Cultural Competence

Cultural competence is “a process for addressing disparities, based on race, ethnicity, and culture” (Isaacs et al., 2005, p. 5). Nurses must be culturally competent to provide effective and therapeutic care for patients.  It is part of a holistic treatment process.  

  • How does culture shape an individual’s view of mental health?
  • Discuss why culture competence is important to nursing.
  • What steps can a nurse take to be culturally competent? 



  • Describe major changes that occurs on the neurological system associated to age. Include changes on central nervous system and peripheral nervous system.
  • Define delirium and dementia, specified similarities and differences and describe causes for each one.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources


Your assignment will be graded according to the grading rubric.

Discussion RubricCriteriaRatingsPoints

Identification of Main Issues, Problems, and Concepts

5 points

Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.

4 points

Identifies and demonstrates an accomplished understanding of most of the issues, problems, and concepts.

2 points

Identifies and demonstrates an acceptable understanding of most of the issues, problems, and concepts.

1 point

Identifies and demonstrates an unacceptable understanding of most issues, problems, and concepts.

5 points

Use of Citations, Writing Mechanics and APA Formatting Guidelines

3 points

Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

2 points

Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

1 point

Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

0 point

Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.

3 points 


Flu Vaccine Standing order ages 16 and above 


due 11/21/2020 @7pm EST 

APA format

3 – 4 pages

Minimum of 2 scholarly sources with link to an English article or journal

Must submit assignment through Turnitin and provide a report


The ability to communicate, interact with different cultures, and think critically is essential in the medical field. The interactive media scenario you will use for this assignment illustrates a situation that could easily arise when working in health care. To complete this assignment, access the “Allied Health Community” media link in the study materials and complete the following:

  1. Click “Enter” to begin.
  2. Click on the box that says “SCENARIOS.”
  3. Click on “View Scenario” for the “Critical Decision Making for Providers.”
  4. Examine how the described problem might happen in your facility and the impact it could have. Work through this situation by examining all of the choices presented in the scenario.
  5. When you get to the end of the scenarios, one scenario will have the word “Transcultural” on the top right corner. Click on “Transcultural.” Read the scenario and answer the four questions that are provided.

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





case study presents an adolescent client with a likely diagnosis of Major Depressive Disorder (MDD).   The comprehensive assessment provided by the case study thoroughly addresses all aspects of the client’s life that indicate abnormal symptoms that require treatment (Wheeler, 2014).  The client’s suicidal ideation, depressed mood, decline in focus with school, lack of self-worth, and sleep problems are symptoms consistent with MDD (American Psychiatric Association, 2013).  This client expresses fatigue and troubles with interpersonal conflict as well as uncontrollable feelings and actions of self-harm.  His depressed mood and constricted affect are evident, as well as the collateral information offered by the mother illustrates symptoms of depression (American Psychiatric Association, 2013).  His perceived lack of social support would make him a good candidate for group therapy to treat his depression.    

            An effective group therapeutic intervention for depressed adolescents is group cognitive behavioral therapy (CBT) (Keles & Idsoe, 2018).  CBT works by identifying and changing some of the automatic thoughts that are leading to maladaptive behaviors and coping.  Considering the prevalence of depression across all ages, particularly adolescents, group CBT is an appropriate and effective treatment (Keles & Idsoe, 2018).  One of the other factors that makes group CBT effective is the social support that is offered in the group setting (Nardi, et al., 2017).  This client has verbalized a lack of emotional support and understanding among peers, so the social support offered in the group would be appropriate and effective for this client.  Group CBT shows effect for adolescents with depression and anxiety that persists beyond the treatment duration (Rith-Najarian, et al., 2019).  The projected outcomes for this client are positive related to the effectiveness of group CBT.   

Counseling a group of adolescents has ethical and legal implications related to consent and adherence to treatment programs, as the adolescents are often forced into treatment by parents.  This can make it challenging for providers when the adolescent clients are not interested or invested in treatment.  However, this case study presents a client who appears interested in seeking help and treatment related to his symptoms.  It is important to consider the client’s consent ethically even when the legal consent is obtained by the parent or guardian. 


American Psychiatric Association.  (2013).  Diagnostic and statistical manual of mental

disorders (5th ed.).  Retrieved from https://dsm-psychiatryonline-


Keles, S., & Idsoe, T.  (2018).  A meta-analysis of group Cognitive Behavioral Therapy

(CBT) interventions for adolescents with depression.  Journal of Adolescence, 67,

129-139.  doi:10.1016/j.adolescence.2018.05.011.

Nardi, B., Massei, M., Arimatea, E., & Moltedo-Perfetti, A.  (2017).  Effectiveness of

group CBT in treating adolescents with depression symptoms: A critical review. 

International Journal of Adolescent Medicine and Health, 29(3), 854-860. 


Rith-Najarian, L.R., Mesri, B., Park, A.L., Sun, M., Chavira, D.A., & Chorpita, B.F.

(2019).  Durability of cognitive behavioral therapy effects for youth and

adolescents with anxiety, depression, or traumatic stress: A meta-analysis on

long-term follow-ups.  Behavior Therapy, 50(1), 225-240. 


Wheeler, K.  (Ed.).  (2014).  Psychotherapy for the advanced practice psychiatric nurse:

A how-to guide for evidence-based practice.  New York, NY: Springer.


Watch this video and Need help filling out the template on Rory Staunton on Diagnostic procedure


Leading Innovation in Nursing

2 pages, double spacing, APA format. At least 2 references. Absolutely plagiarism free.

Propose a future development that affects value-based healthcare and address the following.

· What would you create, and why? What problem does this innovation solve?

· How does this innovation impact value-based healthcare?

· How will it enhance your leadership capacity?

· As a leader, explain one barrier you may have in implementing the innovation and how you could use the 5-Stage Innovation-Decision Process to overcome that barrier.


Chism, L. A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues (4 th ed.). Jones & Bartlett Publishers.

· Chapter 12: Shaping Your Brand: Marketing Yourself as a DNP Graduate

o Rogers’s Diffusion of Innovation Theory, p. 304




PICO and Literature Search

Purpose: PICO questions are used by practicing nurses and researchers to focus research questions and develop an efficient literature search strategy. It is essential that future nurses learn how to do this to develop evidenced-based solutions to patient care problems in a healthcare organization. 

Assessment: This assignment is worth 68 points and represents 20% of your final course grade. It is graded according to the embedded rubric in this submission folder. Late submissions will incur a 10% deduction per day, unless a Late Pass is used.


1. Write a PICO question based on a scenario you choose from the list of scenarios attached below. Use the templates in the EBP Step by Step 3 article to help create your questions. You may need to do a pre-search to finding an intervention (the “I”) that has been studied and published to solve the problem.

2. Identify the PICO elements for each question. 

3. Develop a search strategy using at least 3 keywords from the P, I, and O parts of your PICO, 1 synonym for one of the keywords, and 1 MeSH term for one of your keywords. 

4. Locate 4 articles that help answer your PICO question. The articles must meet the following requirements: 

· must be primary source quantitative research articles. 

· No article can be older than 2016. 

5. Obtain pdfs of the four articles you selected from the ResU database. If not available for the ResU database, you may request access from the ResU Library, or you can email me the citation for the article, and I will attempt to locate a pdf of it. 

6. On a Word document, include your scenario; write your PICO question as a sentence; identify the P, I, C, and O for each question; and list the search terms (3 keywords, 1 synonym, 1 MeSH term) for each. You may use the template attached here. See also the link to the MeSH terms website below.

7. Provide a properly formatted APA reference page for your selected articles from Step 4 of these instructions. See the link to the APA and Writing LibGuide below.

8. Name each document (one Word doc and 4 article pdfs) as follows and upload to the appropriate submission folder in Brightspace: 

· Lastname PICO, 

· Lastname article 1,

· Lastname article 2,

· Lastname article 3,

· Lastname article 4


EBP Step by Step 3.pdf

(188.01 KB)

PICO and Lit Search Template with Example.docx

(30.11 KB)

PICO and Literature Search Scenarios.doc

(44.5 KB)

APA and Writing LibGuide

Link to MeSH Terms W


Please, Kindly work on Scenario 4 from the PICO and Literature Search Scenarios uploaded. Thank you.



Scholarly Activities 


Throughout  the RN-to-BSN program, students are required to participate in  scholarly activities outside of clinical practice or professional  practice. Examples of scholarly activities include attending  conferences, seminars, journal club, grand rounds, morbidity and  mortality meetings, interdisciplinary committees, quality improvement  committees, and any other opportunities available at your site, within  your community, or nationally.

You are required to post at least  one documented scholarly activity by the end of this course. In addition  to this submission, you are required to be involved and contribute to  interdisciplinary initiatives on a regular basis.

Submit, by way  of this assignment, a summary report of the scholarly activity,  including who, what, where, when, and any relevant take-home points.  Include the appropriate program competencies associated with the  scholarly activity as well as future professional goals related to this  activity. You may use the “Scholarly Activity Summary” resource to help  guide this assignment.

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

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.