Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Week 4 decision making

Dual Processing Theory

To answer this week’s discussion questions will require that you read three articles on dual processing theory and reducing diagnostic errors. You are expected to apply the course readings mentioned below (these can be found in the Week 4 Assigned readings) 
YOU WILL NOT BE ABLE TO ANSWER THIS WEEK’S DISCUSSION QUESTION WITHOUT READING THE ASSIGNED ARTICLES, See the questions outlined below. 

Ultra processed foods_ what they are and how to identify them.pdf

Dual processing model of medical.pdf

Dual Processing Model for Medical DecisionMaking_ An Extension to Diagnostic Testing.pdf


Case: 1

Chief Complaint: “Pain in Right Side” A 40-year-old man presents to his primary care provider (PCP) with right upper quadrant (RUQ) pain for 2 days. The pain is described as “sore” and rated 4 on 1 to 10 pain scale. The pain is intermittent and not worsening. He reports food does not seem to make it better or worse. No nausea or vomiting or diarrhea or constipation are reported. 

Vital signs: heart rate, 75; blood pressure, 122/78; respiration rate, 15; afebrile. 

Examination: No acute distress. Abdomen: mildly tender on palpation at RUQ; no masses, hepatomegaly or splenomegaly. 

Diagnosis: Gallbladder disease. 

Plan: Abdominal ultrasound with reflexive cholescintigraphy (hepatobiliary iminodiacetic acid) scan within 1 week. Patient instructed to call provider if worsening symptoms occur. He is also told to avoid any fatty foods or alcohol consumption. The patient is agreeable to plan. 

Follow-up: Two days after the initial visit, the patient calls his PCP with worsening RUQ pain. Ultrasound imaging was scheduled for later that day. Patient then started having shortness of breath while at home and went to the local emergency department (ED). Computed tomography angiography of the chest revealed a right-sided pulmonary embolism. Patient did not have any family history of clotting disorders and no recent surgery, immobilization, or travel. Patient had been on testosterone injections for several years for low testosterone levels, and this was not updated in his medical record at his PC


Case 2

Chief Complaint: “Fever and Sleepy” A 3-year-old girl presents with her mother to a walk-in clinic with fever, nasal drainage, and fatigue for 2 days. She was observed hiding her head in her mother’s chest during the examination. 

The presentation occurred during flu season. The clinician had 6 positive flu tests that day, all with similar symptoms, but most included a cough. 

Vital signs: heart rate, 125; respiration rate, 20; blood pressure, 100/72; temperature, 100.8F. 

Examination: Lungs clear, heart rate regular, no murmur. Head, eyes, ears, nose, and throat: normocephalic, conjunctivae clear, tympanic membrane without bulging or redness, pharynx normal, nares normal with clear drainage, tonsils 1þ, no erythema or exudate. The patient did not want to look at the clinician in a brightly lit room. The patient was lethargic and had limited tearing when crying. Rapid flu test: Negative. 

Diagnosis: Presumptive seasonal influenza. 

Plan: Supportive care, including encouraging fluids, Over-the-counter acetaminophen for fever, and age-appropriate antiviral medication for the flu was prescribed. 

Follow-up: Parents were unable to keep her fever down over the next 1 day, and she progressively became more lethargic. The patient was taken to the ED, and a diagnosis of viral meningitis and dehydration was made. The patient spent several days in the hospital but did completely recover.

1. Describe the Dual Process Theory and Reasoning Process and how it applies to making decisions for the advanced practice nurse. 

2. What are cognitive dispositions to respond? How are these applied in the APN setting? 

3. Describe cognitive debiasing.

4. Describe how Type 1 (System 1) and Type 2 (System 2) processes and strategies can be applied to each case to help the NP make decisions and to decrease potential diagnostic errors. 

5. What considerations for change to practice should the NP consider in each situation as a way to decrease the chance of future diagnostic and care decisions? 

Please remember for discussion posts: the initial post must be uploaded by the WEDNESDAY of the week and two replies to your peers by Saturday at 2359 EST.

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 350 words initial and 250 words peer responses, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.


Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Discussion P W8

The musculoskeletal system is responsible for the structure of the body and the ability to have purposeful movements. Musculoskeletal injury and disease affect a large swath of the population and become increasingly prevalent in older adults.  What are the short-term and long-term pathophysiological consequences of a fracture? How might the fracture

HI

please see attached Guidance: · Utilize the entire word count to tell your story · Catch the attention of the reviewer through a captivating introduction or opening. · Be specific in your responses and provide examples. · Be personal and share your passion about why you specifically should be offered a scholarship.

NR 226 week 8-2

Relearning: Clinical Judgment Plan of Care Template Student Name: Client Initials: Age/DOB: Allergies: BSA/BMI: Code Status: Date of Admission: Date of Care: Admitting Diagnosis: Comorbidities: Planned Treatments/Procedures: Nursing and HCP Collaborative Plan for Care: Include a description of priority client specific information, nursing actions, and provider orders Cultural/Spiritual: Neurological/Cognition/Coping/Adaptation/Function: Nutrition/Elimination:

Discussion NT W8

Articulate and describe the suggestions made by the authors’ for further development of middle range theory?  In one paragraph or less, reflect on your experience in this course and what was the most impactful knowledge you gained from this course. (Course name Nursing Theory)

DNP Project

Percentage increase  Insert Table 1 Results State the postimplementation results. Discuss the impact on the organization. State limitations and how they impacted results. Discuss why the project is important beyond the local site. Table 1 and Figure 1 reflect APA (7th ed.) rules for table and figure formatting and labeling.

Clinical Skills Self-Assessment

See attached please To Prepare · Review the resources and clinical skills in the PMHNP Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.  · Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow

work study

Biological Basis and Ethical/Legal Considerations of Psychotherapy Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective on the value of psychotherapy treatments. Describe how legal and ethical considerations for group and family therapy differ from those for individual therapy, and

CLINICAL SKILLS AND PROCEDURES SELF ASSESSMENT

Clinical Skills and Procedures Self-Assessment Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I already know? What do I need to know? And what do I want to know?” This

Post Reply

See Attachment TITLE WHAT : REPLY to the TWO Discussion Posts FORMAT : APA with In-text Citation and Reference List REFERENCES : TWO Peer-Reviewed references per post minimum within last 5 years  INCLUDE : Turnitin Report * Please and THANK YOU * _______________________ PaTu  Discussion Post Reply #1  In the

NURS 8211C

Back to Week at a Glance  Data Management in Research, Quality Improvement (QI) and Evidence-Based Practice (EBP) Have you ever considered the importance of research in nursing? How might research shape the delivery of healthcare? Research in nursing began with Florence Nightingale in 1850 and has continued to transform in

WK 1 Blog

Population Health and Epidemiology Then and Now A century ago, epidemiology was a population science that focused on infectious diseases and outbreaks. Pioneered by passionate researchers like John Snow and Florence Nightingale, epidemiologic methods were used to curb the spread of debilitating diseases like cholera and the Spanish Flu. Today

DISCUSSION-NRNP-6531

Career Goals: Strengths and Challenges Related to Nursing Practice Competencies An advanced practice nurse collaborates and communicates with patients, families, doctors, nurses, and specialists to ensure patients receive the care they need. As they diagnose, treat, manage, and educate patients, they are responsible for ensuring patient safety and maintaining ethical

Nursing Signature assignment first part

Introduction -Brief overview of the health of the population chosen -Introduce the global burden of disease OR risk factor chosen -Importance of improving the condition and its impact on quality of life Global Burden of Disease Condition/Risk Factor -Describe the disease OR risk factor chosen -What signs/symptoms are identified in

Nursing Role in the Community

  Discussion Prompts: Explain the role of nursing in achieving one objective published in the current Healthy People 2030 agenda (CO 5,6). Use the reading and your current/past nursing practice as a framework for your analysis (CO 5,6). Instructions:  You must cite and reference the course materials in your initial

Patient Centered Care

 Consider the importance of patient and family centered care as it relates to care coordination (think of engaging the patient and family in developing and understanding the plan of care [i.e who will deliver care? When? What is their role?]. Choose one patient from the scenario assigned to your group to discuss

schizo7

 Schizophrenia Spectrum Case   Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.  Summarize the clinical case including the significant subjective and objective data. Generate a primary and two differential diagnoses. Use the DSM5 to support the

mental Health

Activities Select a Movie for the APA Paper Assignment from the list below: · 28 Days · A Beautiful Mind · As Good as it Gets · Girl Interrupted · Iris · Mr. Jones · The Best Little Girl in the World · The Three Faces of Eve · Days