NU668 2022 November Assignments Latest (Full)

NU668 Roles and Issues in Advance Practice Nursing

Week 1 Assignment

Elevator Speech on the Role of the NP

Instructions

The purpose of this assignment is to prepare you as future APRNs to communicate your professional role and clarify the difference between APRNs and other advanced practice healthcare providers. Once you have presented this, you will work on making this more concise and compelling since you will be asked these questions in your new role.

Using Screencast-O-Matic, Zoom, or YouTube, create a video that is 3 to 5 minutes in length and shows your face and uses your voice. Answer the following questions:

What is a Nurse Practitioner?

How does a Nurse Practitioner differ from a Physician Assistant?

How does a Nurse Practitioner differ from a Physician?

Why don’t you just become a physician?

If you have never recorded a presentation, Screencast-O-Matic is a free, easy-to-use tool recommended for this purpose. Instructional videos on how to use Screencast-O-Matic are available at Screencast-O-Matic Help Videos.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 4 Assignment

Instructions

The purpose of this assignment is to practice evaluating patient encounter notes to identify appropriate Current Procedural Terminology (CPT) codes to submit for billing. This is an important skill to master as an NP.

In this assignment, you are provided with three patient SOAP notes from an encounter with an NP. Using the Required Readings and Required Resources, identify the appropriate code (i.e., 99211, 99212, 99213, etc.) that should have been billed for the visit. In addition, provide detailed rationale on how you came to this decision. Please use the Patient Billing Template (Word).

Patient 1 SOAP note (Word)

Patient 2 SOAP note (Word)

Patient 3 SOAP note (Word)

Submit the completed Patient Billing Template to this assignment.

In order for this assignment to be considered complete, you will need to complete the coding for each of the three patients and cite rationales for your decision using the most current APA format by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.

SOAP Note 1

Maria Rodriguez

Age: 25 y.o.

Ethnicity: Hispanic

Past Medical history: None

Past Surgical History: Tonsillectomy age 7

Medications: none

Family history: Mother Diabetes, Father Hyperlipidemia

Employment: works as a phlebotomist full time

S: Maria is an established patient who presents to office today for birth control. Pt is in a monogamous relationship with her current boyfriend of 4 months and is using condoms 100% of the time. Pt would like to start a more reliable form of birth control. Menarche 12 y.o menses: every 28 days and lasts for 5 days, patient denies cramps or irregular menses history.  Patient is a non-smoker and does not use any substances. Last pap was 6 months ago negative for cytology. Gonorrhea and Chlamydia culture 6 months ago was neg/neg. HPV vaccine completed.

O: 5 feet 6 inches 140 pounds   98.4-80-16-122/76

General: Healthy appearing Hispanic woman in no apparent distress

Skin: No skin lesions identified

Head: Normocephalic, good hair distribution, no alopecia no nits

Eyes: Symmetrical with no erythema or discharge. Vision grossly normal

Ears: Symmetrical with gross hearing intact

Nose: midline, no septal defect, no discharge

Mouth: good dentition, moist mucous membranes

Cardiac: HR 80 normal sinuses rhythm, no S3 or S4, no arrhythmias noted

Lungs: Clear to auscultation bilaterally A & P, no use of accessory muscles

Abdomen:  flat, soft, non-distended. Bowel sounds active in all 4 quadrants, tympanic throughout, no hepatosplenomegaly, no rebound or guarding.

A: Contraception Counseling

P: Diagnostics up to date

Education: During the 20-minute face-to-face visit, I discussed with patient the various forms of contraception including barrier, hormonal, non-hormonal, abstinence and natural family planning. Discussed efficacy, cost, risks and benefits of each method, using the Birth control option handout.  Discussed timing to start method and how to use method to ensure efficacy.  Patient decided to start oral contraceptives. Discussed Sunday start, daily dosing, missed pills, common side effect and major side effects, such as ACHES and when to call.

Continue Condom use for STD prevention

Pharm: Ortho-Tricyclen 28 day, 1 pill every day to start on Sunday after first day of menses. 3 refills

Referrals: none

Follow- up: 3 months

SOAP Note 2

Patient name: Rebecca Jones

S:

This new patient is a 26-year-old woman who presents to the primary care office complaining of “a sore throat and cold that has gotten worse.” Patent states that her cough has been productive with thick yellow-green sputum. The patient explains that she has a sore throat, stuffy nose, and a fever. Patient estimates that she has had the “cold” for the past three weeks and it has not gotten any better.

Aggravating factors: ambulation (short distances) and smoke.

Relieving factors: cold beverages, cough syrup, cough drops, rescue inhaler one to two times a week, and allergy medicine with minimal effect.

She denies any known sick contacts. She explains that she does not normally get colds that last this long but usually gets them once or twice a year. The patient reports smoking a pack of cigarettes a day and denies alcohol or drug use. The patient has no known diagnosed allergies. No additional concerns at this time.

ROS- Patient denies: chills, travel, headache, chest pain, chest tightness, palpations, wheezing, nausea, vomiting, loose stools, blurry vision, floaters, nausea, vomiting, or loose stools. No foreign body visualized, new bites, flushing, pruritus, anxiety, faintness, blunt force trauma, new foods/ medications/ hygiene products, or sense of impending doom.

Medical history per chart review and patient: asthma, upper respiratory infection on 1/9/17 treated with Z-Pack. The patient denies any cardiovascular issues.

Surgical history: laparoscopic appendectomy 3/23/14, admitted for two days. Familial history, hypertension. The patient is currently employed as a receptionist.

Social History: The patient is single and lives alone in an apartment. The patient is a one pack a day smoker.

Health Promotion: due for pneumonia vaccination (PPSV23).

Medications: Paragard IUD. Albuterol 180mcg oral inhalation two puffs with spacer every six hours as needed for shortness of breath.

O:

General Survey—Alert, friendly, well-kempt woman, good historian.

Vital signs: temperature 98.4, heart rate 114, respirations 25, blood pressure 112/62, SPO2 92% room air.

Head: normocephalic, no lumps or lesions.

Face: symmetrical, no drooping.

Eyes: clear sclera, clear conjunctiva, PERRLA.

Cardiovascular: regular—elevated rate, no rubs, gallops, or murmurs, no jugular vein distention, capillary refill time less than 3 seconds.

Integumentary: skin warm, dry, intact, good turgor. Lap sites scars.

Mouth: lips intact, no caries, moist erythemic mucosa, enlarged tonsils grade 2, no lesions noted.

Nose: no polyps, erythema in both nares, no blisters, petechial, ulcerations.

Throat: erythema, thick yellow-green sputum, no lesions, no difficulty swallowing.

Neck: trachea midline, no nodules, no bruits, no stridor; swollen and tender submental, submandibular, superficial cervical and posterior cervical lymph nodes.

Lungs: tachypnea, coarse inspiratory crackles in right lower lobe, diminished lung sounds in the bases, dullness sound with percussion over right lower lobe; positive tactile fremitus, bronchophony muffled, and egophony abnormal. No nasal flaring, perioral or nail bed cyanosis, sternal, subcoastal, intercostal, or supraclavicular retractions.

A:

Community Acquired Bacteria Pneumonia, RLL

Differential Diagnosis:

1.            Nasopharyngitis

2.            Postnasal drip syndrome

3.            Acute Bronchitis

Possible organisms: need sputum and nasal cultures to determine organism

Haemophilus influenza

Group A beta-hemolytic streptococcus

Group C and G streptococci

Chlamydia pneumoniae

Diphtheria

Mycoplasma pneumonia

Legionella pneumophilia

Neisseria gonorrhoeae or chlamydia trachomatis

Influenza A, B

Epstein-Barr

Coccidioidomycosis

Histoplasmosis

Blastomycosis

P:

Diagnostic tests: rapid strep test, Influenza type A and B swabs, COVID-19 swab. Consider a 2-view chest X-ray (if swabs are negative), and complete blood count with differential.

Pharmacologic interventions: azithromycin 500 mg on day 1 followed by four days of 250 mg a day, acetaminophen 650 mg by mouth as needed for fever of pain or ibuprofen 400 mg by mouth every six hours as needed for fever or pain.

Non-pharmacologic interventions: gargle with warm saltwater (1 tsp salt to 1 cup water), avoid smoking and other respiratory irritants (smoke, automotive exhaust, pollen, dust, dander, strong scents such as perfume), increase nonalcoholic fluid intake, rest, increase room humidity.

Referrals: None at this time. Pulmonology if condition does not improve with oral antibiotics.

Education: side effects of azithromycin, antibiotic teaching about finishing treatment, cough hygiene, fluids, soft foods, when to go to the emergency room, when to call the office.

Follow-up: call the office or go to the nearest emergency room if you have a fever greater than 101, shaking, chills, confusion, blue fingernaisl or lips, have increased cough, difficulty breathing at rest, or increased shortness of breath. Please follow up in the clinic in one week.

SOAP Note 3

Source: MT (self) and facility staff

Reliability: good

MT is an 88-year old white male established patient, who has been in the assisted living facility for the past 2 years. He was living with his oldest son and his family for about 15 years. He said his son kept all his pension and social security money and only gave him $50 every month. He said he finally asked his doctor to help him get a referral for social services when he was hospitalized for a fall incident with no complications or sequela.

He is being seen today for his monthly follow-up visit. He said he feels fine except that he started to have on and off loose stools in the past two weeks. The facility staff put him on diapers to prevent him from soiling his pants.

Subjective: Chief Complaint: Diarrhea

Onset of diarrhea 2 weeks ago. Loose watery brown stools about 2-3 times a day but not every day. Denies blood or mucus in his stool. Denies abdominal pain or cramping. MT said he gets an “accident” sometimes and soils his pants. He said he cannot get to the bathroom on time to have a bowel movement. He said he cannot walk fast enough. Denies urinary incontinence. Denies having eaten any exotic or rotten food. He had not been out to eat in the restaurant. Denies having any antibiotics in the past 2 weeks. Facility staff denies having any gastroenteritis cases in the past two weeks. Denies fever, nausea or vomiting. Denies contact with anyone with same symptoms and denies recent travel. He said he did not take any OTC treatment.

ROS: Denies fever, fatigue or chills; Respiratory: Denies cough; Cardiovascular: Denies palpitations; GI: Denies nausea or vomiting, abdominal pain; Reported diarrhea on and off for the past 2 weeks. GU: Denies urinary frequency, urgency or dysuria

Allergies: No Known Allergies

Current medications: Donepezil 5 mg at HS (started 4 weeks ago with previous follow up visit). Vitamin D3 once daily, Vitamin B Complex once daily, Alendronate 70 mg once weekly

Medical History: Alzheimer’s Dementia; Osteoporosis

Surgical History: Inguinal hernia repair, Cataract surgery with lens implant

Social History: Lives at the assisted living facility. He was married once. His wife died about 17 years ago. He has five children.

Smoking: Never smoked; Alcohol: Denies alcohol use; Coffee: 4 cups a day

Family History: Mother died at age 93 from old age; Father died at age 48 from Malaria complications.

Vital signs: BP 108/72 mmHg Temp: 98.4 F HR: 78 bpm RR: 18 bpm

Height: 70 inches

Weight: 150 pounds

Objective:

Physical Examination: Alert awake and oriented to person, place and situation; well nourished; Pharynx: Buccal mucosa is moist, no erythema or edema; Respiratory: Lungs clear to auscultation with no adventitious lung sounds; Cardiovascular: Heart rate regular, with no murmurs; Abdomen soft, non-distended, with normal bowel sounds on all four quadrants; no tenderness, no rigidity, no rebound tenderness, no guarding; No CVA; Skin: warm, dry and intact with good turgor. Walks with a cane.

MT is appropriately dressed and well groomed. He has good eye contact and is cooperative. Mood is euthymic with full range affect. He knows the month and the year but does not remember the exact date and day of the week. Speech, language and responses are normal. Immediate recall is 3/3 and delayed memory recall is 1/3. Serial 7’s counting backwards from 100 is accurate. Spelling WORLD backwards is correct. Judgment and insight is good. Perceptual disturbances such as hallucinations and delusions are not observed. MMSE = 26/30

Clock Drawing: Correctly drew an analogue clock with minute and hour hands at 2:45

Assessment:       Mild Neurocognitive Disorder due to Alzheimer’s Dementia

Drug-Induced Diarrhea

The most common side effects of donepezil are nausea, and diarrhea. The prevalence increases with higher doses. The side effects are usually transient and for most patients, the side effects resolve in 2-3 weeks (Rosenblatt, Gao, Mackell, & Richardson, 2010).

Differential Diagnosis

1.            Infectious diarrhea is caused by enteric pathogens such as bacteria, viruses and parasites. Common pathogens are Vibrio cholerae, Clostridium difficile, Shigella, and Escherichia coli. Examples of parasites are Giardia lamblia and Entamoeba histolytica (Hodges & Gill, 2010). Although the history and pattern of diarrhea appears to be drug-induced diarrhea, infectious diarrhea still needs to be ruled out (Hodges & Gill, 2010).

2.            Gastroenteritis is a viral infection of the intestines that usually causes watery diarrhea, abdominal cramps, nausea or vomiting. Sometimes it is accompanied by fever. Many different viruses cause viral gastroenteritis such as rotavirus and norovirus. Most viral gastroenteritis is self-limiting and does not usually last for over 2 weeks (““Stomach Flu”,” n.d.).

3.            Functional Diarrhea is chronic diarrhea without a known cause. It is also classified as a functional gastrointestinal disorder (FGD). The Rome III diagnostic criteria for FGD is a change in stool consistency occurring in at least the last 3 months with onset at least 6 months prior to diagnosis. Functional diarrhea is different than Irritable Bowel Syndrome – diarrhea type (IBS-D) due to a lack of abdominal pain that is present in IBS-D (Bolen, 2017). MT has diarrhea on and off for the past 2 weeks.

Plan: Discontinue Donepezil

Labs: Stool C & S; O & P; CBC

Facility staff to report worsening diarrhea

Patient Education: Rehydration therapy

Follow up in 1-2 weeks or sooner as needed. Follow up when lab results are back.

Referral: None as of this time

 

NU668 Roles and Issues in Advance Practice Nursing

Week 5 Assignment  

Individual Professional Practice Document: Scope of Practice

Instructions

During this course, you will be developing an Individual Professional Practice Document (IPPD) that will identify the regulations, requirements, certification, and rules of the state in which you plan to practice as an APRN upon graduation. As you complete certain modules, you will be asked to add to the IPPD, so it is essential that you keep it handy and edit it along the way as you receive feedback from your faculty. Adding to the document with each assignment will produce a complete document by the end of the course. Using the document you submitted in Week 1 Assignment 2: Individual Professional Practice Document: NP Title, Definition, and Consensus Model, please add the following information:

Access the Nurse Practitioner Interactive Map feature and select the state or states you expect to practice in as an APRN. Then select the link for the state’s Nurse Practice Act. This document is located on each State Board of Nursing’s website and will identify the regulations for the NP scope of practice for that state. Appendix 2A in the Buppert textbook provides you with additional information although the website will be most current. Please review the nurse practice act and provide a summary of the scope of practice for NPs in the state you intend to practice. Make sure that you are submitting a summary; do not cut and paste information.

Access the Nurse Practitioner Interactive Map feature and select the state or states you expect to practice in as an APRN. Then select the link for the state’s Nurse Practice Act. Review the information related to the state’s physician collaboration/ supervision requirements, if applicable. Do not address prescriptive practices in this assignment; instead, address the regulations related to practice in the advanced role. In addition, see Appendix 2B in the Buppert textbook although the website will be most current. Provide a summary of any restrictions of practice and supervisory/collaborative practice agreements that are required related to the scope of practice. Make sure that you are submitting a summary; do not cut and paste information. Please provide a hyperlink to this information.

Identify the Regulatory Agency for NP Practice. See Appendix 3A in the Buppert textbook and verify this information with your state’s website, include the hyperlink for this information.

Provide information related to the qualification and licensing for APRNs in your selected state and include the hyperlink to where you located this information. Submit this as a summary; do not cut and paste information.

Identify the NP qualification requirements (do not address prescriptive authority yet) for the state or states in which you plan to practice as an APRN, which is accessible from the Nurse Practitioner Interactive Map. In addition, see Appendix 3B in the Buppert textbook although the website will be most current.

Identify the APRN licensing requirements for the state you intend to practice. Strive to create this as a summary and add a hyperlink for future reference, if available.

In order for this assignment to be considered complete, you will need to address all the prompts including details about the nurse practice act, required physician collaboration (if applicable), regulatory agency identification, and the qualification and licensing requirements for the APRN by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 6 Assignment  

Individual Professional Practice Document: Prescriptive Authority

Instructions

After passing your certification exam, the next step is to obtain your Nurse Practitioner license. Then you should apply for prescriptive authority in the state in which you plan to practice. In some states, this requires a collaborating/ supervising physician; in some states, there are restrictions for NP prescribing. After you obtain a state prescriptive license, you must apply for a federal drug enforcement administration (DEA) certificate so that you can prescribe controlled substances. Use the following resources to complete this week’s IPPD assignment

Nurse Practitioner Interactive Map

Drug Enforcement Administration (DEA)

DEA Forms and Applications

Using the document you started in Week 1 Assignment 2: Individual Professional Practice Document: NP Title, Definition, and Consensus Model and added to in Week 5 Assignment 1: Individual Professional Practice Document: Scope of Practice, please add the following information to the Week 6 area. Using the Nurse Practitioner Interactive Map, select the state or states where you plan to practice and become familiar with each state’s regulations related to NP prescriptive authority. In some states, prescriptive authority is explained in the Board of Nursing (BON) and the Department of Public Health (DPH), so you might have to search the DPH website as well. You must also meet the federal DEA regulations for your state to be licensed to prescribe controlled substances.

What are the prescriptive authority requirements for the state in which you intend to practice? Is there a MD collaborative or supervisory regulation related to non-controlled substances or controlled substances? Are there any restrictions for NP prescriptive practice? Does the state utilize a system-wide drug monitoring program to assist with the prevention of overprescribing?

Include a hyperlink to the state prescriptive authority regulations.

Does the state allow DEA licensure? What are the requirements to obtain a DEA certificate? Are there any MD collaborative/ supervisory regulations related to controlled substance prescribing? Are there any restrictions to prescribing controlled substances, including opioids and naloxone authority?

Include the federal DEA hyperlink.

In order for this assignment to be considered complete, you will need to address all the prompts including details about the prescriptive authority in your state, regulation of controlled substance prescribing, and the DEA requirements by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 8 Assignment  

Conflict Reflection

Instructions

Using the Reflective Conflict Guide for the APN (Word), think back to a clinical or practice situation in which a conflict arose. This can be a recent event or one from many months ago. After reading the required readings, begin to apply what you have learned to that situation by following the prompts in the conflict guide. This reflection will not be shared with your classmates, because the goal of this exercise is to have you truly reflect on a situation that was unethical, immoral, negligent, or the like so that you can identify appropriate actions if put in the same position in the future.

In order for this assignment to be considered complete, you will need to complete all portions of the Reflective Conflict Guide by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 9 Assignment  

Legal Case Study

Instructions

In this assignment, you are required to complete only one case study from the following six case studies based on your Nurse Practitioner specialty track.

If you are a Pediatric NP student, you must complete the Pedi NP Legal Case Study.

If you are an Adult Gerontology Primary Care student, you must complete the Adult-Geriatric NP Legal Case Study.

If you are a Psych/Mental Health student, you must complete the PMHNP Legal Case Study.

If you are a Women’s Health student, you must complete the Legal Case Woman’s Health Study.

If you are a Family student, you must complete the Legal Case Family NP Study.

If you are an Adult Gerontology Acute Care student, you must complete the AGACNP Legal Case Study.

Purpose: The purpose of this paper is to foster your synthesis of course content relevant to medical liability concepts. You should complete the learning materials before completing the case because important background information is included in these resources.

Process: A rubric is provided to assist in communicating the expectations for this assignment. The questions in each case study are designed to direct the focus of your paper. Reference the case study where appropriate, especially in the discussion about the standard of care.

Case Navigation: Begin by clicking the About the Patient tab on the main page. Read the information on that page, then click the Next link in the bottom-right corner of the page. Click each tab on the left side of the screen and read the revealed information. When you have finished reading the patient’s situation, select the Review the Case tab, which provides you with the questions you must respond to for this assignment. Please answer the questions listed, because they relate to the case and the learning material related to malpractice and standard of care.

Remember to use APA format, including a cover sheet and a reference list.

The paper should be about three to five pages in length.

For this assignment to be considered complete, you must address all the prompts and follow the grading rubric for your population-specific legal case study by Day 7.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 10 Assignment 1

State and National Networking

Instructions

Using the IPP document you started in Week 1 and added to in Weeks 5 and 6, please add the following information:

Identify one state and one national professional organization in the area in which you will reside/ practice that will provide you with professional networking opportunities.

Please identify the organizations, their purpose, membership fees, and the resources they provide. Professional organizations include Nurse Practitioner Associations or specialty organizations such as Nurse Practitioners in Women’s Health (NPWH). Please summarize this information; do not cut and paste to your IPPD assignment.

Refer to the Nurse Practitioner Interactive Map for details on Nurse Practitioner Association websites.

For this assignment to be considered complete, you must identify at least one state and one national professional organization and address all prompts by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.

 

 

 

 

NU668 Roles and Issues in Advance Practice Nursing

Week 10 Assignment 2

Curriculum Vitae (CV) Development

Instructions

Using the material provided in required readings and resources, develop a professional CV that you will use in your employment search as a nurse practitioner. Please follow the helpful tips provided by the career office, because future employers will be looking at your CV before they meet you.

For this assignment to be considered complete, the CV must be completed in its entirety and submitted by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.

To Submit Your Assignment:

 

NU668 Roles and Issues in Advance Practice Nursing

Week 10 Assignment 3

Cover Letter Development

Instructions

Create a professional cover letter that you would use in your employment search as a nurse practitioner. Please follow the helpful tips presented in the graduate career offices presentation when developing this letter. Professionalism is key; remember that you are selling yourself here in a very succinct way so that your future employer is compelled to invite you in for an interview.

For this assignment to be considered complete, the cover letter must be completed by following the directions and submitted by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 11 Assignment

Mock Interview

Instructions

For this assignment, you are paired with a classmate and will conduct a mock interview video recording. Each of you plays the role of the interviewer and the interviewee, asking the Interview Questions (PDF) provided for this assignment. This interview should be recorded with your face visible and your voice heard and uploaded into Moodle and should not be more than ten minutes for each interview. In the event that there are three members in your group, please take turns being the interviewee and interviewer.If you have never recorded a presentation, Screencast-O-Matic is a free, easy-to-use tool recommended for this purpose. Instructional videos on how to use Screencast-O-Matic are available at Help Videos for Screencast-O-Matic. Alternatively, you can choose to use any other video recording tool of your choice.

For this assignment to be considered complete, you must follow the prompts and record an interview with your assigned partner in both the role of the interviewer and the role of the interviewee and submit the video URL to the assignment DropBox by Day 7.

 

NU668 Roles and Issues in Advance Practice Nursing

Week 13 Assignment

Professional Advocacy

Instructions

For this assignment, you will submit two letters.

One letter will be written to your state senator or state representative to advocate for a professional issue that is relevant to your state of practice. Select State Legislature Websites to locate your state legislators.

The second letter will be written to your member of the U.S. Congress (your U.S. senator or your U.S. House of Representatives member). To locate your U.S. senators and U.S. representatives, use these links:

Find your U.S. Senators

Find your U.S. House Representative

Using the information from Week 13 Discussion 1: APRN Political Action State Initiatives on the issues identified by your state professional organization advocacy team, write a letter to one of your members of the U.S. Congress (U.S. Senate or U.S. House of Representatives) and a letter to one of your state legislators.

In these letters, identify:

The issue

Why it is an

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.