NURS6501 Week 9 Quiz

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NURS6501 Week 9

(NURS6501 Week 9 Quiz )

Walden  NURS6501 Week 9 Quiz 

Question 1

A patient wants to know what can cause ACTH to be released.How should the nurse respond?

a. High serum levels of cortisol
b. Hypotension
c. Hypoglycemia
d. Stress

Question 2

A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?

a. Aldosterone
b. Testosterone
c. Cortisol
d. Prolactin

Question 3

A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:

a. Diffusion
b. Osmosis
c. Active transport
d. Endocytosis

Question 4(NURS6501 Week 9 Quiz )

A 45-year-old female has elevated thyroxine production.Which of the following would accompany this condition?

a. Increased thyroid-releasing hormone (TRH)
b. Increased anterior pituitary stimulation
c. Decreased T4
d. Decreased thyroid-stimulating hormone (TSH)

Question 5

A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery?

a. Increased serum calcium
b. Decreased bone formation
c. Decreased calcium reabsorption in the kidney
d. Increased calcitonin

Question 6

A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?

a. High levels of circulating thyroid-stimulating antibodies
b. Ectopic secretion of thyroid-stimulating hormone (TSH)
c. Low circulating levels of thyroid hormones
d. Increased circulation of iodine

Question 7

A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?

a. Fasting plasma glucose levels
b. Random serum glucose levels
c. Genetic testing
d. Glycosylated hemoglobin measurements

Question 8(NURS6501 Week 9 Quiz )

A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the:

a. Anterior pituitary
b. Posterior pituitary
c. Pars intermedia
d. Pituitary stalk

Question 9

While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus.

a. Neurogenic
b. Nephrogenic
c. Psychogenic
d. Allogenic

Question 10

When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.

a. Pharmacologic
b. Permissive
c. Biphasic
d. Direct

Question 11

Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?

a. Polyuria
b. Edema
c. Vomiting
d. Thirst

Question 12

An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?

a. Growth hormone (GH)
b. Luteinizing hormone (LH)
c. Antidiuretic hormone (ADH)
d. Epinephrine

Question 13(NURS6501 Week 9 Quiz )

A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH).Which of the following electrolyte imbalances would be expected in this patient?

a. Hyponatremia
b. Hyperkalemia
c. Hypernatremia
d. Hypokalemia

Question 14

A patient wants to know why ADH is important in the body.What is the nurse’s best response? ADH is important in:

a. The body’s water balance and urine concentration
b. Maintaining electrolyte levels and concentrations
c. Follicular maturation
d. Regulation of metabolic processes

Question 15

A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?

a. Renal toxicity
b. Episodes of hypoglycemia
c. Hypotension
d. Type 2 DM

Question 16

If the patient has a problem with the pineal gland, which substance would the nurse monitor?

a. Melatonin
b. Epinephrine
c. Cortisol
d. Somatostatin

Question 17

A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?

a. Neurogenic diabetes insipidus
b. Psychogenic diabetes insipidus
c. Nephrogenic diabetes insipidus
d. SIADH

Question 18(NURS6501 Week 9 Quiz )

While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.

a. High
b. Low
c. Steady
d. Variable

Question 19

If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?

a. PRF
b. ADH
c. ACTH
d. GH

Question 20

An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?

a. Autoimmune disease
b. Cancer
c. Pregnancy
d. Heart failure

Question 21

What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?

a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities

Question 22(NURS6501 Week 9 Quiz )

A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?

a. Hypovolemia
b. Hypotension
c. Hypokalemia
d. Hyponatremia

Question 23

A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?

a. Increased insulin levels promote protein breakdown and ketone formation.
b. Her uncontrolled diabetes has led to renal failure.
c. Low serum insulin promotes lipid storage and a corresponding release of ketones.
d. Insulin deficiency promotes lipid metabolism and ketone formation.

Question 24

A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find?

a. Decreased IGF-1
b. Hypotension
c. Sexual dysfunction
d. Height increases

Question 25

A nurse recalls insulin has an effect on which of the following groups of electrolytes?

a. Sodium, chloride, phosphate
b. Calcium, magnesium, potassium
c. Hydrogen, bicarbonate, chloride
d. Potassium, magnesium, phosphate

Question 26(NURS6501 Week 9 Quiz )

A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response?

a. A familial, autosomal dominant gene defect
b. Obesity and lack of exercise
c. Immune destruction of the pancreas
d. Hyperglycemia from eating too many sweets

Question 27

When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by:

a. Pituitary hyposecretion
b. Parathyroid adenoma
c. Parathyroid gland injury
d. Hypothalamic inactivity

Question 28

A 50-year-old male patient is deficient in ADH production.Which of the following assessment findings would the nurse expect to find?

a. Increased blood volume
b. Increased urine osmolality
c. Increased urine volume
d. Increased arterial vasoconstriction

Question 29

A 30-year-old male was diagnosed with hypothyroidism.Synthesis of which of the following would decrease in this patient?

a. Corticosteroid B globulin
b. Sex hormone-binding globulin
c. Thyroid-binding globulin
d. Albumin

Question 30

A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate?

a. Dilutional hyponatremia
b. Dehydration from polyuria
c. Cardiac arrest from hyperkalemia
d. Metabolic acidosis

Question 31

A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:

a. Negative feedback
b. Positive feedback
c. Down-regulation
d. Up-regulation

Question 32(NURS6501 Week 9 Quiz )

A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:

a. A normal-sized thyroid
b. A small discrete thyroid nodule
c. Multiple discrete thyroid nodules
d. Diffuse thyroid enlargement

Question 33

A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement?

a. Dopaminergic agonists
b. Calcium
c. Insulin
d. Radiation

Question 34

A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen.What is the nurse’s best response? If left untreated, the child would have:

a. Mental retardation and stunted growth
b. Increased risk of childhood thyroid cancer
c. Hyperactivity and attention deficit disorder
d. Liver, kidney, and pancreas failure

Question 35

Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:

a. Decreased blood flow to the eye
b. Orbital edema and protrusion of the eyeball
c. TSH neurotoxicity to retinal cells
d. Local lactic acidosis

 

 
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Adolescent Analysis: The Perks Perspective

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Adolescent Analysis: The Perks Perspective

(Adolescent Analysis: The Perks Perspective)

“Adolescent Analysis: The Perks Perspective” delves into the intricate world of teenage psychology, exploring the unique challenges and opportunities of adolescence. Through a lens of empathy and understanding, it examines the perks—both positive and negative—that shape this pivotal stage of development. From the thrill of newfound independence to the pressures of academic performance and social acceptance, each aspect is scrutinized to uncover the underlying motivations and implications. The analysis highlights the importance of fostering a supportive environment that acknowledges the complexities of adolescence while nurturing growth and resilience. By recognizing the perks within the challenges, it advocates for a holistic approach to adolescent well-being, promoting self-awareness, empathy, and meaningful connections. This perspective offers invaluable insights for parents, educators, and policymakers striving to navigate the adolescent experience with sensitivity and effectiveness.

Assignment Description:

Watch the movie The Perks of Being a Wallflower. The movies is based on the popular novel by Stephen Chbosky about an adolescent named Charlie. Even if students have already watched this movie or read the book, please watch this movie again as a social worker to enhance your skills and analyzing the issues of children and adolescents based on the knowledge that you have learned in this course. After watching the film you will write a 6-8 page typed, double spaced paper in APA format analyzing the biological, psychological, social, cultural and spiritual issues related to the main character Charlie, using theories of Child and Adolescent development to wear appropriate.

  1. Identify and analyze important biological and physical issues pertaining to Charlie in the movie.
  2.  Identify and analyze important psychological (emotional and cognitive) issues pertaining to Charlie in the movie.
  3. Identify and analyze important social (e.g. work, friends, family, and school) issues pertaining to Charlie in the movie.
  4. Identify and analyze important spiritual (meaning and purpose) issues pertaining to Charlie in the movie.
  5. Identify and analyze important cultural (race, class, ethnicity) issues pertaining to Charlie in the movie.
  6. Identify the main strengths and challenges of Charlie in the movie.
  7. Skillfully apply theories of Child and Adolescent development to Charlie in the movie. Appropriately identify and cite theories you are applying.
  8. Demonstrate your understanding of Charlie’s behavior in context of his development and environment.
 
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Develop a project charter for E-Mail

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Develop a high-level project charter for the E-Mail, assignment help

(Develop a project charter for E-Mail)

Question description

As a newly assigned project manager for the Ohio Department of Human Services, you are excited about working with technology projects throughout the state. The Ohio Department of Human Services’ (ODHS) Office of Network Support (ONS) is responsible for managing the network and software applications for over 15,000 state and county agency employees throughout Ohio’s 88 counties. The office coordinates software upgrades and network modifications from an operations center located in the capital, Columbus, with assistance from local technology employees in each of the county seats.

The position is not without its challenges, however. The network infrastructure throughout the state ranges from high quality, high-bandwidth connections in major population centers to older, partially working connections in the poorer, more regional counties. Additionally, budget and resources are a constant issue, with a high turnover rate among existing employees and an emphasis on outsourcing the labor force to several vendors to accomplish the myriad of support and project tasks. Your initial assignment is to examine the viability and costs associated with upgrading the existing e-mail, with the objective of developing the implementation project for the organization. ODHS had adopted the e-mail software called Globalupgrades (a Worldviewupgrades product) as its e-mail standard in 1994 and executed minor upgrades since then. However, the latest version of Globalupgrades, Version 9.0, contains significant enhancements desired by the ODHS user base, and the existing Version 7.0’s support will be phased out in the next year by Worldviewupgrades. The Worldviewupgrades sales representatives have been offering discounts for a Version 9.0 license, but the costs are approximately 20% more than previous licenses. Additionally, several other e-mail product vendors are lobbying state officials for business, some of them offering significant incentives. Generally, these products are viewed as less robust than Globalupgrades, but there are some segments of the user community that are supportive of these other options.

You are reviewing the existing documentation on the current state of the e-mail system, including license agreements and the Worldviewupgrades Globalupgrades 9.0 preliminary proposal. You are also examining the staffing structure and developing ideas on how to accomplish this task. In two weeks, you will need to brief the ONS Director on your planned approach to completing this effort.

Assignment

Develop a high-level project charter for the E-Mail Upgrade Project described in the scenario. Also, prepare and submit a statement of work, identification of a project management methodology and project team, and a baseline schedule. While the scenario does not contain enough specifics to completely fill out the charter, you can use the project team member list below to creatively provide the missing detail by making the necessary assumptions.

Use the following guidelines to complete this assignment:

  • The statement of work should define the project objective.
  • The project management methodology section should explain the project management model that will be used to manage the project.
  • The project team section should explain the relationship among the team members and amplify their role based on your understanding of the methodology.
  • The baseline schedule should identify the key milestones and deliverables of the project and may be presented in a basic Gantt chart or other graphical format, including a table.

Project Team List Candidates & Roles

  • You: Project Manager for the Office of Network Support, ODHS. Key PM for the E-Mail Upgrade Project.
  • Peter Parker: Director of Office of Network Support and project sponsor.
  • Diana Prince: ONS Software Engineer with specific experience in implementing and administering various e-mail systems.
  • Steve Rogers: Globalcom’s sales representative and chief point of contact for the State.
  • Linda Lee Danvers: a support specialist within the ODHS, selected as the liaison between the ODHS User Group community and the project team.
  • ODHS User Group: a number of ODHS employees that are used to test system upgrades before implementation.

ASSIGNMENT OBJECTIVES

Construct and apply Gantt charts, CPM, and PERT techniques to project management.

Rank the value and utility of different types of models in project management.

3-4 pages

 
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Software Development Capstone Assignments

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Software Development Capstone Assignments

(Software Development Capstone Assignments)

Question description

Q1. Pick one of the following topics and post to the Week 2 Discussion Board.

1.  Research mobile OS market share.  Provide historical data on market share from the different mobile OS providers.  If you were to develop a mobile app today, what market would you target?  Why?

2.  Research the Windows and Mac app stores.  Are these profitable for companies that publish to these stores?  Why would a developer publish to one of these stores as opposed to providing a download from their website?

3.  Research and describe web browser market share and history.  Many browsers now provide the abilities for extensions and plugins.  Why would a developer provide their application to one of these browser app stores as opposed to providing a download from their own site?

Requirement : 400 Words

Deadline : 12 Hours.

Q2. MARKET RESEARCH

Part of the business process of proceeding with developing software is performing market research.  Market research can provide guidance in many different aspects including needed/unwanted features, usability, design, and many other useful and necessary information.

In order to gain ideas and knowledge of what other players in the industry are doing, perform market research for your final project for weight tracking apps for Forever Fitness.  Research the app stores and desktop applications that are designed for users wanting to track their weight loss progress.  If possible, download multiple apps, explore and use them, and provide what you liked/disliked about the app.  Provide features used in each app and the overall usability of the app.

Submit a word document of at least 350 words describing these apps, features, usability, and any other relevant information.  Provide screen shots if possible.

Note : Hi, We are about to start a project in next week. It’s about developing a Mobile app for forever fitness company. The above assignment is related to that for performing a market research. So read the question carefully and answer the questions. Place Screenshots too.

Requirement: 350 – 400 Words

Deadline: One Day.

All Assignments will be checked for plagiarism using Safe Assign & turn it in tool. So do the best work. I will promise that will assign more works to you every week. Take Care of Grammar & Always Cite your sources & references in APA Format.

 

Budget – $15 Dont Bid More than that.

 
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Interactive Assignment

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Interactive Assignment

(Interactive Assignment)

Prior to beginning work on this interactive assignment, please view the required video PSY645 Grand RoundsPresentation (Links to an external site.)Links to an external site.; read Chapters 15, 20, and the Classes (or Names) of Medications That Can Cause Mental Disorders appendix in DSM-5 Made Easy: The Clinician’s Guide to Diagnosis; read Chapter 1 of DSM-5: Handbook of Differential Diagnosis; and read Section 4: Privacy and Confidentiality (Links to an external site.)Links to an external site. from the APA’s Ethical Principles of Psychologists and Code of Conduct: Including 2010 Amendments.  To view the written transcript, please click here.  Mental health professionals hold grand rounds events to maintain their current knowledge of health care practices and to consult with colleagues on particularly difficult cases. During these professional events, mental health professionals sometimes present a case and seek feedback from peers regarding conceptualization and treatment of a patient’s problems. This interactive assignment is an opportunity to simulate a grand rounds event.  For your initial post in this forum, you will provide written feedback regarding your colleague’s presentation and questions. Your post must include the following:

•Provide an evaluation of the degree to which the presenter followed the ethical standards outlined in Section 4 (Links to an external site.)Links to an external site. of the APA’s Ethical Principles of Psychologists and Code of Conduct: Including 2010 Amendments. ◦Highlight the relevant information from the patient’s history you will use to inform your conceptualization of the patient’s problems and diagnosis. ◦Provide an evaluation of the patient’s symptoms and presenting problems within the context of a theoretical orientation that seems to be most appropriate for the situation. Be sure to indicate which theory you are using for your evaluation and provide a justification for your choice. To get the most out of this assignment, you are encouraged to use the same theoretical orientation from which you chose to write your Week Two Initial Assessment discussion’s guided response.

◦Provide a diagnosis for the patient based on one of the diagnostic manuals available (e.g., DSM-5, Psychodynamic Diagnostic Manual, etc.). Justify your choice of this diagnostic manual. ◦Describe at least one evidence-based and one non-evidence-based treatment option for this diagnosis. Compare the benefits and costs of these treatment options. ◦Based on specific theoretical and historical perspectives, provide questions for your colleagues seeking their thoughts and feedback. ◦Pose appropriate questions that may help refine the diagnostic impression of this patient.

 
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disc 3 Haitian earthquake

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disc 3 Haitian earthquake, writing homework help

(disc 3 Haitian earthquake)

Question description

Please do a paragraph about this post with this instruction .

post most have  4 or more  sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

I terms of a natural disaster, and using the Haitian earthquake, I would say that the first major consideration would be infection.  The smallest wound, even as scratch, can become life threatening when it is invaded with a damaging microorganism.  A natural disaster places individuals at an increased risk of acquiring some kind of injury which creates a portal of entry which we have learned is part of the chain of infection. Additionally, the fact that the disaster took place in a country which could be defined as third world increases the risk for development of an adverse health situation. There are several interventions which a nurse could initiate to help contend with the problem of infection. 

  • At the Primary level a nurse is concerned with the prevention of infection and this can be done through education.  Setting up healthcare workers, informations sessions, flyers, and even posters to help increase a patient population.  In terms of the Haitian earthquake, first responders can teach/demonstrate how to clean injuries and/or simple breaks in the skin so that infection can be prevented.  The education can also include the signs and symptoms of what an infection in an injury could look like.  This education and teaching leads directly into the next area of treatment.
  • At the Secondary level a nurse is concerned with the treatment of infections which have already started.  Proper assessment, cleaning, and possible administration of antibiotic would be critical at this stage.  With respect to the Haitian Earthquake, having nurses go out amongst the injured and assess any skin tears/wounds could help catch those individuals who are already experiencing an early infection.  Catching the infection early could prevent long term consequences. 
  • At the Tertiary level a nurse is concerned with taking care of those patients who are suffering from the long term effects of an infection.  Complications from untreated illnesses include scaring, amputations, and chronic pain.  Those individuals who acquired an infection during the destruction of Haiti, which subsequently went untreated, could suffer from some of the long term effects previously mentioned.  Using chronic pain as an example, nurses would be concerned with helping patients manage their medication, remain free from over use, and also discover non-pharmacological methods to help alleviate their chronic pain.

I would say that all of the nursing interventions would fall under the primary phase of the disaster.  By that I mean just after the disaster occurs.  Immediate education of what to monitor related to all of the skin tears and wounds which occurred during the earthquake, then assessment of those wounds/injuries which became infected due to the fact that infection can set in quickly in highly unsanitary conditions.  The last nursing intervention, more education and illness management, is something that will be taking place immediately after the disaster and for a significant time afterwards. 

 
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Microbiology Day Nine Assignment

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Microbiology Day Nine Assignment

(Microbiology Day Nine Assignment)

Answer Clinical Application Questions 1-3 for Chapter 21 on page 614 and Clinical Application Question 1-3 for Chapter 22 on page 642. Answers should be submitted in a word document with any associated references used. 

Answer Clinical Application Questions 1-3 for Chapter 21 on page 614

1) A hospitalized patient recovering from surgery develops an infection that has blue-green pus and a grapelike odor. What is the probable etiology? How might the patient have acquired this infection?

2) A 12-year old diabetic girl using continuous subcutaneous insulin infusion to manager her diabetic developed a fever (39.4  degree C), low blood, abdominal pain, and erythroderma. She was supposed to change the needle-insertion site every 3 days after cleaning the skin with an iodine solution. Frequently she did not change the insertion site more often than every 10 days. Blood culture was negative, and abscesses at insertion sites were not cultured. What is the probable cause of her symptoms?

3) A teenage male with confirmed influenza was hospitalized when he developed respiratory distress, He had a fever, rash, and low blood pressure. S. aureus was isolated from his respiratory secretions. Discuss the relationship between his symptoms and the etiological agent

Clinical Application Question 1-3 for Chapter 22 on page 642.

1) A 1-year-0ld infant was lethargic and had a fever. When admitted to the hospital , he had multiple brain abscesses with gram-negative coccobacilli. Identify the disease, etiology, and treatment.

2)  A 40-year-old bird handler was admitted to the hospital with soreness over his upper jaw, progressive vision loss, and bladder dysfunction. He had been well 2 months earlier. Within weeks he lost reflexes in his lower extremities and subsequently died. Examination of CSF showed lymphocytes. What etiology do you suspect? What further information do you need?

A normal baby gained weight appropriately for 12 weeks. Then she stopped feeding. Her right eardrum was inflamed, she had a stiff neck, and her temperature was 40  degree C. Examination of CSF revealed Gram-negative coccobacilli. Identify the disease and treatment

 
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Pre Practicum Midterm Exam

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Pre Practicum Midterm Exam

(Pre Practicum Midterm Exam)

THIS ASSIGNMENT MUST BE DONE IN APA FORMAT NO PLAGIARISM OF ANY KIND

  

EDRC 529 PRE- PRACTICUM IN REHABILITATION COUNSELING

MIDTERM EXAM

  1. Describe how culture can play a major part in the counseling process. How should a counselor handle a client with a differing cultural background? (20)

2. Following is a client narrative from a counseling session. At each point where the typescript has an asterisk [*], provide a counselor response and identify what type of response it is.(20)

When I went back home last weekend, my parents told me that they had decided to separate and maybe divorce [*] and it really threw me. [*] Then they watched me the entire weekend, I guess to see how I was reacting to them. [*] Anyhow, I just pulled in and didn’t give them anything to react to. I couldn’t. I didn’t know what to say. [*] I mean, I knew that they had been having some trouble, but I never expected this. So they just unloaded and what was I to do with that? [*] What would you do? [*] By Saturday night, I had to get out, get away from the house, because all I was doing was staying in my room and crying, [*] so I called a friend and we went out and really got wasted. I haven’t been so drunk in a long time. [*] Then Sunday morning, I was, like, really feeling it, and that’s when they chose to try to have a conversation with me about their reasons for deciding to separate. I mean, I just couldn’t hack it and so I packed up and left early to come back to school.[*]

  1. What do you think is the most important stage of the counseling relationship?    Why? How does your choice reflect your theoretical biases? Your own cultural background and values? Your gender? Would you consider yourself      more attuned to what people do, to what people think, or to how people feel? How much of people’s reactions can be attributed to their personal  qualities? How much to their current environment? How much to their cultural background?
  2. Listed next are four client situations. For the first two, develop and write an      example of a self-disclosure response you might make to this client. For the second two, develop and write an example of an immediacy response you      could use with this client. (20)

a. The client hints that he wants to tell you something, but he is reluctant to do so because it is something he feels very ashamed of.

b. The client believes she is the only person who has ever felt guilty about a particular issue.

c. You experience a great deal of tension and caution between yourself and the client. You both seem to be treating each other with kid gloves. You are aware of physical sensations of tension in your body, and you observe signs of similar sensations in the client.

d. You and your client like each other a great deal and have a lot in common. Lately, you have been spending more time swapping life stories than focusing on or dealing with the client’s presented concern of career indecision.

  1. Respond in writing to each of the following three client      messages. (20)
  2. Client:      “I’m tired of sitting at home alone, but I feel so uncomfortable going out      by myself.”
    1. Cognitive       part of message:  
    2. Affective       part of message:  
    3. Paraphrase       of cognitive part:  
    4. Paraphrase       of affective part:  
  3. Client:      “I don’t know why we got married in the first place.”
    1. Cognitive part of message:  
    2. Affective part of message:  
    3. Paraphrase of cognitive part:  
    4. Paraphrase of affective part:  
  4. Client:   “The pressure from my job is a lot to contend with, but I expected it”      (said with strained voice, furrowed brow, twisting of hands).
    1. Cognitive  part of message:  
    2. Affective part of message:  
    3. Reflection of content:                                                                                                       __
    4. Reflection of feeling:                                                                                                       __
 
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Describe a healthcare problem

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Describe a healthcare problem (2-3 pages), health and medicine help

(Describe a healthcare problem)

Question description

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.The rubric provides detailed criteria for evaluating your submission. You are expected to use the rubric to direct the creation of your submission. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:

1. Describe a healthcare problem.

2. Explain the significance of the problem.

3. Describe the current practice related to the problem.

4. Discuss how the problem impacts the organization and/or patient’s cultural background.

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.

1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:

1. Identify the keywords used for the search.

2. Describe the number and types of articles that were available for consideration.

a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).
D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.
Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.
Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.
E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”
F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:

1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.

2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

3. Identify two strategies that could be used to overcome the barriers discussed in F2.

4. Identify one indicator to measure the outcome related to the recommendation.
G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

 
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Discharge Summary And Summary Statement

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Discharge Summary And Summary Statement

(Discharge Summary And Summary Statement)

Part 1: Using the revised treatment plan completed in Topic 7, complete a discharge summary for your client using the “Discharge Summary” template. This discharge summary should address the following:

  1. What behaviors would indicate that the client is sustaining at a healthy baseline?
  2. How would you determine if Eliza met her treatment goals?
  3. What factors would determine if the treatment needed to be reevaluated, extended, or possibly referred to another clinician or setting?
  4. Based on your assessment of current symptomology, does your client, Eliza, need wraparound services, outpatient references, and/or step-down services? (Recommendations should be based on the information gathered for second mandatory evaluation).
  5. How would you encourage involvement in community-based resources?

Part 2: Write a 700-1,050-word summary statement about your client, Eliza.

Include or address the following in your summary statement:

  1. Demonstrate whether or not the client met the goals of the treatment plan.
  2. What specifically contributed to the success of the treatment plan or lack thereof?
  3. What language would you use to communicate the outcome to the client?
  4. How would you document the final session?
  5. Include at least three scholarly references in your paper.

Submit your discharge summary and summary statement to your instructor.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

This assignment meets the following CACREP Standard: 2.F.5.k: Strategies to promote client understanding of and access to a variety of community-based resources intervention.

This assignment meets the following NASAC Standards:

73) Conduct continuing care, relapse prevention, and discharge planning with the client and involved significant others.

74) Assure the accurate documentation of case management activities throughout the course of treatment.

75) Apply placement, continued stay, and discharge criteria for each modality on the continuum of care.

112) Prepare and record treatment and continuing care plans that are consistent with agency standards and comply with applicable administrative rules.

114) Prepare an accurate, concise, informative, and current discharge summary.

 
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