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Textbook: Lewis, J. A., Dana, R. Q., & Blevins, G. A. (2018). Substance
abuse co
Textbook:Lewis, J. A., Dana, R. Q., & Blevins, G. A. (2018). Substance abuse counseling. (6th
ed.). Cengage Learning, Inc.Chapter 7People sometimes question the use of relapse
prevention training as part of treatment, saying that if clients expect to relapse, they will.
What are the pros and cons of addressing the issue of relapse as part of treatment? At what
point would you introduce the subject? Additionally, The abstinence violation effect is also
subject to controversy. Some people suggest that if clients are told that they must be
absolutely abstinent at all costs, they will be unable to cope with a slip. Other people suggest
that an all-or-none approach is necessary because clients must be discouraged from
thoughtlessly experimenting with drugs. What are the strengths of each of these
arguments? How do you think this issue can be resolved most effectively?

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Running head: PROJECT MILESTONE TWO 1. PROJECT MILESTONE TWO 6. Running head: FINAL PROJECT MILESTONE 3. Southern New Hampshire University January 6th, 2019 Research question: “Does self-disclosure of the therapist improve eating disorder treatment.” Hypothesis: Self-disclosure of the therapist improves eating disorder treatment. Information On Research The key variables for this research are self-disclosure of the therapist and eating disorder treatment. This research will focus on online research whereby participants will be recruited from an eating disorder charity database. The participants will be asked about the status of their condition and how they feel about having the disorder. The neutral condition will be that the therapists will disclose their sexuality and their feelings towards the patients’ conditions and personality (Marziliano, Pessin, Rosenfeld, & Breitbart, 2018). Process of Study The study will continue for two months with the therapists making contact with the participants once every week. These conditions will form the independent variables. The dependent variable would be participants continued to receive positive self-disclosures from the therapist leading to a greater level of patient self-disclosure, which lowered their shame, and encouraged the participants to continue with the treatment process. The participants will also be asked if they have been involved in any treatment before, and how they could describe their therapeutic alliance (Fuertes, Moore, & Ganley, 2018). A longitudinal study and the rate of drop-out will be used to gather more information about the participants. The collected data will then be analyzed in relation to the independent variables by the end of the study. One of the ethical issues, which will be looked into while conducting the study, is informed consent. Participants will be informed about the purpose of the research and will have the right to participate or not participate in it. Secondly, the research will ensure the privacy and confidentiality of every participant. Annotated Bibliography: Secrecy and concealment are typical behaviors in individuals with eating problems. In the article titled “ Self-Disclosure in eating disorders,” researchers examined women with greater related eating issues and determined whether or not, these women would be willing to disclose information. In this study, different types of disclosure were calculated considering the body appearance of the individual and to restrained eating. This article would benefit my research because it provides great information that will confirm my theory and test my hypothesis. Abstract 1. Those who suffer from eating disorders are very emotional beings. Often times, some may not feel a need to express their need to not eat foods. Many women become self-conscious about their weight and find it hard to share th.

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Applying Library Research Skills Healthcare professionals such as nurses and doctors are in danger of making errors, very much like any other individual in the world. The difference between healthcare professionals and others is that these mistakes can have destroying outcomes. Some simple mistakes include neglecting to break a pill in half or as serious as administering a medication to the wrong patient. Guaranteeing that patients are protected should be the main goal that healthcare professionals should follow. One of the top issues in healthcare facilities such as hospitals and long-term facilities is medication errors. One of the big topics learned in nursing school is the seven medication administration rights. These rights consist of the right documentation, right route, right reason, right medication, right time, right patient, and the right dose. Each of these administration rights helps prevent serious harm such as death to a patient. As a registered nurse, it is my responsibility to follow these rights when caring for my patients. Before administering, it is my duty to have the correct order for the medication before giving it. I must understand how each medication works as well. Along with my duty to act out the seven administrative rights, the nursing facility software can prevent medication errors but should not be relied on. Identifying Academic Peer-Reviewed Journal Articles I searched for peer-reviewed journal articles relevant to my topic utilizing Harvard University Library’s databases. The search engine Summon was located in the library database, which helped me search. Then I searched keywords to help with my search, such as “medication errors” and “medication safety.” After placing my keywords in, I refined my search to show “peer-reviewed” and journals published in the last five years. Having articles published in the last five years makes research credible and up to date. Lastly, I read through articles to find relevant ones to my topic that bring forward a resolution to the problem. Assessing Credibility and Relevance of Information Sources Important steps were taken to provide my article with credible sources. Before choosing my articles, I used these steps while refining my search. I made sure that my search only gave me peer-reviewed articles. To ensure that the information was up to date, I picked articles published in the last five years. Again, I made sure that the topics were relevant and resolved my problem. Many articles were found relating to “medication errors,” “medication administration,” and “patient safety.” Annotated Bibliography Latimer, S., Hewitt, J., Stanbrough, R., & McAndrew, R. (2017). Reducing medication errors: Teaching strategies that increase nursing students' awareness of medication errors and their prevention. Nurse Education Today, 52, 7–9. https://doi.org/10.1016/j.nedt.2017.02.004 This article began by showing awareness of medication errors worldwide that is creating a quality of car ...

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Ethical Dilemma In the documentary The Invisible Patients, Jessica, a nurse practitioner for home-limited patients, is faced with several ethical dilemmas. For example, Jessica provides care for an elderly couple named Wink and Patty Sherrill. Both Patty and Wink are prescribed narcotics to manage their arthritis pain. During a routine urine drug screen, it is discovered that Patty does not have any trace of her pain medication in her system, yet she is still having her narcotic prescription refilled regularly. This obviously raises concerns for medication diversion. Patty is presumably giving her narcotics to her husband or selling her narcotics, which is a clear violation of her pain contract. She is banned from her primary care MD’s practice, which causes her great difficulty in finding another healthcare provider. Jessica feels that it is her responsibility to provide care for this couple. This scenario raises the ethical dilemma of beneficence versus nonmaleficence. The principle of beneficence is “the duty to do good and prevent or remove harm" (Hamric, Hanson, Tracy, O'Grady, 2014, p. 337). Prescribing narcotics to those experiencing chronic pain and disability is a necessary and beneficent act of healthcare providers. The principle of nonmaleficence is “the duty not to inflict harm or evil” (Hamric et al., 2014, p.337). Prescribing narcotics to a patient who is suspected of narcotics diversion has the potential to cause harm to the person who is taking the narcotics illicitly. Jessica must now decide which principle to follow and which principle to potentially break. Jessica decides that even though Patty is abusing her prescription, she does in fact still need her narcotics and continues to prescribe the pain medicine. My Solution In this scenario, I would not continue to prescribe Patty narcotics. Since she is not taking her pain medications but still seeking refills, she is abusing her prescription and the trust placed in her. If she is diverting her narcotics to her husband and/or selling them on the street, this places Wink and/or the narcotic abuser at risk for health complications such as respiratory depression, constipation, drug dependence, increased tolerance, and narcotic withdrawal in the future. I believe Wink has a legitimate need for pain medications, but he should be honest and open with Jessica about the need to increase his pain medications or try different modalities if his pain is not properly controlled. Regardless of motive, illegally diverting narcotics is a breach in contract and should not be overlooked. If I were presented with this scenario, I would have talked with Patty and Wink about Patty’s narcotic diversion and sought an alternative solution to continuing to prescribe narcotics. If Patty were in fact giving her narcotics to her husband to help control his pain, I would adjust Wink’s medications and pain management strategy. If they were selling their excess n.

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1. Textbook: Lewis, J. A., Dana, R. Q., & Blevins, G. A. (2018). Substance abuse co Textbook:Lewis, J. A., Dana, R. Q., & Blevins, G. A. (2018). Substance abuse counseling. (6th ed.). Cengage Learning, Inc.Chapter 7People sometimes question the use of relapse prevention training as part of treatment, saying that if clients expect to relapse, they will. What are the pros and cons of addressing the issue of relapse as part of treatment? At what point would you introduce the subject? Additionally, The abstinence violation effect is also subject to controversy. Some people suggest that if clients are told that they must be absolutely abstinent at all costs, they will be unable to cope with a slip. Other people suggest that an all-or-none approach is necessary because clients must be discouraged from thoughtlessly experimenting with drugs. What are the strengths of each of these arguments? How do you think this issue can be resolved most effectively?