Clinician-Rated Test Essay

Currently, standardized tests do not improve the education of students in America. Standardized testing is not an accurate measure of student’s knowledge because they are designed to test an extremely broad amount of students who do not have the same educational background. This makes it incredibly difficult to test students across the world on the same level and expect their scores to reflect their education. Standardized testing, by definition, is any test containing the same questions that is administered to a vast group of people for the purpose of comparing different student’s test scores. This issue is important because it affects the entire academic community, positively and negatively. Therefore, all teachers, students, school staff, and test administrators have some involvement with standardized testing. The vast majority of people in America have taken a standardized test sometime in their life, which makes these tests vital in the

____X___ 42. I adopted a dog from a junkyard which is very close to my heart.

Standing (2011), defines clinical decision-making as a complex process that involves observation, gathering information, critical thinking, evaluating evidence, applying necessary knowledge, reflection and problem-solving skills. Every day nurses make important clinical decisions and these decisions have important implications for patient outcomes and deserve serious consideration. Therefore, it is important for nurses to have a better insight of the decision-making process, be able to deliver holistic care and meet essential and complex physical and mental health needs of the patient.

It is sometimes argued that “the creators of DSM-III and DSM-IV sacrificed validity for the sake of reliability”(Wakefield, 1992, cited in Gray, 2002, p 614). This refers to greater emphasis being placed upon superficial symptoms and less upon underlying symptoms and possible cause which could have an important influence upon individuals (Gray, 2002). Since behavior always involve interaction between the individual and their environment, it can be difficult to assess whether the disorder is within the person or whether it is an environmental influence such as a traumatic experience or related to poverty (Gray, 2002, p.612). This can cause problems when diagnosing is extremely difficult to scientifically distinguish between people’s normal responses or whether it is something more (Gray, 2002).

In this paper I discuss the creation, distribution, and results of a psychological test. The test consisted of knowledge and self-report sections, which tested the construct of “The AZA and Zoos”. According to their website, The Association of Zoos and aquariums (AZA), is an independent, non-profit organization that grants an optional accreditation to zoos, aquariums, and wildlife sanctuaries. Institutions that meet their strict standards for animal welfare and care after a series of inspections and interviews are granted a five-year accreditation. In addition to their standards for animal care, they are also invested in conservation of species, and education of the general public (AZA, 2016). The knowledge portion evaluated general knowledge of the AZA policies and procedures, while the self-report evaluated overall opinion on Zoos. An example item for the knowledge portion was item three “An AZA accreditation is not necessary to operate a zoo “. An example item for the self-report portion was item 32 “I think zoos are a positive enrichment activity for children “. The intended survey population for this survey was the general population.

This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has

According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR), “the essential feature of

Reliability generalization examines reliability of scores from tests and detect the causes of measurement error (Kline, 2005).

He was used to live in his brother’s shadow, but when the boat accident happened to them, he was the only one to survive. As he was always indentifying himself the less important one, he considered it was wrong that he was the one who would still have a life. As a result of nervous breakdown, he tried to kill himself with cutting his wrists in the bathroom, fortunately his father found out and save him. Then he went to the psychiatric for four months. When he comes back, there are still issues he needs to deal with.

Despite technological and medical advances today, chronic disease and resultant co-morbidities are prevalent in the Australian Healthcare System. As a result, patients, especially in the acute care setting, have more complex care needs. The management and care of patients with these complex care needs present a challenge for the contemporary nursing professional. Positive patient outcomes will be dependent on a number of factors, such as the assessment of the patient’s condition, the identification of potential risks for the patient, the planning of appropriate care and the management of the subsequent interventions that may be required.

DSM-IV TR, which stands for Diagnostic and Statistical Manual of Mental Disorders (4th edition), Text Revision was published by the American Psychiatric Association in 2000 and serves as a guide book for many health professionals to diagnose a patient with a mental disorder. It also helps health professionals to determine what types of treatment could be carried out to help the patient. The latest DSM is widely used, especially in the USA and many European countries.1However, it may not be completely followed by health professionals as they know that there are some weaknesses of the latest version of DSM as well. This essay will discuss the strengths and

The manual discusses internal consistency and test-retest in terms of reliability. Internal consistency is measuring how scores on individual items relate to each other or to the test as a whole. In two subsample studies, high internal consistency was found. In the first study, with a mixed sample of 160 outpatients, Beck, Epstein et al. (1988) reported that the BAI had high internal consistency reliability (Cronbach coefficient alpha = .92), and Fydrich et al. found a slightly higher level of internal consistency (coefficient alpha = .94). This means that the items on the BAI are all measuring the same variable, anxiety.

This essay will discuss a clinical skill in which I have become competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development.

This report will discuss the health assessment of a client who presented to my PEP facility, Clinic 275. Clinic 275 is a confidential and complimentary walk-in sexual health service which provides medical consultation/advice, testing and treatment for sexually transmitted infections (STIs) (SA Health 2016a). Ultimately, this paper will illustrate how an ongoing health assessment, history taking, provision of client education and care options of certain STIs are fundamental to guiding the planning, implementation and evaluation of care for specific people. All information regarding the client, who will be referred to as R, was permitted for use by the facility and will maintain confidentiality in accordance with the guidelines of the Government of South Australia (2015, p.7; Nursing and Midwifery Board of Australia 2016).

Max Hamilton created the Hamilton Rating Scale for Depression and published the original assessment in 1960. The room for improvement of the Hamilton Rating Scale for Depression was advised, which led to the revision of the assessment in 1994. This assessment is aimed to benefit adults eighteen and older who have been diagnosed with depression. The Hamilton Rating Scale for Depression is a 21-item questionnaire administered by interview, that requires an estimate of ten minutes (Reynolds & Kobak, 1995)