of a page. Per our program recommendations, each paragraph should be at least 3-4 sentences in length and contain a topic sentence, evidence, analysis, and a conclusion or lead out sentence. See the
    [MEAL plan](https://academicguides.waldenu.edu/writingcenter/paragraphs/organization) (Main idea, Evidence, Analysis, and Lead out) in the Writing Center. In your paragraphs, synthesize your resources/readings into your own words and
    **avoid using direct quotations**. In the rare instances you do use a direct quotation of a historical nature from a source, the page or paragraph numbers are also included in the citation. For example, Leplante and Nolin (2014) described burnout as "a negative affective response occurring as result of chronic work stress" (p. 2). When you transition to a new idea, you should begin a new paragraph.

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    Here is another Level 1 heading. Again, the topic sentence of this section should explain how this paragraph is related to or a result of what you discussed in the previous section. Consider using transitions between sentences to help readers see the connections between ideas.

    Be sure to credit your source(s) in your paper using APA style. The APA Manual 7th edition and the Walden Writing Center are your best citation resources. Writing Center resources are available at
    [https://academicguides.waldenu.edu/writingcenter/apa/citations](https://academicguides.waldenu.edu/writingcenter/apa/citations). You must appropriately and correctly cite all works used in your document.

    The following paragraph provides examples of in-text citation examples. According to Leplante (2019), employers cause burnout when employees are stressed by too much work. Or you might write and cite in this manner: Employers cause burnout when employees are stressed by too much work (Leplante, 2019). When paraphrasing, the author name and year of publication in citations is required by APA to direct the reader to a specific source in the reference list.
    [Personal communications](https://academicguides.waldenu.edu/writingcenter/apa/citations/personalcommunication) are not listed in the reference page but are noted in text as (S. Wall, personal communication, May 24, 2019). This should immediately follow the content of the interview. Also, go to

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    APA can seem difficult to master, but following the general rules becomes easier with use. The Writing Center also offers numerous
    [APA resources on its website](https://academicguides.waldenu.edu/writingcenter/apa/citations/secondarysources) and can answer your questions via
    [email](mailto:writingsupport@waldenu.edu). Prior to submitting your paper for grading, submit your draft to SafeAssign Drafts found in the left column of your course.

    And so forth until the conclusion….

    **Conclusion**

    The conclusion section should recap the major points of your paper. Do not introduce new ideas in this paragraph; the conclusion should interpret what you have written and what it means in the bigger picture.

    **References**

    Please note that the following references are intended as examples only. List your own references in alphabetical order. Also, these illustrate different types of references; you are responsible for any citations not included in this list. In your paper, be sure every reference entry matches a citation, and every citation refers to an item in the reference list.

    Journal Article; Two Authors; DOI

    Leplante, J. P. & Nolin, C. (2014). Consultas and socially responsible investing in Guatemala: A case study examining Maya perspectives on the Indigenous right to free, prior, and informed consent.
    _Society & Natural Resources_,
    _27_(4), 231–248.
    [https://doi.org/10.1080/08941920.2013.861554](https://doi.org/10.1080/08941920.2013.861554)

    Journal Article, Two Authors; URL

    Eaton, T. V., & Akers, M. D. (20007). Whistleblowing and good governance.
    _CPA Journal_,
    _77_(6), 66–71.
    [http://archives.cpajournal.com/2007/607/essentials/p58.htm](http://archives.cpajournal.com/2007/607/essentials/p58.htm)

    Journal Article, More Than Twenty Authors; DOI

    Wiskunde, B., Arslan, M., Fischer, P., Nowak, L., Van den Berg, O., Coetzee, L., Juárez, U., Riyaziyyat, E., Wang, C., Zhang, I., Li, P., Yang, R., Kumar, B., Xu, A., Martinez, R., McIntosh, V., Ibáñez, L. M., Mäkinen, G., Virtanen, E., . . . Kovács, A. (2019). Indie pop rocks mathematics: Twenty One Pilots, Nicolas Bourbaki, and the empty set.
    _Journal of Improbable Mathematics_,
    _27_(1), 1935–1968.
    [https://doi.org/xxx/xxxxxx](https://doi.org/xxx/xxxxxx)

    Book; One Author

    Weinstein, J. A. (2019).
    _Social change_ (3rd ed.). Rowman & Littlefield.

    Book; Chapter in an Edited Book

    Christensen, L. (2020). For my people: Celebrating community through poetry. In B. Bigelow, B. Harvey, S. Karp, & L. Miller (Eds.),
    _Rethinking our classrooms: Teaching for equity and justice_ (Vol. 2; pp. 16–17). Rethinking Schools.

    Professional Organization Web page

    Centers for Disease Control and Prevention. (2018).
    _Back to school._ [https://www.cdc.gov/features/teens-back-to-school/index.html](https://www.cdc.gov/features/teens-back-to-school/index.html)

    Professional Organization Book

    American Nurses Association. (2010).
    _Nursing: Scope and standards of practice_ (2nd ed.).

    Two or more works by same author in the same year

    Wall, S. (2018a). Effects of friendship on children’s behavior.
    _Journal of Social Psychology, 4_(1), 101–105.

    Wall, S. (2018b). Trials of parenting adolescents with deviant behaviors.
    _Journal of Child Psychology, 4_(12), 161–167.

    Government Article

    National Institute of Mental Health. (1990).
    _Clinical training in serious mental illness_ (DHHS Publication No. ADM 90-1679). U.S. Government Printing Office.

    Lecture Notes

    Health effects of exposure to forest fires [Lecture notes]. (2019). Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Personal Communication (Only Goes in Body of Paper and not in References)

    Video

    Walden University. (2009).
    _Title of video here_ [Video]. Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Television (Audio)

    Important, I. M. (Producer). (1990, November 1).
    _The nightly news hour_ [TV series episode]. Central Broadcasting Service.

    **APA Resources**

    You have other several options to assist you in the formulation of your reference page.

    · Your American Psychological Association (APA) Manual is your best reference resource. Use the current edition with a copyright date of 2020.

    · The Walden Writing Center also a great place for referencing advice at
    [https://academicguides.waldenu.edu/writingcenter/apa/references](https://academicguides.waldenu.edu/writingcenter/apa/references).

    · Citation and reference examples are provided in the ‘BSN TOP Ten References and Citations” handout found in the Writing Resources tab of the course. This document covers the 10 most commonly used reference and citation formats. You are responsible for looking up any that are not included on this list.

    **## XL4002_CON_Writing_Template.docx**

    5

    **Title of the Paper in Full Goes Here**

    Student Name Here

    Program Name or Degree Name, Walden University

    Course Number, Section, and Title

    (Example: NURS 0000 Section 01, Title of Course)

    Instructor Name

    Month, Day, Year

    (enter the date submitted to instructor)

    **Title of the Paper**

    This is your introductory paragraph designed to inform the reader of what you will cover in the paper. (
    _BSN Students_ –
    _Carefully follow your course-specific Grading Rubric concerning the content that is required for your assignment and the Academic Writing Expectations [AWE] level of your course.)_ This template’s formatting—Times New Roman 12-point font (other options include Calibri 11, Arial 11, Lucida Sans Unicode 10, and Georgia 11), double spacing, 1” margins, 1/2” indentations beginning of each paragraph, page numbers, and page breaks—is set for you, and you do not need to change it. Do not add any extra spaces between the heading and the text (you may want to check
    _Spacing_ under Paragraph, and make sure settings are all set to “0”). The ideas in this paper should be in your own words and supported by credible outside evidence. Cite the author, year of publication, and page number, if necessary, per APA. The introductory paragraph should receive no specific heading because the first section functions as your paper’s introduction. Build this paragraph with the following elements:

    1. Briefly detail what has been said or done regarding the topic.

    2. Explain the problem with what has been said or done.

    3. Create a purpose statement (also commonly referred to as a
    [thesis statement](https://academicguides.waldenu.edu/writingcenter/writingprocess/thesisstatements)) as the last sentence of this paragraph: “The purpose of this paper is to describe…”.

    **Level 1 Heading (Name According to the Grading Rubric Required Content)**

    This text will be the beginning of the body of the paper. Even though this section has a new heading, make sure to connect this section to the previous one so the reader can follow along with the ideas and research presented. The first sentence, or topic sentence, in each paragraph should transition from the previous paragraph and summarize the main point in the paragraph. Make sure each paragraph addresses only one topic. When you see yourself drifting to another idea, make sure you break into a new paragraph. Avoid long paragraphs that are more than three-fourths of a page. Per our program recommendations, each paragraph should be at least 3-4 sentences in length and contain a topic sentence, evidence, analysis, and a conclusion or lead out sentence. See the
    [MEAL plan](https://academicguides.waldenu.edu/writingcenter/paragraphs/organization) (Main idea, Evidence, Analysis, and Lead out) in the Writing Center. In your paragraphs, synthesize your resources/readings into your own words and
    **avoid using direct quotations**. In the rare instances you do use a direct quotation of a historical nature from a source, the page or paragraph numbers are also included in the citation. For example, Leplante and Nolin (2014) described burnout as "a negative affective response occurring as result of chronic work stress" (p. 2). When you transition to a new idea, you should begin a new paragraph.

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    Here is another Level 1 heading. Again, the topic sentence of this section should explain how this paragraph is related to or a result of what you discussed in the previous section. Consider using transitions between sentences to help readers see the connections between ideas.

    Be sure to credit your source(s) in your paper using APA style. The APA Manual 7th edition and the Walden Writing Center are your best citation resources. Writing Center resources are available at
    [https://academicguides.waldenu.edu/writingcenter/apa/citations](https://academicguides.waldenu.edu/writingcenter/apa/citations). You must appropriately and correctly cite all works used in your document.

    The following paragraph provides examples of in-text citation examples. According to Leplante (2019), employers cause burnout when employees are stressed by too much work. Or you might write and cite in this manner: Employers cause burnout when employees are stressed by too much work (Leplante, 2019). When paraphrasing, the author name and year of publication in citations is required by APA to direct the reader to a specific source in the reference list.
    [Personal communications](https://academicguides.waldenu.edu/writingcenter/apa/citations/personalcommunication) are not listed in the reference page but are noted in text as (S. Wall, personal communication, May 24, 2019). This should immediately follow the content of the interview. Also, go to

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    APA can seem difficult to master, but following the general rules becomes easier with use. The Writing Center also offers numerous
    [APA resources on its website](https://academicguides.waldenu.edu/writingcenter/apa/citations/secondarysources) and can answer your questions via
    [email](mailto:writingsupport@waldenu.edu). Prior to submitting your paper for grading, submit your draft to SafeAssign Drafts found in the left column of your course.

    And so forth until the conclusion….

    **Conclusion**

    The conclusion section should recap the major points of your paper. Do not introduce new ideas in this paragraph; the conclusion should interpret what you have written and what it means in the bigger picture.

    **References**

    Please note that the following references are intended as examples only. List your own references in alphabetical order. Also, these illustrate different types of references; you are responsible for any citations not included in this list. In your paper, be sure every reference entry matches a citation, and every citation refers to an item in the reference list.

    Journal Article; Two Authors; DOI

    Leplante, J. P. & Nolin, C. (2014). Consultas and socially responsible investing in Guatemala: A case study examining Maya perspectives on the Indigenous right to free, prior, and informed consent.
    _Society & Natural Resources_,
    _27_(4), 231–248.
    [https://doi.org/10.1080/08941920.2013.861554](https://doi.org/10.1080/08941920.2013.861554)

    Journal Article, Two Authors; URL

    Eaton, T. V., & Akers, M. D. (20007). Whistleblowing and good governance.
    _CPA Journal_,
    _77_(6), 66–71.
    [http://archives.cpajournal.com/2007/607/essentials/p58.htm](http://archives.cpajournal.com/2007/607/essentials/p58.htm)

    Journal Article, More Than Twenty Authors; DOI

    Wiskunde, B., Arslan, M., Fischer, P., Nowak, L., Van den Berg, O., Coetzee, L., Juárez, U., Riyaziyyat, E., Wang, C., Zhang, I., Li, P., Yang, R., Kumar, B., Xu, A., Martinez, R., McIntosh, V., Ibáñez, L. M., Mäkinen, G., Virtanen, E., . . . Kovács, A. (2019). Indie pop rocks mathematics: Twenty One Pilots, Nicolas Bourbaki, and the empty set.
    _Journal of Improbable Mathematics_,
    _27_(1), 1935–1968.
    [https://doi.org/xxx/xxxxxx](https://doi.org/xxx/xxxxxx)

    Book; One Author

    Weinstein, J. A. (2019).
    _Social change_ (3rd ed.). Rowman & Littlefield.

    Book; Chapter in an Edited Book

    Christensen, L. (2020). For my people: Celebrating community through poetry. In B. Bigelow, B. Harvey, S. Karp, & L. Miller (Eds.),
    _Rethinking our classrooms: Teaching for equity and justice_ (Vol. 2; pp. 16–17). Rethinking Schools.

    Professional Organization Web page

    Centers for Disease Control and Prevention. (2018).
    _Back to school._ [https://www.cdc.gov/features/teens-back-to-school/index.html](https://www.cdc.gov/features/teens-back-to-school/index.html)

    Professional Organization Book

    American Nurses Association. (2010).
    _Nursing: Scope and standards of practice_ (2nd ed.).

    Two or more works by same author in the same year

    Wall, S. (2018a). Effects of friendship on children’s behavior.
    _Journal of Social Psychology, 4_(1), 101–105.

    Wall, S. (2018b). Trials of parenting adolescents with deviant behaviors.
    _Journal of Child Psychology, 4_(12), 161–167.

    Government Article

    National Institute of Mental Health. (1990).
    _Clinical training in serious mental illness_ (DHHS Publication No. ADM 90-1679). U.S. Government Printing Office.

    Lecture Notes

    Health effects of exposure to forest fires [Lecture notes]. (2019). Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Personal Communication (Only Goes in Body of Paper and not in References)

    Video

    Walden University. (2009).
    _Title of video here_ [Video]. Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Television (Audio)

    Important, I. M. (Producer). (1990, November 1).
    _The nightly news hour_ [TV series episode]. Central Broadcasting Service.

    **APA Resources**

    You have other several options to assist you in the formulation of your reference page.

    · Your American Psychological Association (APA) Manual is your best reference resource. Use the current edition with a copyright date of 2020.

    · The Walden Writing Center also a great place for referencing advice at
    [https://academicguides.waldenu.edu/writingcenter/apa/references](https://academicguides.waldenu.edu/writingcenter/apa/references).

    · Citation and reference examples are provided in the ‘BSN TOP Ten References and Citations” handout found in the Writing Resources tab of the course. This document covers the 10 most commonly used reference and citation formats. You are responsible for looking up any that are not included on this list.

    **## XL4002_M1_Template.docx**

    ## **XL4002 Performance Task Submission Template for Module 1, Part 1**

    Choose one of the topics listed below and review the images, graphs, charts, and statistics related to that topic.

    ·
    [Immigrant, Refugee, and Migrant Health](https://www.cdc.gov/immigrantrefugeehealth/index.html)

    ·
    [Vulnerable Populations](https://www.cdc.gov/pcd/issues/2016/15_0567.htm)

    ·
    [Childhood Obesity](https://www.cdc.gov/obesity/childhood/index.html)

    Respond to the following questions:

    1. What is the background of the population you chose? What key social determinants of health are conveyed in the visual presentations? (1 paragraph)

    Type your answer here . . .

    2. Apply the political analysis strategies in Chapter 8 of Mason et al. (2021) to this population. Name two stakeholders relevant to this population and explain their role in your political analysis. (1 paragraph)

    Type your answer here . . .

    3. Name one political strategy that could be implemented to leverage facilitators or constraints into political momentum to address the issues relevant to this population through policy. (1 paragraph)

    Type your answer here . . .

    **## ASSESSMENT.docx**

    **ASSESSMENT**

    Choose one of the topics listed below and review the images, graphs, charts, and statistics related to that topic.

    ·
    [Immigrant, Refugee, and Migrant Health](https://www.cdc.gov/immigrantrefugeehealth/index.html)

    ·
    [Vulnerable Populations](https://www.cdc.gov/pcd/issues/2016/15_0567.htm)

    Download the XL4002 Performance Task Assessment Template for Module 1, Part 1. In the template, write your response to the following points:

    What is the background of the population you chose? What key social determinants of health are conveyed in the visual presentations? (1 paragraph)

    Apply the political analysis strategies in Chapter 8 of Mason et al. (2021) to this population. Name two stakeholders relevant to this population and explain their role in your political analysis. (1 paragraph)

    Name one political strategy that could be implemented to leverage facilitators or constraints into political momentum to address the issues relevant to this population through policy. (1 paragraph)

    Complete the Learning Activities in Module 2.
    [Review Code of Ethics for Nursing, Provisions 7–9](https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/).

    Use the
    [CON Writing Template](https://tempolearning.brightspace.com/content/enforced/309756-XL4002/assets/XL4002_CON_Writing_Template.docx?isCourseFile=true) to write a paper addressing the following points:

    · Explain nurse leaders’ critical role in political influence and how they can build upon their own sources of power.

    · Based on your understanding of the Code of Ethics for Nurses, explain nurses’ responsibilities in advancing ethical nursing and health policies.

    · Provide an example of how to enhance effective policy advocacy engagement to address social determinants of health, either at the individual or organizational level.

    **## XL4002_Rubric.pdf**

    © 2024 Walden University, LLC 1

    XL4002: Economic and Social Influences in Policy: Formulate leadership and advocacy strategies to reduce
    health disparities, advance ethical nursing, and health policy engagement.

    Assessment Rubric
    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet

    Expectations
    Module 1: Introduction to Economic and Social Trends in Policy
    Part 1: Political Analysis and Strategies to Improve Social Conditions (Template)
    What is the background of
    the population you chose?
    What key social
    determinants of health are
    conveyed in the visual
    presentations?

    Learning Objective 1.1:
    Identify economic and social
    influences on health

    Response provides a fully
    developed explanation of
    the background of the
    population and their social
    determinants of health.

    Response provides an
    adequately developed
    explanation of the
    background of the
    population and their social
    determinants of health.

    Response does not provide
    an adequate explanation of
    the background of the
    population and their social
    determinants of health.

    Name two stakeholders
    relevant to this population
    and explain their role in
    your political analysis.

    Learning Objective 1.2: Apply
    political analysis strategies to
    healthcare scenarios

    Response provides a fully
    developed political analysis
    including the role of the two
    stakeholders relevant to
    the chosen population.

    Response provides an
    adequately developed
    political analysis including
    the role of the two
    stakeholders relevant to
    the chosen population.

    Response does not provide
    an adequate political
    analysis; does not include
    the role of two
    stakeholders relevant to
    the chosen population.

    Name one political strategy
    that could be implemented
    to leverage facilitators or
    constraints into political
    momentum to address the

    Response provides a fully
    developed political strategy
    that could be implemented
    to leverage facilitators or
    constraints into political

    Response provides an
    adequately developed
    political strategy that could
    be implemented to
    leverage facilitators or

    Response does not provide
    an adequate political
    strategy that could be
    implemented to leverage
    facilitators or constraints

    © 2024 Walden University, LLC 2

    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    issues relevant to this
    population through policy.

    Learning Objective 1.3:
    Apply political strategies
    to leverage facilitators or
    constraints into political
    momentum to promote
    health equity

    momentum to address the
    issues relevant to this
    population through policy.

    constraints into political
    momentum to address the
    issues relevant to this
    population through policy.

    into political momentum to
    address the issues relevant
    to this population through
    policy.

    Module 2: Professional Ethics in Policy and Politics
    Part 2: Paper on Professional Ethics in Policy and Politics
    Explain nurse leaders’
    critical role in political
    influence and how they can
    build upon their own
    sources of power.

    Learning Objective 2.1:
    Explain nurse leaders’ role in
    political influence and how
    they can build upon their own
    sources of power

    Response provides a fully
    developed explanation of
    nurse leaders’ critical role
    in political influence and
    how they can build upon
    their own sources of
    power.

    Response provides an
    adequately developed
    explanation of nurse
    leaders’ critical role in
    political influence and how
    they can build upon their
    own sources of power.

    Response does not provide
    an adequate explanation of
    nurse leaders’ critical role
    in political influence and
    how they can build upon
    their own sources of
    power.

    Based on your
    understanding of the Code
    of Ethics for Nurses,
    explain nurses’
    responsibilities in
    advancing ethical nursing
    and health policies.

    Response provides a fully
    developed explanation of
    nurses’ responsibilities in
    advancing ethical nursing
    and health policies.

    Response provides an
    adequately developed
    explanation of nurses’
    responsibilities in
    advancing ethical nursing
    and health policies.

    Response does not provide
    an adequate explanation of
    nurses’ responsibilities in
    advancing ethical nursing
    and health policies.

    © 2024 Walden University, LLC 3

    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Learning Objective 2.2:
    Describe how nurses use
    professional ethics in health
    policy to advance ethical
    nursing and health policies
    Provide an example of how
    to enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Learning Objective 2.3:
    Describe how nurses use
    professional ethics in health
    policy to improve social
    determinants of health and
    health equity

    Response provides a fully
    developed example of how
    to enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Response provides an
    adequately developed
    example of how to
    enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Response does not provide
    an adequate example of
    how to enhance effective
    policy advocacy
    engagement to address
    social determinants of
    health, either at the
    individual or organizational
    level.

    Professional Writing Skills

    Professional Writing Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Context, Organization,
    Audience, Purpose, Tone,
    Style, Clarity, Flow

    Demonstrates full
    awareness of writing
    context, audience, and
    purpose.

    Demonstrates some
    awareness of writing
    context, audience, and
    purpose.

    Demonstrates minimal
    awareness of writing
    context, audience, and
    purpose.

    © 2024 Walden University, LLC 4

    Professional Writing Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Content is consistently
    clear, logical, and well-
    organized with
    appropriate sentence and
    paragraph structure.

    Tone is highly
    professional, scholarly, and
    free of bias.

    Style is consistently
    appropriate for a
    professional
    setting/workplace context.

    Free of spelling,
    punctuation, and
    grammar/syntax errors.

    Content is mostly clear,
    logical, and well-organized
    with
    adequate sentence and
    paragraph structure.

    Tone is adequately
    professional, scholarly,
    and/or free of bias.

    Style is mostly appropriate
    for a professional
    setting/workplace context.

    Contains few spelling,
    punctuation, and/or
    grammar/syntax errors.

    Content lacks clarity, logic,
    and/or discernible
    organization; does not use
    proper sentence and
    paragraph structure.

    Tone is not
    professional/scholarly
    and/or contains bias.

    Style is inconsistent with
    a professional
    setting/workplace context.

    Contains significant
    spelling, punctuation,
    and/or grammar/syntax
    errors.

    Originality, Source Credibility,
    and Attribution of Ideas

    Writing fully reflects
    original thought and
    paraphrasing and adheres
    to reference requirements,
    including the use of
    credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    Writing adequately reflects
    original thought and
    paraphrasing and adheres
    to reference requirements,
    including the use of
    credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    Writing does not reflect
    original thought and
    paraphrasing and does not
    adhere to reference
    requirements, including the
    use of credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    – Assessment Rubric
    – Professional Writing Skills

    **## XL4002_CON_Writing_Template.docx**

    5

    **Title of the Paper in Full Goes Here**

    Student Name Here

    Program Name or Degree Name, Walden University

    Course Number, Section, and Title

    (Example: NURS 0000 Section 01, Title of Course)

    Instructor Name

    Month, Day, Year

    (enter the date submitted to instructor)

    **Title of the Paper**

    This is your introductory paragraph designed to inform the reader of what you will cover in the paper. (
    _BSN Students_ –
    _Carefully follow your course-specific Grading Rubric concerning the content that is required for your assignment and the Academic Writing Expectations [AWE] level of your course.)_ This template’s formatting—Times New Roman 12-point font (other options include Calibri 11, Arial 11, Lucida Sans Unicode 10, and Georgia 11), double spacing, 1” margins, 1/2” indentations beginning of each paragraph, page numbers, and page breaks—is set for you, and you do not need to change it. Do not add any extra spaces between the heading and the text (you may want to check
    _Spacing_ under Paragraph, and make sure settings are all set to “0”). The ideas in this paper should be in your own words and supported by credible outside evidence. Cite the author, year of publication, and page number, if necessary, per APA. The introductory paragraph should receive no specific heading because the first section functions as your paper’s introduction. Build this paragraph with the following elements:

    1. Briefly detail what has been said or done regarding the topic.

    2. Explain the problem with what has been said or done.

    3. Create a purpose statement (also commonly referred to as a
    [thesis statement](https://academicguides.waldenu.edu/writingcenter/writingprocess/thesisstatements)) as the last sentence of this paragraph: “The purpose of this paper is to describe…”.

    **Level 1 Heading (Name According to the Grading Rubric Required Content)**

    This text will be the beginning of the body of the paper. Even though this section has a new heading, make sure to connect this section to the previous one so the reader can follow along with the ideas and research presented. The first sentence, or topic sentence, in each paragraph should transition from the previous paragraph and summarize the main point in the paragraph. Make sure each paragraph addresses only one topic. When you see yourself drifting to another idea, make sure you break into a new paragraph. Avoid long paragraphs that are more than three-fourths of a page. Per our program recommendations, each paragraph should be at least 3-4 sentences in length and contain a topic sentence, evidence, analysis, and a conclusion or lead out sentence. See the
    [MEAL plan](https://academicguides.waldenu.edu/writingcenter/paragraphs/organization) (Main idea, Evidence, Analysis, and Lead out) in the Writing Center. In your paragraphs, synthesize your resources/readings into your own words and
    **avoid using direct quotations**. In the rare instances you do use a direct quotation of a historical nature from a source, the page or paragraph numbers are also included in the citation. For example, Leplante and Nolin (2014) described burnout as "a negative affective response occurring as result of chronic work stress" (p. 2). When you transition to a new idea, you should begin a new paragraph.

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    Here is another Level 1 heading. Again, the topic sentence of this section should explain how this paragraph is related to or a result of what you discussed in the previous section. Consider using transitions between sentences to help readers see the connections between ideas.

    Be sure to credit your source(s) in your paper using APA style. The APA Manual 7th edition and the Walden Writing Center are your best citation resources. Writing Center resources are available at
    [https://academicguides.waldenu.edu/writingcenter/apa/citations](https://academicguides.waldenu.edu/writingcenter/apa/citations). You must appropriately and correctly cite all works used in your document.

    The following paragraph provides examples of in-text citation examples. According to Leplante (2019), employers cause burnout when employees are stressed by too much work. Or you might write and cite in this manner: Employers cause burnout when employees are stressed by too much work (Leplante, 2019). When paraphrasing, the author name and year of publication in citations is required by APA to direct the reader to a specific source in the reference list.
    [Personal communications](https://academicguides.waldenu.edu/writingcenter/apa/citations/personalcommunication) are not listed in the reference page but are noted in text as (S. Wall, personal communication, May 24, 2019). This should immediately follow the content of the interview. Also, go to

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    APA can seem difficult to master, but following the general rules becomes easier with use. The Writing Center also offers numerous
    [APA resources on its website](https://academicguides.waldenu.edu/writingcenter/apa/citations/secondarysources) and can answer your questions via
    [email](mailto:writingsupport@waldenu.edu). Prior to submitting your paper for grading, submit your draft to SafeAssign Drafts found in the left column of your course.

    And so forth until the conclusion….

    **Conclusion**

    The conclusion section should recap the major points of your paper. Do not introduce new ideas in this paragraph; the conclusion should interpret what you have written and what it means in the bigger picture.

    **References**

    Please note that the following references are intended as examples only. List your own references in alphabetical order. Also, these illustrate different types of references; you are responsible for any citations not included in this list. In your paper, be sure every reference entry matches a citation, and every citation refers to an item in the reference list.

    Journal Article; Two Authors; DOI

    Leplante, J. P. & Nolin, C. (2014). Consultas and socially responsible investing in Guatemala: A case study examining Maya perspectives on the Indigenous right to free, prior, and informed consent.
    _Society & Natural Resources_,
    _27_(4), 231–248.
    [https://doi.org/10.1080/08941920.2013.861554](https://doi.org/10.1080/08941920.2013.861554)

    Journal Article, Two Authors; URL

    Eaton, T. V., & Akers, M. D. (20007). Whistleblowing and good governance.
    _CPA Journal_,
    _77_(6), 66–71.
    [http://archives.cpajournal.com/2007/607/essentials/p58.htm](http://archives.cpajournal.com/2007/607/essentials/p58.htm)

    Journal Article, More Than Twenty Authors; DOI

    Wiskunde, B., Arslan, M., Fischer, P., Nowak, L., Van den Berg, O., Coetzee, L., Juárez, U., Riyaziyyat, E., Wang, C., Zhang, I., Li, P., Yang, R., Kumar, B., Xu, A., Martinez, R., McIntosh, V., Ibáñez, L. M., Mäkinen, G., Virtanen, E., . . . Kovács, A. (2019). Indie pop rocks mathematics: Twenty One Pilots, Nicolas Bourbaki, and the empty set.
    _Journal of Improbable Mathematics_,
    _27_(1), 1935–1968.
    [https://doi.org/xxx/xxxxxx](https://doi.org/xxx/xxxxxx)

    Book; One Author

    Weinstein, J. A. (2019).
    _Social change_ (3rd ed.). Rowman & Littlefield.

    Book; Chapter in an Edited Book

    Christensen, L. (2020). For my people: Celebrating community through poetry. In B. Bigelow, B. Harvey, S. Karp, & L. Miller (Eds.),
    _Rethinking our classrooms: Teaching for equity and justice_ (Vol. 2; pp. 16–17). Rethinking Schools.

    Professional Organization Web page

    Centers for Disease Control and Prevention. (2018).
    _Back to school._ [https://www.cdc.gov/features/teens-back-to-school/index.html](https://www.cdc.gov/features/teens-back-to-school/index.html)

    Professional Organization Book

    American Nurses Association. (2010).
    _Nursing: Scope and standards of practice_ (2nd ed.).

    Two or more works by same author in the same year

    Wall, S. (2018a). Effects of friendship on children’s behavior.
    _Journal of Social Psychology, 4_(1), 101–105.

    Wall, S. (2018b). Trials of parenting adolescents with deviant behaviors.
    _Journal of Child Psychology, 4_(12), 161–167.

    Government Article

    National Institute of Mental Health. (1990).
    _Clinical training in serious mental illness_ (DHHS Publication No. ADM 90-1679). U.S. Government Printing Office.

    Lecture Notes

    Health effects of exposure to forest fires [Lecture notes]. (2019). Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Personal Communication (Only Goes in Body of Paper and not in References)

    Video

    Walden University. (2009).
    _Title of video here_ [Video]. Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Television (Audio)

    Important, I. M. (Producer). (1990, November 1).
    _The nightly news hour_ [TV series episode]. Central Broadcasting Service.

    **APA Resources**

    You have other several options to assist you in the formulation of your reference page.

    · Your American Psychological Association (APA) Manual is your best reference resource. Use the current edition with a copyright date of 2020.

    · The Walden Writing Center also a great place for referencing advice at
    [https://academicguides.waldenu.edu/writingcenter/apa/references](https://academicguides.waldenu.edu/writingcenter/apa/references).

    · Citation and reference examples are provided in the ‘BSN TOP Ten References and Citations” handout found in the Writing Resources tab of the course. This document covers the 10 most commonly used reference and citation formats. You are responsible for looking up any that are not included on this list.

    **## XL4002_M1_Template.docx**

    ## **XL4002 Performance Task Submission Template for Module 1, Part 1**

    Choose one of the topics listed below and review the images, graphs, charts, and statistics related to that topic.

    ·
    [Immigrant, Refugee, and Migrant Health](https://www.cdc.gov/immigrantrefugeehealth/index.html)

    ·
    [Vulnerable Populations](https://www.cdc.gov/pcd/issues/2016/15_0567.htm)

    ·
    [Childhood Obesity](https://www.cdc.gov/obesity/childhood/index.html)

    Respond to the following questions:

    1. What is the background of the population you chose? What key social determinants of health are conveyed in the visual presentations? (1 paragraph)

    Type your answer here . . .

    2. Apply the political analysis strategies in Chapter 8 of Mason et al. (2021) to this population. Name two stakeholders relevant to this population and explain their role in your political analysis. (1 paragraph)

    Type your answer here . . .

    3. Name one political strategy that could be implemented to leverage facilitators or constraints into political momentum to address the issues relevant to this population through policy. (1 paragraph)

    Type your answer here . . .

    **## ASSESSMENT.docx**

    **ASSESSMENT**

    Choose one of the topics listed below and review the images, graphs, charts, and statistics related to that topic.

    ·
    [Immigrant, Refugee, and Migrant Health](https://www.cdc.gov/immigrantrefugeehealth/index.html)

    ·
    [Vulnerable Populations](https://www.cdc.gov/pcd/issues/2016/15_0567.htm)

    Download the XL4002 Performance Task Assessment Template for Module 1, Part 1. In the template, write your response to the following points:

    What is the background of the population you chose? What key social determinants of health are conveyed in the visual presentations? (1 paragraph)

    Apply the political analysis strategies in Chapter 8 of Mason et al. (2021) to this population. Name two stakeholders relevant to this population and explain their role in your political analysis. (1 paragraph)

    Name one political strategy that could be implemented to leverage facilitators or constraints into political momentum to address the issues relevant to this population through policy. (1 paragraph)

    Complete the Learning Activities in Module 2.
    [Review Code of Ethics for Nursing, Provisions 7–9](https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/).

    Use the
    [CON Writing Template](https://tempolearning.brightspace.com/content/enforced/309756-XL4002/assets/XL4002_CON_Writing_Template.docx?isCourseFile=true) to write a paper addressing the following points:

    · Explain nurse leaders’ critical role in political influence and how they can build upon their own sources of power.

    · Based on your understanding of the Code of Ethics for Nurses, explain nurses’ responsibilities in advancing ethical nursing and health policies.

    · Provide an example of how to enhance effective policy advocacy engagement to address social determinants of health, either at the individual or organizational level.

    **## XL4002_Rubric.pdf**

    © 2024 Walden University, LLC 1

    XL4002: Economic and Social Influences in Policy: Formulate leadership and advocacy strategies to reduce
    health disparities, advance ethical nursing, and health policy engagement.

    Assessment Rubric
    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet

    Expectations
    Module 1: Introduction to Economic and Social Trends in Policy
    Part 1: Political Analysis and Strategies to Improve Social Conditions (Template)
    What is the background of
    the population you chose?
    What key social
    determinants of health are
    conveyed in the visual
    presentations?

    Learning Objective 1.1:
    Identify economic and social
    influences on health

    Response provides a fully
    developed explanation of
    the background of the
    population and their social
    determinants of health.

    Response provides an
    adequately developed
    explanation of the
    background of the
    population and their social
    determinants of health.

    Response does not provide
    an adequate explanation of
    the background of the
    population and their social
    determinants of health.

    Name two stakeholders
    relevant to this population
    and explain their role in
    your political analysis.

    Learning Objective 1.2: Apply
    political analysis strategies to
    healthcare scenarios

    Response provides a fully
    developed political analysis
    including the role of the two
    stakeholders relevant to
    the chosen population.

    Response provides an
    adequately developed
    political analysis including
    the role of the two
    stakeholders relevant to
    the chosen population.

    Response does not provide
    an adequate political
    analysis; does not include
    the role of two
    stakeholders relevant to
    the chosen population.

    Name one political strategy
    that could be implemented
    to leverage facilitators or
    constraints into political
    momentum to address the

    Response provides a fully
    developed political strategy
    that could be implemented
    to leverage facilitators or
    constraints into political

    Response provides an
    adequately developed
    political strategy that could
    be implemented to
    leverage facilitators or

    Response does not provide
    an adequate political
    strategy that could be
    implemented to leverage
    facilitators or constraints

    © 2024 Walden University, LLC 2

    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    issues relevant to this
    population through policy.

    Learning Objective 1.3:
    Apply political strategies
    to leverage facilitators or
    constraints into political
    momentum to promote
    health equity

    momentum to address the
    issues relevant to this
    population through policy.

    constraints into political
    momentum to address the
    issues relevant to this
    population through policy.

    into political momentum to
    address the issues relevant
    to this population through
    policy.

    Module 2: Professional Ethics in Policy and Politics
    Part 2: Paper on Professional Ethics in Policy and Politics
    Explain nurse leaders’
    critical role in political
    influence and how they can
    build upon their own
    sources of power.

    Learning Objective 2.1:
    Explain nurse leaders’ role in
    political influence and how
    they can build upon their own
    sources of power

    Response provides a fully
    developed explanation of
    nurse leaders’ critical role
    in political influence and
    how they can build upon
    their own sources of
    power.

    Response provides an
    adequately developed
    explanation of nurse
    leaders’ critical role in
    political influence and how
    they can build upon their
    own sources of power.

    Response does not provide
    an adequate explanation of
    nurse leaders’ critical role
    in political influence and
    how they can build upon
    their own sources of
    power.

    Based on your
    understanding of the Code
    of Ethics for Nurses,
    explain nurses’
    responsibilities in
    advancing ethical nursing
    and health policies.

    Response provides a fully
    developed explanation of
    nurses’ responsibilities in
    advancing ethical nursing
    and health policies.

    Response provides an
    adequately developed
    explanation of nurses’
    responsibilities in
    advancing ethical nursing
    and health policies.

    Response does not provide
    an adequate explanation of
    nurses’ responsibilities in
    advancing ethical nursing
    and health policies.

    © 2024 Walden University, LLC 3

    Rubric Criteria Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Learning Objective 2.2:
    Describe how nurses use
    professional ethics in health
    policy to advance ethical
    nursing and health policies
    Provide an example of how
    to enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Learning Objective 2.3:
    Describe how nurses use
    professional ethics in health
    policy to improve social
    determinants of health and
    health equity

    Response provides a fully
    developed example of how
    to enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Response provides an
    adequately developed
    example of how to
    enhance effective policy
    advocacy engagement to
    address social
    determinants of health,
    either at the individual or
    organizational level.

    Response does not provide
    an adequate example of
    how to enhance effective
    policy advocacy
    engagement to address
    social determinants of
    health, either at the
    individual or organizational
    level.

    Professional Writing Skills

    Professional Writing Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Context, Organization,
    Audience, Purpose, Tone,
    Style, Clarity, Flow

    Demonstrates full
    awareness of writing
    context, audience, and
    purpose.

    Demonstrates some
    awareness of writing
    context, audience, and
    purpose.

    Demonstrates minimal
    awareness of writing
    context, audience, and
    purpose.

    © 2024 Walden University, LLC 4

    Professional Writing Exceeds Expectations Meets Expectations Does Not Meet
    Expectations

    Content is consistently
    clear, logical, and well-
    organized with
    appropriate sentence and
    paragraph structure.

    Tone is highly
    professional, scholarly, and
    free of bias.

    Style is consistently
    appropriate for a
    professional
    setting/workplace context.

    Free of spelling,
    punctuation, and
    grammar/syntax errors.

    Content is mostly clear,
    logical, and well-organized
    with
    adequate sentence and
    paragraph structure.

    Tone is adequately
    professional, scholarly,
    and/or free of bias.

    Style is mostly appropriate
    for a professional
    setting/workplace context.

    Contains few spelling,
    punctuation, and/or
    grammar/syntax errors.

    Content lacks clarity, logic,
    and/or discernible
    organization; does not use
    proper sentence and
    paragraph structure.

    Tone is not
    professional/scholarly
    and/or contains bias.

    Style is inconsistent with
    a professional
    setting/workplace context.

    Contains significant
    spelling, punctuation,
    and/or grammar/syntax
    errors.

    Originality, Source Credibility,
    and Attribution of Ideas

    Writing fully reflects
    original thought and
    paraphrasing and adheres
    to reference requirements,
    including the use of
    credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    Writing adequately reflects
    original thought and
    paraphrasing and adheres
    to reference requirements,
    including the use of
    credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    Writing does not reflect
    original thought and
    paraphrasing and does not
    adhere to reference
    requirements, including the
    use of credible evidence to
    support a claim while
    incorporating appropriate
    citations and references in
    APA format.

    – Assessment Rubric
    – Professional Writing Skills

    **## XL4002_CON_Writing_Template.docx**

    5

    **Title of the Paper in Full Goes Here**

    Student Name Here

    Program Name or Degree Name, Walden University

    Course Number, Section, and Title

    (Example: NURS 0000 Section 01, Title of Course)

    Instructor Name

    Month, Day, Year

    (enter the date submitted to instructor)

    **Title of the Paper**

    This is your introductory paragraph designed to inform the reader of what you will cover in the paper. (
    _BSN Students_ –
    _Carefully follow your course-specific Grading Rubric concerning the content that is required for your assignment and the Academic Writing Expectations [AWE] level of your course.)_ This template’s formatting—Times New Roman 12-point font (other options include Calibri 11, Arial 11, Lucida Sans Unicode 10, and Georgia 11), double spacing, 1” margins, 1/2” indentations beginning of each paragraph, page numbers, and page breaks—is set for you, and you do not need to change it. Do not add any extra spaces between the heading and the text (you may want to check
    _Spacing_ under Paragraph, and make sure settings are all set to “0”). The ideas in this paper should be in your own words and supported by credible outside evidence. Cite the author, year of publication, and page number, if necessary, per APA. The introductory paragraph should receive no specific heading because the first section functions as your paper’s introduction. Build this paragraph with the following elements:

    1. Briefly detail what has been said or done regarding the topic.

    2. Explain the problem with what has been said or done.

    3. Create a purpose statement (also commonly referred to as a
    [thesis statement](https://academicguides.waldenu.edu/writingcenter/writingprocess/thesisstatements)) as the last sentence of this paragraph: “The purpose of this paper is to describe…”.

    **Level 1 Heading (Name According to the Grading Rubric Required Content)**

    This text will be the beginning of the body of the paper. Even though this section has a new heading, make sure to connect this section to the previous one so the reader can follow along with the ideas and research presented. The first sentence, or topic sentence, in each paragraph should transition from the previous paragraph and summarize the main point in the paragraph. Make sure each paragraph addresses only one topic. When you see yourself drifting to another idea, make sure you break into a new paragraph. Avoid long paragraphs that are more than three-fourths of a page. Per our program recommendations, each paragraph should be at least 3-4 sentences in length and contain a topic sentence, evidence, analysis, and a conclusion or lead out sentence. See the
    [MEAL plan](https://academicguides.waldenu.edu/writingcenter/paragraphs/organization) (Main idea, Evidence, Analysis, and Lead out) in the Writing Center. In your paragraphs, synthesize your resources/readings into your own words and
    **avoid using direct quotations**. In the rare instances you do use a direct quotation of a historical nature from a source, the page or paragraph numbers are also included in the citation. For example, Leplante and Nolin (2014) described burnout as "a negative affective response occurring as result of chronic work stress" (p. 2). When you transition to a new idea, you should begin a new paragraph.

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    Here is another Level 1 heading. Again, the topic sentence of this section should explain how this paragraph is related to or a result of what you discussed in the previous section. Consider using transitions between sentences to help readers see the connections between ideas.

    Be sure to credit your source(s) in your paper using APA style. The APA Manual 7th edition and the Walden Writing Center are your best citation resources. Writing Center resources are available at
    [https://academicguides.waldenu.edu/writingcenter/apa/citations](https://academicguides.waldenu.edu/writingcenter/apa/citations). You must appropriately and correctly cite all works used in your document.

    The following paragraph provides examples of in-text citation examples. According to Leplante (2019), employers cause burnout when employees are stressed by too much work. Or you might write and cite in this manner: Employers cause burnout when employees are stressed by too much work (Leplante, 2019). When paraphrasing, the author name and year of publication in citations is required by APA to direct the reader to a specific source in the reference list.
    [Personal communications](https://academicguides.waldenu.edu/writingcenter/apa/citations/personalcommunication) are not listed in the reference page but are noted in text as (S. Wall, personal communication, May 24, 2019). This should immediately follow the content of the interview. Also, go to

    **Another Level 1 Heading (Name According to the Grading Rubric Required Content)**

    APA can seem difficult to master, but following the general rules becomes easier with use. The Writing Center also offers numerous
    [APA resources on its website](https://academicguides.waldenu.edu/writingcenter/apa/citations/secondarysources) and can answer your questions via
    [email](mailto:writingsupport@waldenu.edu). Prior to submitting your paper for grading, submit your draft to SafeAssign Drafts found in the left column of your course.

    And so forth until the conclusion….

    **Conclusion**

    The conclusion section should recap the major points of your paper. Do not introduce new ideas in this paragraph; the conclusion should interpret what you have written and what it means in the bigger picture.

    **References**

    Please note that the following references are intended as examples only. List your own references in alphabetical order. Also, these illustrate different types of references; you are responsible for any citations not included in this list. In your paper, be sure every reference entry matches a citation, and every citation refers to an item in the reference list.

    Journal Article; Two Authors; DOI

    Leplante, J. P. & Nolin, C. (2014). Consultas and socially responsible investing in Guatemala: A case study examining Maya perspectives on the Indigenous right to free, prior, and informed consent.
    _Society & Natural Resources_,
    _27_(4), 231–248.
    [https://doi.org/10.1080/08941920.2013.861554](https://doi.org/10.1080/08941920.2013.861554)

    Journal Article, Two Authors; URL

    Eaton, T. V., & Akers, M. D. (20007). Whistleblowing and good governance.
    _CPA Journal_,
    _77_(6), 66–71.
    [http://archives.cpajournal.com/2007/607/essentials/p58.htm](http://archives.cpajournal.com/2007/607/essentials/p58.htm)

    Journal Article, More Than Twenty Authors; DOI

    Wiskunde, B., Arslan, M., Fischer, P., Nowak, L., Van den Berg, O., Coetzee, L., Juárez, U., Riyaziyyat, E., Wang, C., Zhang, I., Li, P., Yang, R., Kumar, B., Xu, A., Martinez, R., McIntosh, V., Ibáñez, L. M., Mäkinen, G., Virtanen, E., . . . Kovács, A. (2019). Indie pop rocks mathematics: Twenty One Pilots, Nicolas Bourbaki, and the empty set.
    _Journal of Improbable Mathematics_,
    _27_(1), 1935–1968.
    [https://doi.org/xxx/xxxxxx](https://doi.org/xxx/xxxxxx)

    Book; One Author

    Weinstein, J. A. (2019).
    _Social change_ (3rd ed.). Rowman & Littlefield.

    Book; Chapter in an Edited Book

    Christensen, L. (2020). For my people: Celebrating community through poetry. In B. Bigelow, B. Harvey, S. Karp, & L. Miller (Eds.),
    _Rethinking our classrooms: Teaching for equity and justice_ (Vol. 2; pp. 16–17). Rethinking Schools.

    Professional Organization Web page

    Centers for Disease Control and Prevention. (2018).
    _Back to school._ [https://www.cdc.gov/features/teens-back-to-school/index.html](https://www.cdc.gov/features/teens-back-to-school/index.html)

    Professional Organization Book

    American Nurses Association. (2010).
    _Nursing: Scope and standards of practice_ (2nd ed.).

    Two or more works by same author in the same year

    Wall, S. (2018a). Effects of friendship on children’s behavior.
    _Journal of Social Psychology, 4_(1), 101–105.

    Wall, S. (2018b). Trials of parenting adolescents with deviant behaviors.
    _Journal of Child Psychology, 4_(12), 161–167.

    Government Article

    National Institute of Mental Health. (1990).
    _Clinical training in serious mental illness_ (DHHS Publication No. ADM 90-1679). U.S. Government Printing Office.

    Lecture Notes

    Health effects of exposure to forest fires [Lecture notes]. (2019). Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Personal Communication (Only Goes in Body of Paper and not in References)

    Video

    Walden University. (2009).
    _Title of video here_ [Video]. Walden University Blackboard.
    [https://class.waldenu.edu](https://class.waldenu.edu/)

    Television (Audio)

    Important, I. M. (Producer). (1990, November 1).
    _The nightly news hour_ [TV series episode]. Central Broadcasting Service.

    **APA Resources**

    You have other several options to assist you in the formulation of your reference page.

    · Your American Psychological Association (APA) Manual is your best reference resource. Use the current edition with a copyright date of 2020.

    · The Walden Writing Center also a great place for referencing advice at
    [https://academicguides.waldenu.edu/writingcenter/apa/references](https://academicguides.waldenu.edu/writingcenter/apa/references).

    · Citation and reference examples are provided in the ‘BSN TOP Ten References and Citations” handout found in the Writing Resources tab of the course. This document covers the 10 most commonly used reference and citation formats. You are responsible for looking up any that are not included on this list.

  • [Solved] when life begins forum

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Based on your assigned readings and lecture materials this week, engage with your peers and me by initiating a thread or responding to another peer's thread or one of my threads. You should post a minimum of three times. – Is there something you are learning this week that you are excited about? – C…

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    Assignment Prompt & Instructions

    Based on your assigned readings and lecture materials this week, engage with your peers and me by initiating a thread or responding to another peer's thread or one of my threads. You should post a minimum of three times.

    – Is there something you are learning this week that you are excited about?
    – Can you apply any of the concepts this week to the career you are interested in pursuing?
    – Do you have any questions about the concepts you are learning this week?
    –  All replies must be constructive and follow proper netiquette. [Click here to go to the Academic Continuity Guide for Students and read the Course Communication Guidelines (Netiquette)](https://www.stu.edu/academic-continuity-guide-for-students/)
    – There is no minimum or maximum word count. You will be graded on the relevance of your post to the topic and the application of the concepts.
    – When responding to your peers, you should extend, refute/correct, or add additional nuance to their posts.

    – https://www.youtube.com/watch?v=j1q4T529rsA&feature=youtu.be

    – [\
    \
    PHI3633WK1.pdf](https://www.sweetstudy.com/files/phi3633wk1-pdf-10156417 "PHI3633WK1.pdf")

    – 2 years ago

  • [Solved] Women Health DB 2

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    500 words 2 references apa style – [\ \ IMG_8475.jpeg](https://www.sweetstudy.com/files/img-8475-jpeg "IMG_8475.jpeg") – [\ \ IMG_8474.jpeg](https://www.sweetstudy.com/files/img-8474-jpeg "IMG_8474.jpeg") – [\ \ GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnell…

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    Assignment Prompt & Instructions

    500 words

    2 references

    apa style

    – [\
    \
    IMG_8475.jpeg](https://www.sweetstudy.com/files/img-8475-jpeg "IMG_8475.jpeg")
    – [\
    \
    IMG_8474.jpeg](https://www.sweetstudy.com/files/img-8474-jpeg "IMG_8474.jpeg")
    – [\
    \
    GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnellSchuiling–FourtheditionBurlingtonMassachusetts–9781284182347–41acb13b4fd30cb711f0bfdc92c9aa8d–AnnasArchive.pdf](https://www.sweetstudy.com/files/gynecologichealthcare-withanintroductiontoprenatal-francese-likiskerridurnellschuiling-fourtheditionburlingtonmassachusetts-9781284182347-41acb13b4fd30cb711f0bfdc92c9aa8d-annasarchive-pdf-10151301 "GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnellSchuiling–FourtheditionBurlingtonMassachusetts–9781284182347–41acb13b4fd30cb711f0bfdc92c9aa8d–AnnasArchive.pdf")
    – [\
    \
    IMG_8475.jpeg](https://www.sweetstudy.com/files/img-8475-jpeg-10151303 "IMG_8475.jpeg")
    – [\
    \
    IMG_8474.jpeg](https://www.sweetstudy.com/files/img-8474-jpeg-10151305 "IMG_8474.jpeg")
    – [\
    \
    GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnellSchuiling–FourtheditionBurlingtonMassachusetts–9781284182347–41acb13b4fd30cb711f0bfdc92c9aa8d–AnnasArchive.pdf](https://www.sweetstudy.com/files/gynecologichealthcare-withanintroductiontoprenatal-francese-likiskerridurnellschuiling-fourtheditionburlingtonmassachusetts-9781284182347-41acb13b4fd30cb711f0bfdc92c9aa8d-annasarchive-pdf-10151307 "GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnellSchuiling–FourtheditionBurlingtonMassachusetts–9781284182347–41acb13b4fd30cb711f0bfdc92c9aa8d–AnnasArchive.pdf")

    – 2 years ago

  • [Solved] LGBTQI

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    LGBTQ – 2 years ago **files (2)** – ## ResponseDiscussion2..docx – ## ResponseDiscussion2..docx **## ResponseDiscussion2..docx** 2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adul…

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    Assignment Prompt & Instructions

    LGBTQ

    – 2 years ago

    **files (2)**

    – ## ResponseDiscussion2..docx

    – ## ResponseDiscussion2..docx

    **## ResponseDiscussion2..docx**

    2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adulthood and is characterized by episodes of mania or hypomania and depression. There are several challenges and unique factors that must be taken into consideration when addressing bipolar within the LGBTQI+ population. The LGBTQI+ population is at higher risk for mental health disorders, to include bipolar disorders. The social isolation, stigma, and stress associated with being within this minority population may interact with genetic and biological predispositions and increase the risk for the presentation of BD. Furthermore, these negative experiences may exacerbate symptoms and influence the progression and management of BD (Gmelin et al., 2022).

    Bipolar disorder places a high economic burden on the United States. It is estimated that BD results in an estimated $195 billion of lost funds due to direct and indirect costs. Direct cost includes ongoing medical treatment and indirect costs include loss of work or loss of home (Bessonova et al., 2020). The LBGTQI+ population members with mental health disorders experience greater indirect costs than the general population, as this population typically experiences challenges with academics, employment, and housing due to stigma (Chen, Wang, She, Qin, & Ming, 2022).

    Diagnosing BD requires a comprehensive assessment that includes a detailed psychiatric history, family history, mood charting, and identification of triggering factors. Psychiatric Mental Health Nurse Practitioner (PMHNP) can use several assessment tools to help screen for BD symptoms, such as the Mood Disorder Questionnaire or the Hamilton Depression Rating Scale (Culpepper, 2014). It is important for providers to be aware these questionaries may not be culturally sensitive to the LGBTQI+ populations, so interpretation should consider cultural context (Chen, Wang, She, Qin, & Ming, 2022).

    Treatment of BD within the LBGTQI+ population has greatest success when a combination of pharmacological and nonpharmacological treatment approaches is used. Pharmacological treatment may include mood stabilizers, antipsychotics, and antidepressants. Lithium is a mood stabilizer that acts on the sodium channels and second-messenger systems. Valproate is a mood stabilizer that enhances GABAergic activity. The PMHNP must consider how other medications may impact how these medications are metabolized. Similarly, atypical antipsychotics, such as Aripiprazole, Olanzapine, Quetiapine, can be used to manage manic or mixed episodes. However, the patient must be closely monitored for side effects, such as weight gain, sedation, or metabolic syndrome (Culpepper, 2014).

                  Nonpharmacological interventions should start with psychoeducation to help patients better understand the disease process and recognize signs and symptoms of mood instability. Additionally, a positive community support system can help members of the LBGTQI+ population better manage the BD disease process. Community support may include support groups for LBGTQI+ members with BD, financial support network, or social support activities. This collaborative approach increases the likelihood that the LBGTQI+ patient will adhere to the treatment plan and ensures that the patient has the support they need to manage their mental health disorder (Moagi et al., 2021).

    **## ResponseDiscussion2..docx**

    Response Discussion

    **Introduction to a topic related to LGBTQI behavioral and mental health**

    The mental health of individuals within the LGBTQI community has been a growing area of research in recent years, with increasing attention to the unique challenges faced by these individuals. One significant issue is the experience of trauma, which can include emotional, physical, and sexual abuse, often resulting from discrimination, stigmatization, and marginalization within society. This trauma can lead to a higher risk of developing mental health disorders such as depression, anxiety, substance use disorders, and PTSD (Budge et al., 2013). As a PMHNP, it is important to understand the impact of trauma on the LGBTQI community and apply appropriate assessment and intervention strategies in a culturally competent manner.

    **Epidemiology and economic costs**

    The LGBTQI population experiences elevated rates of trauma compared to their heterosexual and cisgender counterparts. According to the National LGBTQ Task Force (2021), up to 50% of LGBTQI individuals report experiencing some form of abuse, discrimination, or violence in their lifetime, with transgender individuals being disproportionately affected. Additionally, studies have shown that LGBTQI youth are more likely to experience homelessness due to family rejection, which can expose them to further trauma (Wilson, 2020). The economic costs of trauma in the LGBTQI community are substantial. Mental health disorders resulting from trauma often lead to increased healthcare utilization, disability claims, and lost productivity. The total economic burden of mental health issues, including trauma-related conditions, is estimated to be in the billions annually (CDC, 2021). These costs reflect the need for targeted interventions and the promotion of inclusive care for LGBTQI individuals.

    **Overview of the assessment and tools to assess/DSM-5**

    Assessing trauma in the LGBTQI community requires a culturally competent approach. Utilizing the DSM-5 is essential in identifying trauma-related disorders such as PTSD, major depressive disorder, and anxiety disorders. Common assessment tools include the Trauma Symptom Checklist for Children (TSCC) for youth and the PTSD Checklist for adults (PCL-5), which assess trauma symptoms (Briere, 2019). However, when working with LGBTQI individuals, it is important to consider their unique experiences and ensure that the assessment environment is safe and inclusive. The Gender Minority Stress and Resilience Scale (GMSRS) is another tool that can assess the psychological effects of gender-related discrimination and stress (Budge et al., 2013). When assessing LGBTQI clients, the PMHNP should ask open-ended questions, using language that is affirming and respectful of their gender identity and sexual orientation.

    **Pharmacological interventions with specifics to dynamics, kinetics, contraindications, side effects, and so on**

    Pharmacological treatment for trauma-related mental health issues in the LGBTQI community is similar to the general population but may require specific considerations. First-line pharmacological interventions for PTSD, anxiety, and depression include SSRIs such as sertraline (Zoloft) and paroxetine (Paxil), which have shown efficacy in treating trauma-related disorders (Davidson et al., 2018). However, PMHNPs must be aware of potential side effects, including sexual dysfunction, which can be particularly relevant in the LGBTQI population, where sexual health and expression are key aspects of well-being (Friedman et al., 2020). Furthermore, for individuals with gender dysphoria or those transitioning, the pharmacological approach may include gender-affirming hormone therapy (e.g., testosterone or estrogen) and/or medications to mitigate mental health symptoms associated with gender transition (Wylie et al., 2021). Contraindications for SSRIs may include a history of serotonin syndrome or certain cardiovascular conditions and side effects like weight gain or insomnia should be monitored closely.

    **Plan of care to include collaborative interventions and psychotherapeutic options**

    A comprehensive plan of care for LGBTQI individuals with trauma should be holistic, involving both pharmacological and psychotherapeutic interventions. Collaborative care should include a multidisciplinary team consisting of a PMHNP, primary care providers, social workers, and LGBTQI support groups. CBT has been shown to be effective for trauma, particularly in addressing negative thought patterns and behaviors (Cuijpers et al., 2016). Additionally, trauma-focused therapies such as Eye Movement Desensitization and Reprocessing may be particularly effective in reducing PTSD symptoms (Bisson et al., 2019). Psychotherapy should be affirming, non-judgmental, and designed to promote resilience, self-acceptance, and coping mechanisms. Social support networks and community resources that cater specifically to LGBTQI individuals should be incorporated into the treatment plan to ensure comprehensive care.

    2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adulthood and is characterized by episodes of mania or hypomania and depression. There are several challenges and unique factors that must be taken into consideration when addressing bipolar within the LGBTQI+ population. The LGBTQI+ population is at higher risk for mental health disorders, to include bipolar disorders. The social isolation, stigma, and stress associated with being within this minority population may interact with genetic and biological predispositions and increase the risk for the presentation of BD. Furthermore, these negative experiences may exacerbate symptoms and influence the progression and management of BD (Gmelin et al., 2022).

    Bipolar disorder places a high economic burden on the United States. It is estimated that BD results in an estimated $195 billion of lost funds due to direct and indirect costs. Direct cost includes ongoing medical treatment and indirect costs include loss of work or loss of home (Bessonova et al., 2020). The LBGTQI+ population members with mental health disorders experience greater indirect costs than the general population, as this population typically experiences challenges with academics, employment, and housing due to stigma (Chen, Wang, She, Qin, & Ming, 2022).

    Diagnosing BD requires a comprehensive assessment that includes a detailed psychiatric history, family history, mood charting, and identification of triggering factors. Psychiatric Mental Health Nurse Practitioner (PMHNP) can use several assessment tools to help screen for BD symptoms, such as the Mood Disorder Questionnaire or the Hamilton Depression Rating Scale (Culpepper, 2014). It is important for providers to be aware these questionaries may not be culturally sensitive to the LGBTQI+ populations, so interpretation should consider cultural context (Chen, Wang, She, Qin, & Ming, 2022).

    Treatment of BD within the LBGTQI+ population has greatest success when a combination of pharmacological and nonpharmacological treatment approaches is used. Pharmacological treatment may include mood stabilizers, antipsychotics, and antidepressants. Lithium is a mood stabilizer that acts on the sodium channels and second-messenger systems. Valproate is a mood stabilizer that enhances GABAergic activity. The PMHNP must consider how other medications may impact how these medications are metabolized. Similarly, atypical antipsychotics, such as Aripiprazole, Olanzapine, Quetiapine, can be used to manage manic or mixed episodes. However, the patient must be closely monitored for side effects, such as weight gain, sedation, or metabolic syndrome (Culpepper, 2014).

                  Nonpharmacological interventions should start with psychoeducation to help patients better understand the disease process and recognize signs and symptoms of mood instability. Additionally, a positive community support system can help members of the LBGTQI+ population better manage the BD disease process. Community support may include support groups for LBGTQI+ members with BD, financial support network, or social support activities. This collaborative approach increases the likelihood that the LBGTQI+ patient will adhere to the treatment plan and ensures that the patient has the support they need to manage their mental health disorder (Moagi et al., 2021).

    **## ResponseDiscussion2..docx**

    Response Discussion

    **Introduction to a topic related to LGBTQI behavioral and mental health**

    The mental health of individuals within the LGBTQI community has been a growing area of research in recent years, with increasing attention to the unique challenges faced by these individuals. One significant issue is the experience of trauma, which can include emotional, physical, and sexual abuse, often resulting from discrimination, stigmatization, and marginalization within society. This trauma can lead to a higher risk of developing mental health disorders such as depression, anxiety, substance use disorders, and PTSD (Budge et al., 2013). As a PMHNP, it is important to understand the impact of trauma on the LGBTQI community and apply appropriate assessment and intervention strategies in a culturally competent manner.

    **Epidemiology and economic costs**

    The LGBTQI population experiences elevated rates of trauma compared to their heterosexual and cisgender counterparts. According to the National LGBTQ Task Force (2021), up to 50% of LGBTQI individuals report experiencing some form of abuse, discrimination, or violence in their lifetime, with transgender individuals being disproportionately affected. Additionally, studies have shown that LGBTQI youth are more likely to experience homelessness due to family rejection, which can expose them to further trauma (Wilson, 2020). The economic costs of trauma in the LGBTQI community are substantial. Mental health disorders resulting from trauma often lead to increased healthcare utilization, disability claims, and lost productivity. The total economic burden of mental health issues, including trauma-related conditions, is estimated to be in the billions annually (CDC, 2021). These costs reflect the need for targeted interventions and the promotion of inclusive care for LGBTQI individuals.

    **Overview of the assessment and tools to assess/DSM-5**

    Assessing trauma in the LGBTQI community requires a culturally competent approach. Utilizing the DSM-5 is essential in identifying trauma-related disorders such as PTSD, major depressive disorder, and anxiety disorders. Common assessment tools include the Trauma Symptom Checklist for Children (TSCC) for youth and the PTSD Checklist for adults (PCL-5), which assess trauma symptoms (Briere, 2019). However, when working with LGBTQI individuals, it is important to consider their unique experiences and ensure that the assessment environment is safe and inclusive. The Gender Minority Stress and Resilience Scale (GMSRS) is another tool that can assess the psychological effects of gender-related discrimination and stress (Budge et al., 2013). When assessing LGBTQI clients, the PMHNP should ask open-ended questions, using language that is affirming and respectful of their gender identity and sexual orientation.

    **Pharmacological interventions with specifics to dynamics, kinetics, contraindications, side effects, and so on**

    Pharmacological treatment for trauma-related mental health issues in the LGBTQI community is similar to the general population but may require specific considerations. First-line pharmacological interventions for PTSD, anxiety, and depression include SSRIs such as sertraline (Zoloft) and paroxetine (Paxil), which have shown efficacy in treating trauma-related disorders (Davidson et al., 2018). However, PMHNPs must be aware of potential side effects, including sexual dysfunction, which can be particularly relevant in the LGBTQI population, where sexual health and expression are key aspects of well-being (Friedman et al., 2020). Furthermore, for individuals with gender dysphoria or those transitioning, the pharmacological approach may include gender-affirming hormone therapy (e.g., testosterone or estrogen) and/or medications to mitigate mental health symptoms associated with gender transition (Wylie et al., 2021). Contraindications for SSRIs may include a history of serotonin syndrome or certain cardiovascular conditions and side effects like weight gain or insomnia should be monitored closely.

    **Plan of care to include collaborative interventions and psychotherapeutic options**

    A comprehensive plan of care for LGBTQI individuals with trauma should be holistic, involving both pharmacological and psychotherapeutic interventions. Collaborative care should include a multidisciplinary team consisting of a PMHNP, primary care providers, social workers, and LGBTQI support groups. CBT has been shown to be effective for trauma, particularly in addressing negative thought patterns and behaviors (Cuijpers et al., 2016). Additionally, trauma-focused therapies such as Eye Movement Desensitization and Reprocessing may be particularly effective in reducing PTSD symptoms (Bisson et al., 2019). Psychotherapy should be affirming, non-judgmental, and designed to promote resilience, self-acceptance, and coping mechanisms. Social support networks and community resources that cater specifically to LGBTQI individuals should be incorporated into the treatment plan to ensure comprehensive care.

    2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adulthood and is characterized by episodes of mania or hypomania and depression. There are several challenges and unique factors that must be taken into consideration when addressing bipolar within the LGBTQI+ population. The LGBTQI+ population is at higher risk for mental health disorders, to include bipolar disorders. The social isolation, stigma, and stress associated with being within this minority population may interact with genetic and biological predispositions and increase the risk for the presentation of BD. Furthermore, these negative experiences may exacerbate symptoms and influence the progression and management of BD (Gmelin et al., 2022).

    Bipolar disorder places a high economic burden on the United States. It is estimated that BD results in an estimated $195 billion of lost funds due to direct and indirect costs. Direct cost includes ongoing medical treatment and indirect costs include loss of work or loss of home (Bessonova et al., 2020). The LBGTQI+ population members with mental health disorders experience greater indirect costs than the general population, as this population typically experiences challenges with academics, employment, and housing due to stigma (Chen, Wang, She, Qin, & Ming, 2022).

    Diagnosing BD requires a comprehensive assessment that includes a detailed psychiatric history, family history, mood charting, and identification of triggering factors. Psychiatric Mental Health Nurse Practitioner (PMHNP) can use several assessment tools to help screen for BD symptoms, such as the Mood Disorder Questionnaire or the Hamilton Depression Rating Scale (Culpepper, 2014). It is important for providers to be aware these questionaries may not be culturally sensitive to the LGBTQI+ populations, so interpretation should consider cultural context (Chen, Wang, She, Qin, & Ming, 2022).

    Treatment of BD within the LBGTQI+ population has greatest success when a combination of pharmacological and nonpharmacological treatment approaches is used. Pharmacological treatment may include mood stabilizers, antipsychotics, and antidepressants. Lithium is a mood stabilizer that acts on the sodium channels and second-messenger systems. Valproate is a mood stabilizer that enhances GABAergic activity. The PMHNP must consider how other medications may impact how these medications are metabolized. Similarly, atypical antipsychotics, such as Aripiprazole, Olanzapine, Quetiapine, can be used to manage manic or mixed episodes. However, the patient must be closely monitored for side effects, such as weight gain, sedation, or metabolic syndrome (Culpepper, 2014).

                  Nonpharmacological interventions should start with psychoeducation to help patients better understand the disease process and recognize signs and symptoms of mood instability. Additionally, a positive community support system can help members of the LBGTQI+ population better manage the BD disease process. Community support may include support groups for LBGTQI+ members with BD, financial support network, or social support activities. This collaborative approach increases the likelihood that the LBGTQI+ patient will adhere to the treatment plan and ensures that the patient has the support they need to manage their mental health disorder (Moagi et al., 2021).

    **## ResponseDiscussion2..docx**

    2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adulthood and is characterized by episodes of mania or hypomania and depression. There are several challenges and unique factors that must be taken into consideration when addressing bipolar within the LGBTQI+ population. The LGBTQI+ population is at higher risk for mental health disorders, to include bipolar disorders. The social isolation, stigma, and stress associated with being within this minority population may interact with genetic and biological predispositions and increase the risk for the presentation of BD. Furthermore, these negative experiences may exacerbate symptoms and influence the progression and management of BD (Gmelin et al., 2022).

    Bipolar disorder places a high economic burden on the United States. It is estimated that BD results in an estimated $195 billion of lost funds due to direct and indirect costs. Direct cost includes ongoing medical treatment and indirect costs include loss of work or loss of home (Bessonova et al., 2020). The LBGTQI+ population members with mental health disorders experience greater indirect costs than the general population, as this population typically experiences challenges with academics, employment, and housing due to stigma (Chen, Wang, She, Qin, & Ming, 2022).

    Diagnosing BD requires a comprehensive assessment that includes a detailed psychiatric history, family history, mood charting, and identification of triggering factors. Psychiatric Mental Health Nurse Practitioner (PMHNP) can use several assessment tools to help screen for BD symptoms, such as the Mood Disorder Questionnaire or the Hamilton Depression Rating Scale (Culpepper, 2014). It is important for providers to be aware these questionaries may not be culturally sensitive to the LGBTQI+ populations, so interpretation should consider cultural context (Chen, Wang, She, Qin, & Ming, 2022).

    Treatment of BD within the LBGTQI+ population has greatest success when a combination of pharmacological and nonpharmacological treatment approaches is used. Pharmacological treatment may include mood stabilizers, antipsychotics, and antidepressants. Lithium is a mood stabilizer that acts on the sodium channels and second-messenger systems. Valproate is a mood stabilizer that enhances GABAergic activity. The PMHNP must consider how other medications may impact how these medications are metabolized. Similarly, atypical antipsychotics, such as Aripiprazole, Olanzapine, Quetiapine, can be used to manage manic or mixed episodes. However, the patient must be closely monitored for side effects, such as weight gain, sedation, or metabolic syndrome (Culpepper, 2014).

                  Nonpharmacological interventions should start with psychoeducation to help patients better understand the disease process and recognize signs and symptoms of mood instability. Additionally, a positive community support system can help members of the LBGTQI+ population better manage the BD disease process. Community support may include support groups for LBGTQI+ members with BD, financial support network, or social support activities. This collaborative approach increases the likelihood that the LBGTQI+ patient will adhere to the treatment plan and ensures that the patient has the support they need to manage their mental health disorder (Moagi et al., 2021).

    **## ResponseDiscussion2..docx**

    Response Discussion

    **Introduction to a topic related to LGBTQI behavioral and mental health**

    The mental health of individuals within the LGBTQI community has been a growing area of research in recent years, with increasing attention to the unique challenges faced by these individuals. One significant issue is the experience of trauma, which can include emotional, physical, and sexual abuse, often resulting from discrimination, stigmatization, and marginalization within society. This trauma can lead to a higher risk of developing mental health disorders such as depression, anxiety, substance use disorders, and PTSD (Budge et al., 2013). As a PMHNP, it is important to understand the impact of trauma on the LGBTQI community and apply appropriate assessment and intervention strategies in a culturally competent manner.

    **Epidemiology and economic costs**

    The LGBTQI population experiences elevated rates of trauma compared to their heterosexual and cisgender counterparts. According to the National LGBTQ Task Force (2021), up to 50% of LGBTQI individuals report experiencing some form of abuse, discrimination, or violence in their lifetime, with transgender individuals being disproportionately affected. Additionally, studies have shown that LGBTQI youth are more likely to experience homelessness due to family rejection, which can expose them to further trauma (Wilson, 2020). The economic costs of trauma in the LGBTQI community are substantial. Mental health disorders resulting from trauma often lead to increased healthcare utilization, disability claims, and lost productivity. The total economic burden of mental health issues, including trauma-related conditions, is estimated to be in the billions annually (CDC, 2021). These costs reflect the need for targeted interventions and the promotion of inclusive care for LGBTQI individuals.

    **Overview of the assessment and tools to assess/DSM-5**

    Assessing trauma in the LGBTQI community requires a culturally competent approach. Utilizing the DSM-5 is essential in identifying trauma-related disorders such as PTSD, major depressive disorder, and anxiety disorders. Common assessment tools include the Trauma Symptom Checklist for Children (TSCC) for youth and the PTSD Checklist for adults (PCL-5), which assess trauma symptoms (Briere, 2019). However, when working with LGBTQI individuals, it is important to consider their unique experiences and ensure that the assessment environment is safe and inclusive. The Gender Minority Stress and Resilience Scale (GMSRS) is another tool that can assess the psychological effects of gender-related discrimination and stress (Budge et al., 2013). When assessing LGBTQI clients, the PMHNP should ask open-ended questions, using language that is affirming and respectful of their gender identity and sexual orientation.

    **Pharmacological interventions with specifics to dynamics, kinetics, contraindications, side effects, and so on**

    Pharmacological treatment for trauma-related mental health issues in the LGBTQI community is similar to the general population but may require specific considerations. First-line pharmacological interventions for PTSD, anxiety, and depression include SSRIs such as sertraline (Zoloft) and paroxetine (Paxil), which have shown efficacy in treating trauma-related disorders (Davidson et al., 2018). However, PMHNPs must be aware of potential side effects, including sexual dysfunction, which can be particularly relevant in the LGBTQI population, where sexual health and expression are key aspects of well-being (Friedman et al., 2020). Furthermore, for individuals with gender dysphoria or those transitioning, the pharmacological approach may include gender-affirming hormone therapy (e.g., testosterone or estrogen) and/or medications to mitigate mental health symptoms associated with gender transition (Wylie et al., 2021). Contraindications for SSRIs may include a history of serotonin syndrome or certain cardiovascular conditions and side effects like weight gain or insomnia should be monitored closely.

    **Plan of care to include collaborative interventions and psychotherapeutic options**

    A comprehensive plan of care for LGBTQI individuals with trauma should be holistic, involving both pharmacological and psychotherapeutic interventions. Collaborative care should include a multidisciplinary team consisting of a PMHNP, primary care providers, social workers, and LGBTQI support groups. CBT has been shown to be effective for trauma, particularly in addressing negative thought patterns and behaviors (Cuijpers et al., 2016). Additionally, trauma-focused therapies such as Eye Movement Desensitization and Reprocessing may be particularly effective in reducing PTSD symptoms (Bisson et al., 2019). Psychotherapy should be affirming, non-judgmental, and designed to promote resilience, self-acceptance, and coping mechanisms. Social support networks and community resources that cater specifically to LGBTQI individuals should be incorporated into the treatment plan to ensure comprehensive care.

    2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adulthood and is characterized by episodes of mania or hypomania and depression. There are several challenges and unique factors that must be taken into consideration when addressing bipolar within the LGBTQI+ population. The LGBTQI+ population is at higher risk for mental health disorders, to include bipolar disorders. The social isolation, stigma, and stress associated with being within this minority population may interact with genetic and biological predispositions and increase the risk for the presentation of BD. Furthermore, these negative experiences may exacerbate symptoms and influence the progression and management of BD (Gmelin et al., 2022).

    Bipolar disorder places a high economic burden on the United States. It is estimated that BD results in an estimated $195 billion of lost funds due to direct and indirect costs. Direct cost includes ongoing medical treatment and indirect costs include loss of work or loss of home (Bessonova et al., 2020). The LBGTQI+ population members with mental health disorders experience greater indirect costs than the general population, as this population typically experiences challenges with academics, employment, and housing due to stigma (Chen, Wang, She, Qin, & Ming, 2022).

    Diagnosing BD requires a comprehensive assessment that includes a detailed psychiatric history, family history, mood charting, and identification of triggering factors. Psychiatric Mental Health Nurse Practitioner (PMHNP) can use several assessment tools to help screen for BD symptoms, such as the Mood Disorder Questionnaire or the Hamilton Depression Rating Scale (Culpepper, 2014). It is important for providers to be aware these questionaries may not be culturally sensitive to the LGBTQI+ populations, so interpretation should consider cultural context (Chen, Wang, She, Qin, & Ming, 2022).

    Treatment of BD within the LBGTQI+ population has greatest success when a combination of pharmacological and nonpharmacological treatment approaches is used. Pharmacological treatment may include mood stabilizers, antipsychotics, and antidepressants. Lithium is a mood stabilizer that acts on the sodium channels and second-messenger systems. Valproate is a mood stabilizer that enhances GABAergic activity. The PMHNP must consider how other medications may impact how these medications are metabolized. Similarly, atypical antipsychotics, such as Aripiprazole, Olanzapine, Quetiapine, can be used to manage manic or mixed episodes. However, the patient must be closely monitored for side effects, such as weight gain, sedation, or metabolic syndrome (Culpepper, 2014).

                  Nonpharmacological interventions should start with psychoeducation to help patients better understand the disease process and recognize signs and symptoms of mood instability. Additionally, a positive community support system can help members of the LBGTQI+ population better manage the BD disease process. Community support may include support groups for LBGTQI+ members with BD, financial support network, or social support activities. This collaborative approach increases the likelihood that the LBGTQI+ patient will adhere to the treatment plan and ensures that the patient has the support they need to manage their mental health disorder (Moagi et al., 2021).

    **## ResponseDiscussion2..docx**

    2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adulthood and is characterized by episodes of mania or hypomania and depression. There are several challenges and unique factors that must be taken into consideration when addressing bipolar within the LGBTQI+ population. The LGBTQI+ population is at higher risk for mental health disorders, to include bipolar disorders. The social isolation, stigma, and stress associated with being within this minority population may interact with genetic and biological predispositions and increase the risk for the presentation of BD. Furthermore, these negative experiences may exacerbate symptoms and influence the progression and management of BD (Gmelin et al., 2022).

    Bipolar disorder places a high economic burden on the United States. It is estimated that BD results in an estimated $195 billion of lost funds due to direct and indirect costs. Direct cost includes ongoing medical treatment and indirect costs include loss of work or loss of home (Bessonova et al., 2020). The LBGTQI+ population members with mental health disorders experience greater indirect costs than the general population, as this population typically experiences challenges with academics, employment, and housing due to stigma (Chen, Wang, She, Qin, & Ming, 2022).

    Diagnosing BD requires a comprehensive assessment that includes a detailed psychiatric history, family history, mood charting, and identification of triggering factors. Psychiatric Mental Health Nurse Practitioner (PMHNP) can use several assessment tools to help screen for BD symptoms, such as the Mood Disorder Questionnaire or the Hamilton Depression Rating Scale (Culpepper, 2014). It is important for providers to be aware these questionaries may not be culturally sensitive to the LGBTQI+ populations, so interpretation should consider cultural context (Chen, Wang, She, Qin, & Ming, 2022).

    Treatment of BD within the LBGTQI+ population has greatest success when a combination of pharmacological and nonpharmacological treatment approaches is used. Pharmacological treatment may include mood stabilizers, antipsychotics, and antidepressants. Lithium is a mood stabilizer that acts on the sodium channels and second-messenger systems. Valproate is a mood stabilizer that enhances GABAergic activity. The PMHNP must consider how other medications may impact how these medications are metabolized. Similarly, atypical antipsychotics, such as Aripiprazole, Olanzapine, Quetiapine, can be used to manage manic or mixed episodes. However, the patient must be closely monitored for side effects, such as weight gain, sedation, or metabolic syndrome (Culpepper, 2014).

                  Nonpharmacological interventions should start with psychoeducation to help patients better understand the disease process and recognize signs and symptoms of mood instability. Additionally, a positive community support system can help members of the LBGTQI+ population better manage the BD disease process. Community support may include support groups for LBGTQI+ members with BD, financial support network, or social support activities. This collaborative approach increases the likelihood that the LBGTQI+ patient will adhere to the treatment plan and ensures that the patient has the support they need to manage their mental health disorder (Moagi et al., 2021).

    **## ResponseDiscussion2..docx**

    Response Discussion

    **Introduction to a topic related to LGBTQI behavioral and mental health**

    The mental health of individuals within the LGBTQI community has been a growing area of research in recent years, with increasing attention to the unique challenges faced by these individuals. One significant issue is the experience of trauma, which can include emotional, physical, and sexual abuse, often resulting from discrimination, stigmatization, and marginalization within society. This trauma can lead to a higher risk of developing mental health disorders such as depression, anxiety, substance use disorders, and PTSD (Budge et al., 2013). As a PMHNP, it is important to understand the impact of trauma on the LGBTQI community and apply appropriate assessment and intervention strategies in a culturally competent manner.

    **Epidemiology and economic costs**

    The LGBTQI population experiences elevated rates of trauma compared to their heterosexual and cisgender counterparts. According to the National LGBTQ Task Force (2021), up to 50% of LGBTQI individuals report experiencing some form of abuse, discrimination, or violence in their lifetime, with transgender individuals being disproportionately affected. Additionally, studies have shown that LGBTQI youth are more likely to experience homelessness due to family rejection, which can expose them to further trauma (Wilson, 2020). The economic costs of trauma in the LGBTQI community are substantial. Mental health disorders resulting from trauma often lead to increased healthcare utilization, disability claims, and lost productivity. The total economic burden of mental health issues, including trauma-related conditions, is estimated to be in the billions annually (CDC, 2021). These costs reflect the need for targeted interventions and the promotion of inclusive care for LGBTQI individuals.

    **Overview of the assessment and tools to assess/DSM-5**

    Assessing trauma in the LGBTQI community requires a culturally competent approach. Utilizing the DSM-5 is essential in identifying trauma-related disorders such as PTSD, major depressive disorder, and anxiety disorders. Common assessment tools include the Trauma Symptom Checklist for Children (TSCC) for youth and the PTSD Checklist for adults (PCL-5), which assess trauma symptoms (Briere, 2019). However, when working with LGBTQI individuals, it is important to consider their unique experiences and ensure that the assessment environment is safe and inclusive. The Gender Minority Stress and Resilience Scale (GMSRS) is another tool that can assess the psychological effects of gender-related discrimination and stress (Budge et al., 2013). When assessing LGBTQI clients, the PMHNP should ask open-ended questions, using language that is affirming and respectful of their gender identity and sexual orientation.

    **Pharmacological interventions with specifics to dynamics, kinetics, contraindications, side effects, and so on**

    Pharmacological treatment for trauma-related mental health issues in the LGBTQI community is similar to the general population but may require specific considerations. First-line pharmacological interventions for PTSD, anxiety, and depression include SSRIs such as sertraline (Zoloft) and paroxetine (Paxil), which have shown efficacy in treating trauma-related disorders (Davidson et al., 2018). However, PMHNPs must be aware of potential side effects, including sexual dysfunction, which can be particularly relevant in the LGBTQI population, where sexual health and expression are key aspects of well-being (Friedman et al., 2020). Furthermore, for individuals with gender dysphoria or those transitioning, the pharmacological approach may include gender-affirming hormone therapy (e.g., testosterone or estrogen) and/or medications to mitigate mental health symptoms associated with gender transition (Wylie et al., 2021). Contraindications for SSRIs may include a history of serotonin syndrome or certain cardiovascular conditions and side effects like weight gain or insomnia should be monitored closely.

    **Plan of care to include collaborative interventions and psychotherapeutic options**

    A comprehensive plan of care for LGBTQI individuals with trauma should be holistic, involving both pharmacological and psychotherapeutic interventions. Collaborative care should include a multidisciplinary team consisting of a PMHNP, primary care providers, social workers, and LGBTQI support groups. CBT has been shown to be effective for trauma, particularly in addressing negative thought patterns and behaviors (Cuijpers et al., 2016). Additionally, trauma-focused therapies such as Eye Movement Desensitization and Reprocessing may be particularly effective in reducing PTSD symptoms (Bisson et al., 2019). Psychotherapy should be affirming, non-judgmental, and designed to promote resilience, self-acceptance, and coping mechanisms. Social support networks and community resources that cater specifically to LGBTQI individuals should be incorporated into the treatment plan to ensure comprehensive care.

    2. Bipolar disorder (BD) is a chronic mental health condition that impacts adults of all genders, races, and ages. BD typically presents in late adolescence or early adulthood and is characterized by episodes of mania or hypomania and depression. There are several challenges and unique factors that must be taken into consideration when addressing bipolar within the LGBTQI+ population. The LGBTQI+ population is at higher risk for mental health disorders, to include bipolar disorders. The social isolation, stigma, and stress associated with being within this minority population may interact with genetic and biological predispositions and increase the risk for the presentation of BD. Furthermore, these negative experiences may exacerbate symptoms and influence the progression and management of BD (Gmelin et al., 2022).

    Bipolar disorder places a high economic burden on the United States. It is estimated that BD results in an estimated $195 billion of lost funds due to direct and indirect costs. Direct cost includes ongoing medical treatment and indirect costs include loss of work or loss of home (Bessonova et al., 2020). The LBGTQI+ population members with mental health disorders experience greater indirect costs than the general population, as this population typically experiences challenges with academics, employment, and housing due to stigma (Chen, Wang, She, Qin, & Ming, 2022).

    Diagnosing BD requires a comprehensive assessment that includes a detailed psychiatric history, family history, mood charting, and identification of triggering factors. Psychiatric Mental Health Nurse Practitioner (PMHNP) can use several assessment tools to help screen for BD symptoms, such as the Mood Disorder Questionnaire or the Hamilton Depression Rating Scale (Culpepper, 2014). It is important for providers to be aware these questionaries may not be culturally sensitive to the LGBTQI+ populations, so interpretation should consider cultural context (Chen, Wang, She, Qin, & Ming, 2022).

    Treatment of BD within the LBGTQI+ population has greatest success when a combination of pharmacological and nonpharmacological treatment approaches is used. Pharmacological treatment may include mood stabilizers, antipsychotics, and antidepressants. Lithium is a mood stabilizer that acts on the sodium channels and second-messenger systems. Valproate is a mood stabilizer that enhances GABAergic activity. The PMHNP must consider how other medications may impact how these medications are metabolized. Similarly, atypical antipsychotics, such as Aripiprazole, Olanzapine, Quetiapine, can be used to manage manic or mixed episodes. However, the patient must be closely monitored for side effects, such as weight gain, sedation, or metabolic syndrome (Culpepper, 2014).

                  Nonpharmacological interventions should start with psychoeducation to help patients better understand the disease process and recognize signs and symptoms of mood instability. Additionally, a positive community support system can help members of the LBGTQI+ population better manage the BD disease process. Community support may include support groups for LBGTQI+ members with BD, financial support network, or social support activities. This collaborative approach increases the likelihood that the LBGTQI+ patient will adhere to the treatment plan and ensures that the patient has the support they need to manage their mental health disorder (Moagi et al., 2021).

  • [Solved] Women Health DB 1

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    500 words 2 references apa style – [\ \ IMG_8470.jpeg](https://www.sweetstudy.com/files/img-8470-jpeg "IMG_8470.jpeg") – [\ \ IMG_8471.jpeg](https://www.sweetstudy.com/files/img-8471-jpeg "IMG_8471.jpeg") – [\ \ GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnell…

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    500 words

    2 references

    apa style

    – [\
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    – [\
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    GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnellSchuiling–FourtheditionBurlingtonMassachusetts–9781284182347–41acb13b4fd30cb711f0bfdc92c9aa8d–AnnasArchive.pdf](https://www.sweetstudy.com/files/gynecologichealthcare-withanintroductiontoprenatal-francese-likiskerridurnellschuiling-fourtheditionburlingtonmassachusetts-9781284182347-41acb13b4fd30cb711f0bfdc92c9aa8d-annasarchive-pdf "GynecologicHealthCare_WithanIntroductiontoPrenatal–FrancesE_LikisKerriDurnellSchuiling–FourtheditionBurlingtonMassachusetts–9781284182347–41acb13b4fd30cb711f0bfdc92c9aa8d–AnnasArchive.pdf")

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    – 2 years ago **files (1)** – ## NSG468Influencing.docx **## NSG468Influencing.docx** **NSG 468: Influencing Quality Within Healthcare** ## Summative Assessment: Quality Improvement and Safety Case Study **The Scenario** In an effort to continuously improve quality and safety, your manager has asked…

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    – 2 years ago

    **files (1)**

    – ## NSG468Influencing.docx

    **## NSG468Influencing.docx**

    **NSG 468: Influencing Quality Within Healthcare**

    ## Summative Assessment: Quality Improvement and Safety Case Study

    **The Scenario**

    In an effort to continuously improve quality and safety, your manager has asked you to share one example of patient care from your experience. Your and other team members’ submissions will be used to help facilitate an upcoming training.

    In a 700- to 875-word case study,
    **address** the following:

    · Identify a patient care case from your own practice experience that involves quality and safety.
    _Note_: If you are not practicing or have not practiced, use a case that has received media attention or one from the textbook.

    · Summarize the situation.

    · Describe your (or the nurse's) role in the patient care situation.

    · Explain the role the patient played in their own quality- or safety-related situation.

    · Evaluate the relationship between the patient's care and the outcome.

    · Identify how the care environment affected the situation, including the nurse or provider, the patient, and the outcome.

    · Determine whether a quality model was employed. If yes, identify and explain it. If not, identify one that could have improved the situation.

    · Explain what actions you might take to improve the outcome or prevent an adverse outcome in the future.

    Top of Form

    Bottom of Form

    ****Include 3 references that are from past 5 years – APA 7th edition**

    **## NSG468Influencing.docx**

    **NSG 468: Influencing Quality Within Healthcare**

    ## Summative Assessment: Quality Improvement and Safety Case Study

    **The Scenario**

    In an effort to continuously improve quality and safety, your manager has asked you to share one example of patient care from your experience. Your and other team members’ submissions will be used to help facilitate an upcoming training.

    In a 700- to 875-word case study,
    **address** the following:

    · Identify a patient care case from your own practice experience that involves quality and safety.
    _Note_: If you are not practicing or have not practiced, use a case that has received media attention or one from the textbook.

    · Summarize the situation.

    · Describe your (or the nurse's) role in the patient care situation.

    · Explain the role the patient played in their own quality- or safety-related situation.

    · Evaluate the relationship between the patient's care and the outcome.

    · Identify how the care environment affected the situation, including the nurse or provider, the patient, and the outcome.

    · Determine whether a quality model was employed. If yes, identify and explain it. If not, identify one that could have improved the situation.

    · Explain what actions you might take to improve the outcome or prevent an adverse outcome in the future.

    Top of Form

    Bottom of Form

    ****Include 3 references that are from past 5 years – APA 7th edition**

  • [Solved] Women Health Clinical SOAP 1

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Soap note No plagiairsm or AI – 2 years ago **files (3)** – ## SOAPNoteTemplate.docx – IMG_8484.jpeg – IMG_8485.jpeg **## SOAPNoteTemplate.docx** | | | | — | — | | SOAP NOTE TEMPLATE<br>Review the Rubric for more Guidance | | _Demographics_ | | | _Chief Complaint (Reason for seeking health car…

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    Assignment Prompt & Instructions

    Soap note

    No plagiairsm or AI

    – 2 years ago

    **files (3)**

    – ## SOAPNoteTemplate.docx

    – IMG_8484.jpeg
    – IMG_8485.jpeg

    **## SOAPNoteTemplate.docx**

    | | |
    | — | — |
    | SOAP NOTE TEMPLATE<br>Review the Rubric for more Guidance |
    | _Demographics_ | |
    | _Chief Complaint (Reason for seeking health care)_ | |
    | _History of Present Illness (HPI)_ | |
    | _Allergies_ | |
    | _Review of Systems (ROS)_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: <br>Nutrition:<br>Sleep/Rest:<br>LMP: <br>STI Hx: |
    | _Vital Signs_ | |
    | _Labs_ | |
    | _Medications_ | |
    | _Past Medical History_ | |
    | _Past Surgical History_ | |
    | _Family History_ | |
    | _Social History_ | |
    | _Health Maintenance/ Screenings_ | |
    | _Physical Examination_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: |
    | _Diagnosis_ | |
    | _Differential Diagnosis_ | |
    | _ICD 10 Coding_ | |
    | _Pharmacologic treatment plan_ | |
    | _Diagnostic/Lab Testing_ | |
    | _Education_ | |
    | _Anticipatory Guidance_ | |
    | _Follow up plan_ | |
    | _Prescription_ | See Below (scroll down) |
    | _References_ | |
    | _Grammar_ | |

    | |
    | — |
    | EA#: 101010101 STU Clinic LIC# 10000000 |
    | Tel: (000) 555-1234 FAX: (000) 555-12222 |
    | Patient Name: (Initials)______________________________ Age ___________<br>Date: _______________<br>RX ______________________________________<br>SIG:<br>Dispense: ___________ Refill: _________________<br>No Substitution<br> <br>Signature:____________________________________________________________ |

    Signature (with appropriate credentials):_____________________________________

    References (must use current evidence-based guidelines used to guide the care [Mandatory])

    **IMG_8484.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-8484-jpeg)

    **IMG_8485.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-8485-jpeg-10152033)

    **IMG_8485.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-8485-jpeg-10152033)

    **## SOAPNoteTemplate.docx**

    | | |
    | — | — |
    | SOAP NOTE TEMPLATE<br>Review the Rubric for more Guidance |
    | _Demographics_ | |
    | _Chief Complaint (Reason for seeking health care)_ | |
    | _History of Present Illness (HPI)_ | |
    | _Allergies_ | |
    | _Review of Systems (ROS)_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: <br>Nutrition:<br>Sleep/Rest:<br>LMP: <br>STI Hx: |
    | _Vital Signs_ | |
    | _Labs_ | |
    | _Medications_ | |
    | _Past Medical History_ | |
    | _Past Surgical History_ | |
    | _Family History_ | |
    | _Social History_ | |
    | _Health Maintenance/ Screenings_ | |
    | _Physical Examination_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: |
    | _Diagnosis_ | |
    | _Differential Diagnosis_ | |
    | _ICD 10 Coding_ | |
    | _Pharmacologic treatment plan_ | |
    | _Diagnostic/Lab Testing_ | |
    | _Education_ | |
    | _Anticipatory Guidance_ | |
    | _Follow up plan_ | |
    | _Prescription_ | See Below (scroll down) |
    | _References_ | |
    | _Grammar_ | |

    | |
    | — |
    | EA#: 101010101 STU Clinic LIC# 10000000 |
    | Tel: (000) 555-1234 FAX: (000) 555-12222 |
    | Patient Name: (Initials)______________________________ Age ___________<br>Date: _______________<br>RX ______________________________________<br>SIG:<br>Dispense: ___________ Refill: _________________<br>No Substitution<br> <br>Signature:____________________________________________________________ |

    Signature (with appropriate credentials):_____________________________________

    References (must use current evidence-based guidelines used to guide the care [Mandatory])

    **IMG_8484.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-8484-jpeg)

    **IMG_8485.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-8485-jpeg-10152033)

    **## SOAPNoteTemplate.docx**

    | | |
    | — | — |
    | SOAP NOTE TEMPLATE<br>Review the Rubric for more Guidance |
    | _Demographics_ | |
    | _Chief Complaint (Reason for seeking health care)_ | |
    | _History of Present Illness (HPI)_ | |
    | _Allergies_ | |
    | _Review of Systems (ROS)_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: <br>Nutrition:<br>Sleep/Rest:<br>LMP: <br>STI Hx: |
    | _Vital Signs_ | |
    | _Labs_ | |
    | _Medications_ | |
    | _Past Medical History_ | |
    | _Past Surgical History_ | |
    | _Family History_ | |
    | _Social History_ | |
    | _Health Maintenance/ Screenings_ | |
    | _Physical Examination_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: |
    | _Diagnosis_ | |
    | _Differential Diagnosis_ | |
    | _ICD 10 Coding_ | |
    | _Pharmacologic treatment plan_ | |
    | _Diagnostic/Lab Testing_ | |
    | _Education_ | |
    | _Anticipatory Guidance_ | |
    | _Follow up plan_ | |
    | _Prescription_ | See Below (scroll down) |
    | _References_ | |
    | _Grammar_ | |

    | |
    | — |
    | EA#: 101010101 STU Clinic LIC# 10000000 |
    | Tel: (000) 555-1234 FAX: (000) 555-12222 |
    | Patient Name: (Initials)______________________________ Age ___________<br>Date: _______________<br>RX ______________________________________<br>SIG:<br>Dispense: ___________ Refill: _________________<br>No Substitution<br> <br>Signature:____________________________________________________________ |

    Signature (with appropriate credentials):_____________________________________

    References (must use current evidence-based guidelines used to guide the care [Mandatory])

    **IMG_8484.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-8484-jpeg)

    **IMG_8485.jpeg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/img-8485-jpeg-10152033)

  • [Solved] Presentation

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In need of a work assignment that will require visuals as well. – 2 years ago

    Instant Solution Download

    $6.99

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

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    Have this question answered from scratch according to your specific instructions and deadline.

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    Assignment Prompt & Instructions

    In need of a work assignment that will require visuals as well.

    – 2 years ago