Academic References Need.

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Academic References Need.

(Academic References Need.)

Please Do A Comment Base In These Comment. Write At Least 130 Words. Academic References Need. Write The References.In Each Comment Please Not Together. References Less Than 5 Years. Please Read Carefully The Comments

Comment 1

Community health nurses can apply the strategies of cultural competence by being culturally aware. Nurses should start by assessing the patient to determine the person’s knowledge and beliefs before providing care. This will give the nurse insight as to how to proceed with education and treatment.

An example of a nurse practicing cultural preservation would to acknowledge the use of traditional healers within the Hispanic community. Latinos term illnesses as either “hot” or “cold” and treat such illnesses with herbs or other measures, such as massage on the affected area or steam baths. The treatment of such illnesses is termed cultural accommodation and should be encouraged if these forms of treatment have been proven harmless. An example of cultural repatterning would be for the nurse to work with the patient to change a person’s behavior(s) that would be harmful to him/her. Cultural brokering is recognized as connecting differing cultural backgrounds so that a change in behavior can be made to produce a successful outcome. Barriers to applying any of these strategies is a lack of understanding on the nurse’s part and recognizing that family plays a major role in influencing behavior. For example, research shows that Latino adolescents that battle substance abuse are more successful with their treatment and have better outcomes with family support. This is due to, in part, because Hispanic families rely on the entire family (aunts, uncles, cousins, grandparents, etc.) as a unified support system (Burrow-Sanchez). However, some barriers to Latinos obtaining treatment could be a lack of access to needed healthcare/treatment, language barriers, etc.

Therefore, it is very important for nurses to be culturally aware and practice patience and understanding while maintaining respect when it comes to providing care for people that come from different cultures.

Comment 2

A community health nurse has a great challenge in applying cultural competence because they see and treat such a variety of culturally different people. It is key for the community health nurse to assess their own beliefs and be aware that they may greatly vary from the people in their care. Being open minded and setting aside personal biases while implementing the four strategies of cultural competence is needed to achieve success (Maurer & Smith, 2013).

Midwives work in facilities, but also work in the community as well assisting with birthing in homes. Cultural preservation can be seen by only using a female midwife in the home birth of a Muslim baby as well as respecting that the father will most likely not be present for the birth. Cultural accommodation example would be to allow a mother soon after giving birth to eat a ratb, which is a type of date. This is thought to help promote excellent breast milk for the baby. Cultural repatterning would be discussing that the tradition of placing khakhe shafaa, a type of mud, in the infant’s mouth after birth as unhealthy. Cultural brokering involves another person of the persons culture to help negotiate between the community health nurse and the patient. In the case of the khakhe shafaa, there is an additional practice of using Euphrates water in the baby’s mouth. Using someone based in the same culture will increase the trust level and possible help repattern the behavior that is unhealthy for the infant (Ahlul Bayt Digital Islamic Library Project [Islamic Library], 2018).

Another example of cultural accommodation would be to show support of fasting during Ramadan. Unfortunately, if the Muslim client is diabetic and being seen in a community setting, the nurse may recommend monitoring blood glucose levels and “breaking the fast” if the blood sugar levels were to drop too low. This may create a barrier for applying this strategy (Rassool, 2015).

 
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Ashford 4: – Week 3 – Assignment Observation

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Ashford 4: – Week 3 – Assignment Observation

(Ashford 4: – Week 3 – Assignment Observation)

Observation

  1. In Week One of this course, you were asked to find a child to observe. For this assignment, you will observe the child using the requirements below and summarize your observation. This can be done in one sitting, or it can be done in two since you will be conducting two different observations. Two is preferable for accuracy of assessment.For the observation you will need to:
    1. Be sure you have the permission of the child’s parent.
    2. Exclude any identifying information for this child (e.g., last name).
    3. Follow the guidelines on pages 141-144 of the course text regarding behaviors during the visit (ethical conduct, avoiding personal bias, etc.).
    4. Be sure you have the appropriate materials ready:
      • You will need either a Running Record Form or an Anectodal Record Form, whichever you choose.  For this form, you will choose one developmental domain to observe (e.g., cognitive, physical, motor, or language).
      • You will need either a Time Sampling Form or an Event Sampling Form, whichever you choose.  For this form, you will choose one developmental domain to observe (e.g., cognitive, physical, motor, or language).
      • Example: Assessing “Bobby,” I would first observe his motor development using an Anecdotal Record Form.  In a different sitting, I would observe his cognitive development using an Event Sampling Form.

    For the assignment, you will need to include:

    1. A title page.
    3. A copy of the completed Time-Sampling Form or Event Sampling Form. (This should address a different domain.)
    4. A one- page summary of the observation(s).  In this summary, include:
      • How you feel the observation went and why.
      • How receptive you feel the child was and why you feel that way. (If using one of the video options, state the reaction of the child upon being videotaped as you see it.)
      • The most challenging aspect of this observation.
      • The most enjoyable aspect of this observation.
      • What you learned from this experience.
      • What you would change next time.
    5. A one-page discussion providing some developmentally appropriate activities you might implement for this child in the classroom or daycare center to foster growth in each of the developmental domains you observed and why those activities are a good fit for this child.

    You must use at least one scholarly source in addition to the course text. Your two-page paper (not including title and reference pages) should be in proper 6th-edition APA format. Remember to submit two written pages, both observation forms, and your title and reference page in one document.

    Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 
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Response to students

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Response to students

(Response to students)

Question description

These are the post of two students, please respond giving them feed back in wether you agree or disagree! Please keep them separate!

O’Phylynn post

As I approach the end of my bachelor program I am more stressed than when I started. I say this because there are major projects to be completed along with projects for this course. While it is stressed inducing, I do somewhat feel a sense of relief that the end is near.

As I juggle my capstone course along with this class, work, and family, I find going for a walk, excerise( when I can), listening to music, cooking, or playing with my 20month old relieving. Depending on the day music can be over stimulating if I am mentally exhausted. On those days of over stimulation, I find a long warm shower relaxes those muscles and give a refreshed feeling.

Many may shut down and become really stressed and unable to focus or put words on paper. I am the opposite. I have found that having a deadline for a project gives me inspiration and motivation to have it completed. I find it strange but the stressed caused by knowing the deadline is fast approaching creates those creative thoughts and inspiration. Taking a warm shower (relaxes those muscles), laying in bed (further relaxation)with my tablet, seem to work for me rather than sitting in front of a computer.

Response to the post:

Richard post

When students have a deadline and are feeling stressed, what can they do to relax their mind and body to accomplish what they need to do? Which relaxation strategies would be most successful to achieve that outcome?

I find that taking a walk with my girls always relaxes me. I enjoy the time with my family and the fresh air and the sounds of nature. I usually work on my classes in the evening when I get home from work, but many times I will take that walk first. It clears my head from all of the stress that had built up throughout my work day. As far as deadlines are concerned, I find that time management and preparation is very important in order to be a successful college student. Relaxation techniques can only do so much, but making a plan or calendar and sticking by it is can help you avoid having to do too much at once and the stress that comes with procrastination. I’m not always perfect with it, but I do realize the importance of planning and time management and try to utilize it to the best of my ability in order to cut down on stress.

 
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Attachment And Child-Rearing Style

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Attachment And Child-Rearing Style

(Attachment And Child-Rearing Style)

Assignment: Attachment and Child-Rearing Style

A key element of social-emotional development during infancy and toddlerhood is the establishment of bonds of attachment. A child’s temperament can influence the nature of attachment with caregivers. For instance, an infant’s difficult temperament might make it more likely that he or she will develop an insecure attachment to the caregiver. If caregivers receive sufficient social support, thereby establishing a “goodness of fit” between temperament and environment (i.e., parenting), they can overcome some of the challenges of raising a difficult child.

The child’s temperament and the caregiver’s parenting style work in tandem to affect the child’s social-emotional and cognitive development. Caregivers who exhibit open displays of warmth and affection and who respond to their children’s needs in a timely manner (thereby acknowledging that each child has some influence on other family members) are likely to socialize their children so that they feel positively about themselves, learn to trust, and are secure with their caregivers. As you examine other parenting styles, think about how the level of caregiver responsiveness affects infant attachment.

For this Assignment, you will explore different parenting styles and forms of attachment, and you will examine how culture might impact the type of attachment.

To prepare for this Assignment:

· Review this week’s Learning Resources and select two child-rearing styles. Based on these child-rearing styles, consider two different types of attachment.

For this Assignment:

Write a 2- to 3-page paper and include the following:

· Briefly describe the two child-rearing styles you selected.

· Describe the two types of attachment you might expect, based on each child-rearing style you selected and explain why.

· Finally, explain how culture may impact the type of attachment.

· Be specific, provide examples, and justify your response with citations from the Learning Resources/literature.

Berk, L. E. (2014). Development through the lifespan (6th ed.). Upper Saddle River, NJ: Pearson Education.

  • Chapter 4, “Physical      Development in Infancy and Toddlerhood” (pp. 118–149)
  • Chapter 5, “Cognitive      Development in Infancy and Toddlerhood” (pp. 150–181)
  • Chapter 6, “Emotional and Social Development      in Infancy and Toddlerhood” (pp. 182–212)

Darling, N. (1999). Parenting style and its correlates. Retrieved from ERIC database. (ED427896)

Note: You will access this article from the Walden Library databases.

Keller, H. (2012). Attachment and culture. Journal of Cross-Cultural Psychology, 44(2), 175–194. doi:10.1177/0022022112472253

Note: You will access this article from the Walden Library databases.

 
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Ethical, Moral and Legal Leadership

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Ethical, Moral and Legal Leadership

(Ethical, Moral and Legal Leadership)

Anonymous
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(Ethical, Moral and Legal Leadership)

Question descriptionEffective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare: This section is things that need to be taken into consideration when writing the paper

·Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources. ( The PDF Version of the transcript has been attached See above)(Ethical, Moral and Legal Leadership)

·To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style. (See Below I have my results )

·Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly). ( You can choose any issue/ dilemma)

·What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.

·Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?(Ethical, Moral and Legal Leadership)

To complete: This section is the content of the paper

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:

·Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.

·Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.

·Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.

·Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

My Keirsey Temperament Sorter Results indicates that my personality type is that of the(Ethical, Moral and Legal Leadership)

Guardians (SJ’s)are the cornerstone of society, for they are the temperament given to serving and preserving our most important social institutions. Guardians have natural talent in managing goods and services–from supervision to maintenance and supply — and they use all their skills to keep things running smoothly in their families, communities, schools, churches, hospitals, and businesses.

Guardians can have a lot of fun with their friends, but they are quite serious about their duties and responsibilities. Guardians take pride in being dependable and trustworthy; if there’s a job to be done, they can be counted on to put their shoulder to the wheel. Guardians also believe in law and order, and sometimes worry that respect for authority, even a fundamental sense of right and wrong, is being lost. Perhaps this is why Guardians honor customs and traditions so strongly — they are familiar patterns that help bring stability to our modern, fast-paced world.(Ethical, Moral and Legal Leadership)

Practical and down-to-earth, Guardians believe in following the rules and cooperating with others. They are not very comfortable winging it or blazing new trails; working steadily within the system is the Guardian way, for in the long run loyalty, discipline, and teamwork get the job done right. Guardians are meticulous about schedules and have a sharp eye for proper procedures. They are cautious about change, even though they know that change can be healthy for an institution. Better to go slowly, they say, and look before you leap.

Guardians make up as much as 40 to 45 percent of the population, and a good thing, because they usually end up doing all the indispensable but thankless jobs everyone else takes for granted.

In any environment, including your work place, you are usually focused on making people happy and facilitating harmonious relationships. You often lend “aid and comfort” by drawing on a combination of tradition, past experience, and the direction of established authority. In your ideal job, people would give of themselves and work toward the good of the group.

Template for paper included

 
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NURSING: LEADING AS A GENERAL MANAGER

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NURSING: LEADING AS A GENERAL MANAGER

(NURSING: LEADING AS A GENERAL MANAGER)

Please provide at least a minimum of 100 words for each of the assignments on A and B

UNIT 1

A

The Plucknette article suggests that there are considerable differences between being a leader and being a manager. Is it possible or desirable to be both? Chapter 2 of the Management textbook suggests that the four functions of management are planning, organizing, leading, and controlling. Provide one challenge posed by serving as a leader and one challenge posed by serving as a manager in each of these functions?

B

What roles do leadership and innovation play within each of the four management functions? Provide an example of how to integrate leadership into at least two management functions.

RESOURCES

Textbook

1. Management

Read Chapters 1-2 and 15 in Management.

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php

e-Library Resource

1. 4 Differences Between Managers and Leaders

Read “4 Differences Between Managers and Leaders,” from Plucknette, from Plant Engineering (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=100432256&site=eds-live&scope=site

UNIT 2

A(NURSING: LEADING AS A GENERAL MANAGER)

Provide an example of a challenge you have experienced in the workplace leading a cross-functional team or as part of a cross-functional team. How was this challenge solved? Would you have approached the challenge differently? If so, how?

B

Organizations are increasingly transcending country boarders and physical space limitations. What are some effective strategies to motivate dispersed team members in a virtual setting? What are some emerging trends that deal with this challenge in your field? Provide an example.

RESOURCES

Textbook

1. Management

Read Chapters 14, 16, and 18.

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php

e-Library 1. AlphabResource

Read “Alphabet Soup,” by Kotler, from Marketing Management (2006).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=20545160&loginpage=Login.asp&site=ehost-live&scope=site

2. Big Data: Prospects and Challenges

Read “Big Data: Prospects and Challenges,” by Moorthy, from Vikalpa: The Journal for Decision Makers (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=101862951&site=eds-live&scope=site

3. Change Management Dashboard: An Adaptive Approach to Lead a Change Program

Read “Change Management Dashboard: An Adaptive Approach to Lead a Change Program,” by Vaccarezza and Razzi, from People and Strategy(2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=97590298&site=ehost-live&scope=site

4. How to Lead an Effective Virtual Team(NURSING: LEADING AS A GENERAL MANAGER)

Read “How to Lead an Effective Virtual Team,” by Lepsinger and DeRosa, from Ivey Business Journal (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=103632907&site=eds-live&scope=site

5. Managing Virtual Team Work in IT Projects: Survey

Read “Managing Virtual Team Work in IT Projects: Survey,” by El-Sofany and Alwandani, from International Journal of Advanced Corporate Learning (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=99924583&site=eds-live&scope=site

6. The Digital Market-Sphere (DMS): Modeling Virtual Transactons and Transvectons

Read “The Digital Market-Sphere (DMS): Modeling Virtual Transactons and Transvectons,” by Carter and Parameswaran, from Marketing Management Journal (2012).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=82541875&site=ehost-live&scope=site

7. The Ins and Outs of Marketing in the Digital Age

Read “The Ins and Outs of Marketing in the

 
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Suicide and euthanasia Comment

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Suicide and euthanasia Comment

(Suicide and euthanasia Comment)

Comment1

Suicide and euthanasia are extremely sensitive topics for the majority of individuals including health care workers. According to the Christian belief, it is considered a sinful act and therefore goes against Christian beliefs. Meilaender (2013) states that “Christians have held that suicide is morally wrong because they have seen it in a contradiction of our nature as creatures, an unwillingness to receive life moment by moment from the hand of God without ever regarding it as simply “our” possession” (Meilaender, 2013). He goes on to say that our life is not something we own and that by committing suicide we are essentially playing the role of creator. We need to remember that life is a gift from God and to take one’s own life is a selfish act and disrespectful to God for the gift of life he gave to us.

Suicide and euthanasia are controversial topics. I don’t whole heartedly agree with Meilaender. I believe that if a patient has a chronic illness that is causing them to have a very poor quality of life and/or chronic pain, then that person should be allowed to decide if they want to carry on with life living that way. What a bleak existence it would be. My husband and I have had numerous discussions about this very topic. We both agree that if either one of us were extremely ill, we should find a way to put that person out of their misery. On the flip side, if a healthy person were to take their own life, then I totally agree with Meilaender and that person is selfish and not following in the footsteps of God.

Comment2

Based on Meilaender’s (2013) perspective of suicide, it is morally wrong because there is an unwillingness to receive the life given, by our creator, moment by moment.  Suicide
is not God’s will, it is the irrational desire of a man to be in control and a repercussion of sin with man acting as the creator, instead of the created.  Meilanender (2013) contends that life is not “our” possession, nor ours to take whether by suicide or euthanasia.  I appreciate his comparison of our lives to being characters in a story that God created while God gives us the freedom to act according to the nature he provided.  However, I don’t believe that it was ever God’s intent to allow us the freedom to rationally take a life by suicide.

 
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how theoretical frameworks influence advance.

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how theoretical frameworks influence advance.

(how theoretical frameworks influence advance.)

MN502-2: Explain how theoretical frameworks influence advance, health and medicine homework help

Question description

Where Did the Theory Come From

This Assignment addresses this course outcome:

MN502-2: Explain how theoretical frameworks influence advance.

PurposeThe purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists.

DirectionsYou are going to explore how a theorist of your choice created his or her theory. Did it develop as an acorn becoming a mighty oak over the decades? Did it arrive as a burst of light like the big bang as some believe created our universe? Was it developed from a blueprint like a spaceship where thousands of scholars worked together to create a rocket to the moon? In point of fact, how is a theory developed? This is what we are exploring.

You will pick a theorist who interests you, it does not have to be a nurse theorist. You may also choose from other disciplines such as: behavioral, leadership, business, education, technology.

You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current.

As you read, look at how you (taking on the persona of the theorist) developed the theory.

In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed.

In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring.

The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory.

The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care.

Assignment DetailsFor this Assignment, you are going to write an article for a nursing journal explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation).Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Assignment RequirementsBefore finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format.
 
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NR 511 Week 4 Midterm Exam Version 2

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NR 511 Week 4 Midterm Exam Version 2

(NR 511 Week 4 Midterm Exam Version 2)

Question 1: Women are at the highest risk for developing postpartum depression for up to how long after childbirth?

2 weeks

1 month

3 months

6 months

Question 2: CPT coding offers the uniformed language used for reporting medical services and procedures performed by physician and nonphysician practitioners. Clinicians are paid based on calculated resource costs that are calculated based on practice components.

a. Clinician education loans
b. Clinician practice liability and malpractice expense
c. Clinician reported cost reduction efforts
d. Clinician volume of patients treated

Question 3: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression.
Which of the following is a sign or symptom of cauda equina compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks

Question 4: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral

(NR 511 Week 4 Midterm Exam Version 2)

Question 5: Which of the following is a specific test for multiple sclerosis (MS)?

a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test.

Question 6: Most adult poisonings are:

a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason.

Question 7: A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?

a. The scrotum will be dark.
b. The scrotum will appear light pink or yellow.
c. The scrotum will appear milky white.
d. The internal structures will be clearly visible.

Question 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?What is the normal number for the Glascow Coma Scale?

a. 7

b. 9

c. 10
d. 15

Question 9: S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?

a. Elevated uric acid level
b. Elevated blood urea nitrogen (BUN)
c. Decreased urine pH
d. Decreased C-reactive protein (CRP)

Question 10: Which solution should be used when irrigating lacerated tissue over a wound on the arm?

a. Dilute povidone-iodine solution
b. Hydrogen peroxide (H2O2)
c. Saline solution infused with an antibiotic
d. Saline irrigation or soapy water

Question 11: Which ethical principle reflects respect for all persons and their self-determination?

a. Autonomy

b. Beneficence

c. Justice
d. Veracity

(NR 511 Week 4 Midterm Exam Version 2)

Question 12: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?

a. An enlarged rubbery gland

b. A hard irregular gland

c. A tender gland
d. A boggy gland

Question 13: How often should the clinician examine the feet of a person with diabetes?

a. Once a year
b. Every 6 months
c. Every 3 months
d. Every visit

Question 14: Which of the following medications is the treatment of choice for trichomonas? (Points: 2)

a. Metranidazole

b. Ceftriaxone

c. Diflucan
d. Doxycycline

Question 15: Immunizations are an example of which type of prevention? (Points: 2)

a. Primary
b. Secondary
c. Tertiary

Question 16: What is the treatment of choice for a patient diagnosed with testicular cancer?

a. Radical orchidectomy

b. Lumpectomy

c. Radiation implants
d. All of the above

Question 17: George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning from visiting his grandchildren in New England. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?

a. A viral syndromes
b. Lyme disease
c. Rocky Mountain spotted fever
d. Relapsing fever

Question 18: A 24-year-old

(NR 511 Week 4 Midterm Exam Version 2) woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas

Question 19: What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?

a. A stabbing type of pain on one small area of the body
b. A vesicular skin lesion on one side of the body
c. A pain that is worse upon awakening
d. A lesion on the exterior ear canal

Question 20: Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
a. Clotrimazole cream (Lotrimen)
b. Mafenide acetate (Sulfamylon)
c. Silver nitrate
d. Silver sulfadiazine (Silvadene)

Question 21: Which of the following is a role of the advanced practice nurse in palliative cancer care?

a. Detecting cancer in asymptomatic patients or those with specific symptoms
b. Arranging for follow-up care, including psychosocial and spiritual support
c. Identifying and managing complications of care
d. All of the above

Question 22: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?

a. Superficial burns
b. Superficial partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns

Question 23: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:

a. 1 month.
b. 3 months.
c. 6 months.
d. 12 months.

(NR 511 Week 4 Midterm Exam Version 2)

Question 24: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?

a. Osteoarthritis
b. Systemic lupus erythematosus (SLE)
c. Rheumatoid arthritis (RA)
d. Sjogren’s syndrome

Question 25: A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?

a. 4

b. 8

c. 10
d. 15

Question 26: The hallmark of an absence seizure is:

a. No activity at all.
b. A blank stare.
c. Urine is usually voided involuntarily.
d. The attack usually lasts several minutes.

Question 27: The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?

a. Acetylcholine
b. Gamma-aminobutyric acid (GABA)
c. Dopamine
d. Serotonin

Question 28: Which characteristic of delirium helps to distinguish delirium from dementia?

a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions

Question 29: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?

a. Pregnancy test

b. Pelvic ultrasound

c. Endometrial biopsy
d. Platelet count

Question 30: The clinician should question the patient with suspected gout about use of which of these medications that may be a risk factor?

a. Low-dose aspirin

b. Thiazide diuretics

c. Ethambutol
d. All of the above

(NR 511 Week 4 Midterm Exam Version 2)

Question 31: A bulla is:

a. A vesicle larger than 1 cm in diameter.
b. An elevated solid mass with a hard texture, and the shape and borders can be regular or irregular.
c. A superficial elevated lesion filled with purulent fluid.
d. Thinning of the skin (epidermis and dermis) that appears white or translucent.

Question 32: Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination.
As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
a. Morning stiffness and limited mobility of the lumbar spine
b. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. Pathologic fractures, severe night pain, weight loss, and fatigue

Question 33: Which of the following statements is true concerning the musculoskeletal exam?

a. The uninvolved side should be examined initially and compared to the involved side.
b. The part of the body that is causing the patient pain should be examined first.
c. The patient should not be asked to perform active range-of-motion (ROM) exercises whenever possible to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.

(NR 511 Week 4 Midterm Exam Version 2)

Question 34: The current goal of treatment for a patient with HIV infection is which of the following?

a. Viral suppression of HIV to undetectable levels in the peripheral blood
b. Compete eradication of the virus
c. Encouraging the person to have no contact with uninfected individuals
d. Complete abstinence

Question 35: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants

Question 36: After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?

a. Suggest she use a heating pad to improve circulation
b. Refer to a podiatrist for a foot care treatment plan
c. Send her for acupuncture treatments
d. All of the above

Question 37: Which of the following statements is true concerning the management of the client with a herniated disc?

a. Muscle relaxants and narcotics can be used to control moderate pain but should be discontinued after 3 weeks of use.
b. An epidural injection is helpful in reducing leg pain that has persisted for at least 3 weeks after the herniation occurred.
c. Intolerable pain for more than a 3-month period is an indication for surgical intervention.
d. All of the above

Question 38: Which patient is more likely to have a cluster headache?

a. A female in her reproductive years
b. A 40-year-old African American male
c. A 55-year-old female who drinks 10 cups of coffee daily
d. A 45-year-old male awakened at night

Question 39: The main mechanism for avoiding a lawsuit involves:

a. Good liability insurance
b. A collaborating physician
c. Good documentation
d. Open communication skills

(NR 511 Week 4 Midterm Exam Version 2)

Question 40: A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?

a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Herpes simplex virus (HSV)

Question 41: Which of the following laboratory findings should the clinician expect in a patient with untreated Graves’ disease?

a. Elevated thyroid-stimulating hormone (TSH)
b. Elevated T4
c. Elevated TRH
d. All of the above

Question 42: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?

a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome

Question 43: When may confidentiality be overridden?

a. When personal information is available on the computer
b. When a clinician needs to share information with a billing company
c. When an insurance company wants to know the results of a breast cancer gene test
d. When a patient has a communicable disease

Question 44: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?

a. Sinus bradycardia

b. Atrial fibrillation

c. Supraventricular tachycardia
d. U waves

(NR 511 Week 4 Midterm Exam Version 2)

Question 45: The most cost-effective screening test to determine HIV status is which of the following?

a. Western Blot
b. Enzyme-linked immunosorbent assay (ELISA)
c. Venereal Disease Research Laboratory (VDRL) test
d. Viral load

Question 46: After 6 months of synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?

a. Elevated thyroid-stimulating hormone (TSH)
b. Normal TSH
c. Low TSH
d. Undetectable TSH

Question 47: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?

a. Rice
b. Carrots
c. Spinach
d. Potatoes

(NR 511 Week 4 Midterm Exam Version 2)

Question 48: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?

a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin

Question 49 : In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the “C” of LACE represents?

a. Commitment

b. Consensus

c. Certification
d. Collaboration

Question 50: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?

a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain

 
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Assessing The Genitalia And Rectum

/in , , /by

Assignment 1: Assessing The Genitalia And Rectum

 

(Assessing The Genitalia And Rectum)

  • Analyze  the subjective portion of the note. List additional information that should be  included in the documentation.
  • Analyze  the objective portion of the note. List additional information that should be  included in the documentation.
  • Is  the assessment supported by the subjective and objective information? Why or  Why not?
  • Would diagnostics be appropriate for this case and how would  the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why  not? Identify three possible conditions that may be considered as a  differential diagnosis for this patient. Explain your reasoning using at least  3 different references from current evidence based literature. and list 5 differential diagnosis

Subjective:

  • CC: “I have bumps on my bottom that I  want to have checked out.”
  • HPI: AB, a 21-year-old WF college  student reports to your clinic with external bumps on her genital area. She  states the bumps are painless and feel rough. She states she is sexually active  and has had more than one partner over the past year. Her initial sexual  contact occurred at age 18. She reports no abnormal vaginal discharge. She is  unsure how long the bumps have been there but noticed them about a week ago.  Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam  results were normal. She reports one sexually transmitted infection (chlamydia)  about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer,  Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional  etoh, married, 3 children (1 girl, 2 boys)

Objective:(Assessing The Genitalia And Rectum)

  • VS: Temp 98.6; BP 120/86; RR 16; P 92;  HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern  distribution; no masses or swelling. Urethral meatus intact without erythema or  discharge. Perineum intact with a healed episiotomy scar present. Vaginal  mucosa pink and moist with rugae present, pos for firm, round, small, painless  ulcer noted on external labia
  • Abd: soft, normoactive bowel sounds,  neg rebound, neg murphy’s, neg McBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre
  • PLAN: This section is not required for  the assignments in this course (NURS 6512) but will be required for future  courses.
 
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