NURSE6550 Final Exam

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NURSE6550 Final Exam

(NURSE6550 Final Exam)

1. The Valsalva maneuver and the squat-to-stand maneuver are likely to increase the sound of a cardiac murmur associated with which of these conditions?

2. Which of the following conditions may result in lower extremity edema?

Nephrotic syndrome

Decompensated congestive heart failure

Cirrhosis

Renal failure

Deep venous thrombosis

Late-stage pregnancy

All of the above

3. Art Bakke is a 46-year-old male who is being treated for an acute myocardial infarction. He has now developed significant dyspnea at rest and, per physical exam, has coarse rales involving the lower 2/3 of the lung fields bilaterally. You suspect acute pulmonary edema due to papillary-muscle rupture and acute mitral-valve regurgitation.

Question: Which of the following physical findings would support this diagnostic hypothesis?

A palpable diastolic murmur maximal in the second intercostal space (ICS) at the left sternal border

A harsh, rumbling, diastolic murmur heard maximally in the fourth ICS at the left sternal border

A holosystolic systolic murmur heard maximally in the fifth ICS at the midclavicular line

4. The most common ECG finding in a patient with a cardiomyopathy is an ST-elevation MI.

True

False

(NURSE6550 Final Exam)

5. Nina Martinez is a 70-year-old female who experienced an episode of acute pulmonary edema following an endovascular aneurysm repair. She was discharged on furosemide 60 mg daily and instructed to follow up with cardiology. She is now seen in the office at 2 weeks post discharge. Her metabolic panel includes the following lab values:

·          Na 126 mEq/L

·          K 4.0 mEq/L

·          Cl 93 mEq/L

·          CO2 28 mEq/L

·          BUN 40 mg/dL

·          Cr 1.3 mg/dL

Question: This patient has which of the following abnormalities as a likely consequence of diuretic overuse?

Hyponatremia

Hypokalemia

Metabolic acidosis

6. Which of the following are primary cardiomyopathy categories, as described by the World Health Organization (WHO) in 1995?

Dilated cardiomyopathy

Symbol Hypertrophic cardiomyopathy (HCM)

Symbol Restrictive cardiomyopathy

Symbol Arrhythmogenic right ventricular dysplasia

Symbol Unclassified

All of the above(NURSE6550 Final Exam)

7. What is the most common cause of sudden cardiac death in young people?

What is the most common cause of sudden cardiac death in young people?

Myocardial infarction

Hypertrophic cardiomyopathy

Supraventricular tachycardia

Arrhythmogenic right ventricular dysplasia; aka arrhythmogenic right ventricular cardiomyopathy (ARVC)

8. Which of the following are treatment options for a patient who presents with peripartum cardiomyopathy while still carrying the fetus? (Select all that apply.)

ACE inhibitors

Induction if stable

Emergent cesarean section if unstable

Digoxin

Nitroglycerin

9. What are the 3 major clinical complications related to cardiomyopathies?

Arrhythmias; including ventricular tachycardia and ventricular fibrillation

Thromboembolic complications; including DVT, PE, and ventricular thrombi

Acute pulmonary edema

10. Some patients with primary cardiomyopathies remain asymptomatic throughout their lifetime.

True

False

(NURSE6550 Final Exam)

11. A 38-year -old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression. Which migraine medication did she most likely take?

Acetaminophen and caffeine (Excedrin ® Migraine)

Naproxen sodium (Aleve ® )

Almotriptan (Axert ® )

Butalbital, acetaminophen and caffeine (Fioricet ® )

12. You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA). She worked in a dry cleaning facility until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty understanding conversation, especially in noisy environments. This is likely a:

Drug-related reaction.

Consequence of occupational chemical exposure.

Early sign of dementia.

Normal age-related change in hearing

13. While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?

Nitrites

30 mg/dL protein

Epithelial cells

pH>8(NURSE6550 Final Exam)

14. All of the following are examples of primary prevention strategies except:

Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls through adequate illumination.

Performing a hemoglobin A1C for all patients admitted to the hospital.

Conducting a study to identify the leading cause of mortality in teenagers and how to reduce risk.

Immunizing all adults ?60 years with zoster vaccine.

15. A 23-year-old woman is being evaluated for an upper respiratory tract infection. As you prepare for auscultation, the patient states “I have a benign murmur that has been with me my whole life”. Anticipating a physiologic murmur, you would expect which of the following characteristics?

Usually obliterates S2.

Becomes softer when going from a supine to standing position.

Occurs late in systole.

Has localized area of auscultation

16. You see a 73-year-old woman with a 40 pack- year smoking history, chronic obstructive pulmonary disease (COPD) and peripheral arterial disease (PAD) who presents with an ulcer on the sole of her left foot. The ulcer has an irregular edge and pale base and a punched out appearance, with the surrounding skin white and shiny. The patient states that the pain is worse at night in bed and when the legs are elevated. The most likely diagnosis is:

Pressure ulcer

Pyoderma gangrenosum

Venous ulcer

Arterial ulcer

17. You see a 76-year-old woman living at home who is accompanied by her home care provider. She has COPD and type 2 diabetes mellitus. An example of a secondary prevention strategy is:

Administering the seasonal influenza vaccine.

Screening for physical or financial abuse/Checking her blood glucose level.

Checking her blood pressure.

Adjusting her insulin dosing regimen.

18. A 43-year-old woman is being evaluated in the emergency department with a complaint of a severe headache. She describes a unilateral, pulsing headache that was preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm. The patient stated she noticed a “funny smell” prior to the symptoms starting. This description is most typical of:

Migraine with aura.

Cluster headache.

Transient ischemic attack.

Tension-type headache.

(NURSE6550 Final Exam)

19. You see a 54-year-old man living in subsidized housing with a history of hypertension. He states that he stopped taking his blood pressure medication about 4 months ago because of costs. He is concerned because his blood pressure is high whenever he checks it, though he does not report any symptoms. His BP at this visit is 196/104 mm Hg. Upon examination of this patient, you would expect to detect an S 4 sound heard during:

Early systole.

Late systole.

Early diastole.

Late diastole.

20. 32-year-old man requires evaluation for hepatitis infection prior to taking a job as a restaurant cook. He presents with the following laboratory results:

Hepatitis A Panel Hepatitis B Panel Hepatitis C Panel

Anti-HAV Negative HBsAg Negative Anti-HCV Positive

IgM Negative Anti-HBc Negative HCV RNA Negative

IgM NegativeAnti-HBs Positive

You recognize the patient is susceptible to:

Hepatitis A and B

Hepatitis B and C

Hepatitis B only

Hepatitis A only

21.  When evaluating illness symptoms in older patients, the disease will often present differently from younger adults due to:

The likelihood of polypharmacy.

Decreased compensatory mechanisms in the elderly.

An increased physiologic response to illness in the elderly.

Presence of comorbid conditions.

22. When prioritizing risk factors for bacterial endocarditis, the nurse practitioner knows who among the following patients has the highest risk.

A 55-year-old man with 3-vessel coronary artery bypass grafts with stents.

A 23-year-old woman with mitral valve prolapse without tissue redundancy.

A 65-year-old man with nonobstructive cardiomyopathy.

A 75-year-old woman with a nonorganic prosthetic aortic valve.

23. The legal authority for NPs to perform healthcare services as defined by state law is called:

Duty of care.

Non-malfeasance.

Autonomy.

Scope of practice.

(NURSE6550 Final Exam)

24. When developing a management plan for patients with genitourinary infections, which of the following would you most likely recommend for follow-up imaging following resolution of their infection?

A 27-year-old nonpregnant woman with acute, uncomplicated urinary tract infection (UTI).

A 38-year-old nonpregnant woman with 2 acute, uncomplicated UTIs in the past 9 months.

A 57-year-old man with acute bacterial prostatitis.

A 43-year-old man with type 2 diabetes mellitus and recurrent pyelonephritis.

25. The NP is called to evaluate Jane, a 43-year- old woman, who presents with a diffuse maculopapular rash that began on the trunk but now covers the entire body, including the palms and soles. The rash is not itchy but wart-like sores are present in the mouth and genital area as well as skin folds. Initial evaluation reveals generalized lymphadenopathy and a low-grade fever, and she complains of lethargy and headache. The patient reports that she had a painless genital ulcer that healed on its own about 3 weeks earlier. Which of the following is the most likely diagnosis?

Primary syphilis.

Secondary syphilis.

Genital herpes.

Gonorrhea.

26. A 27-year-old man presents with a chief concern of an abnormal mass within his left scrotum. He describes it as feeling like a “bag of worms” and is present when he is standing but disappears when he lies down. His past medical history is unremarkable and his BMI is 29 kg/m 2 . He has been in a monogamous relationship for the past 4months. The most likely diagnosis is:

Testicular torsion.

Syphilis.

Varicocele.

Testicular cancer.

27. An 18-year-old man is being evaluated for a severe exacerbation of asthma. He is currently taking an inhaled corticosteroid, a long- acting beta-agonist, and a short-acting beta-agonist on an as needed basis. The most important component of the initial assessment includes a(n):

Continuous pulse oximetry reading

Peak expiratory flow reading

Chest X-ray

Arterial Blood Gas

28. A 67-year-old man is being evaluated for shortness of breath. His medical history reveals that he experienced a myocardial infarction about 2 years ago and a history of hypertension, which is well controlled by diet.. Otherwise, his medical history is unremarkable. Which of the following would you expect to find on electrocardiogram (ECG)?

T wave inversion.

Pathologic Q wave.

ST segment elevation.

Tall R wave.

(NURSE6550 Final Exam)

29. A 74-year-old male with asymptomatic atrial fibrillation underwent electrical cardioversion that successfully restored the heart’s rhythm. Which of the following medications can be considered for the purpose of maintaining the heart’s rhythm?

Sotalol (Betapace ® )

Digoxin (Lanoxin ® )

Dabigatran (Pradaxa ® )

Enalapri

30. A 14-year-old male is brought in for evaluation after he reportedly collapsed during a tennis match, though he quickly regained consciousness. His medical history is otherwise unremarkable. You suspect hypertrophic cardiomyopathy. Which of the following heart murmur characteristics would support the diagnosis?

Occurs late in systole.

Widely split S?.

Becomes louder when going from a supine to standing position.

Murmur follows mid-systolic click.

31. You see a 64-year-old man with an area of erythema concentrated on the left side of his neck with clusters of vesicles forming a line. He reported pain in the area a couple of days before the eruption of the lesions. He states that he recently initiated biologic therapy for rheumatoid arthritis. Which of the following is the most likely diagnosis?

Impetigo.

Herpes zoster.

Drug-related adverse reaction.

Viral exanthem.

32. An NP’s duty of care can be established:

Only in the setting of a healthcare institution (e.g., hospital, clinic, etc.).

When the NP gives professional advice or treatment in any setting.

Only when a fee is charged, either to the patient or third-party payer, for services.

Only when both the NP and patient acknowledge a patient-provider relationship.

33. In managing a 58-year- old woman who is admitted for deep vein thrombosis, caution should be used with which of the following medications due to a risk of drug-induced thrombocytopenia?

Warfarin (Coumadin®)

Clopidogrel (Plavix®)

Dabigatran (Pradaxa®)

Unfractionated heparin

34. An 84-year-old female patient is admitted from a local long-term care facility (illnes). The patient is normally awake, alert, and oriented. She resides in the LTCF because she has not fully recovered from a broken hip resulting from a fall 4 months ago; otherwise she is in relatively good health. She can walk short distances with a walker, though she primarily stays in a wheelchair. Today, however, the nursing staff found her to be acutely confused and unable to ambulate without falling. She was transferred to the emergency department for evaluation. Initial laboratory testing must include:

2 sets of blood cultures.

Serum thyroid stimulating hormone (TSH) level.

Urinalysis.

Lumbar puncture.

35. A 23-year-old college student presents with a 2-day history of severe sore throat and difficulty eating or drinking due to trouble swallowing. A physical examination reveals exudative pharyngitis and minimally tender anterior and posterior cervical lymphadenopathy. The NP suspects infectious mononucleosis and would expect which of the following laboratory findings?

Neutrophilia with reactive forms.

Thrombocytosis.

Lymphocytosis with atypical lymphocytes.

Diminished ALT/AST levels.

36. “Incident-to” services are defined as those which are “an integral, although incidental, part of the physician’s personal professional services in the course of diagnosis or treatment of an injury or illness”. As long as certain criteria are met, “incident to” billing is an option in all of the following settings except:

Office visits.

Hospital.

Nursing home.

Home visits.

(NURSE6550 Final Exam)

37. A 78-year- old male is being treated for a hypoglycemic episode. He has a long history of type 2 diabetes mellitus as well as congestive heart failure and COPD. He is currently taking basal insulin with a sulfonylurea. What is the acceptable A1C goal for this patient?

≤ 6.5%

≤ 7.0%

≤ 8.0%

≤ 9.0%

38. You see a 74- year-old male who is accompanied by his granddaughter who lives with him. He has hypertension, a prior myocardial infarction, long-standing type 2 diabetes, and recently underwent a lower limb amputation secondary to diabetes. He is currently taking an ACE inhibitor, statin, low-dose aspirin, biguanide, and insulin. The granddaughter reports that since the amputation, her grandfather sometimes becomes withdrawn, irritable and moody for no apparent reason, does not want to participate in the typical activities he enjoys, and often does not appear to eat much during the day. She also states that he often complains of being tired but normally wakes up in the early morning hours. The most appropriate action is to evaluate the patient for:

Dementia.

Depression.

Delirium.

Drug interaction.

39. You see a 58-year-old man who complains of a persistent dry, hacking cough. He reports that he recently started taking a medication to treat high blood pressure. He is most likely taking a(n):

Angiotensin-converting enzyme (ACE) inhibitor

Alpha-adrenergic antagonist

Angiotensin receptor blocker

Beta-adrenergic antagonist

40. A 77-year-old woman is accompanied by her husband for evaluation. She is currently being treated with metoprolol (Lopressor ® ) for hypertension and digoxin (Lanoxin ® ) for atrial fibrillation. He reports that his wife is becoming increasingly forgetful over the past year, failing to note important family events such as birthdays, and sometimes becomes confused with driving directions to familiar locations. She has no previous psychiatric history. The most likely diagnosis is:

Parkinson’s disease.

Delirium.

Dementia.

Early stage of congestive heart failure.

41. Mrs. Conner is a 76- year-old woman living in a long-term care facility and has been bedridden with a respiratory infection for the past 4 days. She is brought in for evaluation and you note signs of dehydration as well as a section of epidermal skin loss about 3 cm in diameter on her right hip. The dermal layer appears intact. This would be considered a pressure ulcer of Stage:

1

2

3

4

(NURSE6550 Final Exam)

42. Which of the following represents the highest level of scientific evidence when evaluating clinical research?

A randomized controlled trial.

Systematic review/ Meta-analysis of randomized controlled troals.

Observational study.

Cohort study.

43. A 64-year- old woman with chronic kidney disease presents with a chief complaint of lethargy. His hemogram is as follows:

-Hemoglobin (Hg)=9.9 g/dL (12–14 g/dL

-Hematocrit (Hct)=30% (36%–42%)

-Mean cell volume (MCV)=81 fL (80–96 fL

-Reticulocytes=0.7% (1%–2%)

These findings are most consistent with:

Iron deficiency anemia.

Anemia of chronic disease.

Folate deficiency anemia.

Thalassemia trait.

44. You see a 68-year-old woman who is being treated for moderate depression. She complains that her medication is causing symptoms of dry mouth and constipation. She is most likely taking which of the following medications?

Venlafaxine (Effexor ® )

Citalopram (Celexa ® )

Fluoxetine (Prozac ® )

Nortriptyline (Pamelor ® )

45. All of the following persons are eligible for Medicare services except:

A 74-year-old ex-smoker with COPD and high income from assets.

A 69-year-old undocumented resident in the US with atrial fibrillation.

A 62-year-old with a permanent physical disability due to a motor vehicle accident.

A 72-year-old permanent legal resident (non-US citizen) with type 1 diabetes mellitus.

46. When initiating therapy with spironolactone for a patient who is also on an ACE inhibitor, you advise the patient to return in 5 days to check which of the following laboratory parameters?

Sodium

Calcium

Potassium

Chloride

47. When considering an end-of-life decision for a terminally ill person with Alzheimer-type dementia who can no longer communicate, all of the following can be used as an advanced directive except:

Testimony from a family member or close friend

A living will.

A “do not resuscitate” order.

A durable power of attorney for healthcare.

48. Which of the following types of clinical studies represents the lowest level of evidence used to guide medical decisions?

Clinical experience of renowned expert in field.

Non-randomized controlled study.

Observational study.

Case-control study.

49. Which of the following electrocardiogram (ECG) changes do you expect to find in a person with myocardial ischemia?calcium

Pathologic Q wave

Tall R wave

T wave inversion

ST segment elevation

50. Which of the following statements is false regarding end-of-life decision-making for a patient that is hopelessly and terminally ill?

A durable power of attorney for healthcare can be used to authorize another person to make healthcare decisions.

A videotaped or audiotaped discussion with the patient can include advanced directives.

Advanced directives are legally binding and recognized in all 50 states.

Living wills and do not resuscitate orders are examples of advanced directives.

51. The nurse practitioner is evaluating a 19-year- old male suffering from a severe headache. He has a history of headaches that tend to occur in clusters over a few days. He has unsuccessfully tried several therapeutic modalities. A positive response to which of the following interventions supports the diagnosis of cluster headache?

Oxygen therapy.

Beta-adrenergic blockade.

Tricyclic antidepressant.

Dietary reduction of amines.

(NURSE6550 Final Exam)

52. All of the following are required Medicare terms and conditions for paying NP services except:

The services are within the NP’s scope of practice as defined by state law.

The services performed are those for which a physician would be able to bill Medicare. The services are performed in collaboration with a physician.

Separate charges are billed for NP services and facility charges.

53. A 28- year- old male with asthma presents with a chief complaint that he has to use his rescue inhaler multiple times each day. An evaluation reveals that he has moderate-to-severe asthma and requires Step 4 treatment. An appropriate regimen would include:

Low-dose inhaled corticosteroid (ICS)

Medium-dose ICS

Medium-dose ICS plus a long-acting beta?-agonist (LABA)

High-dose ICS plus LABA plus omalizumab (Xolair ® )

54. A 62-year-old woman presents in the emergency department complaining of severe toe pain that originated overnight. She has a history of renal disease and is currently taking a thiazide diuretic. Her BMI is 37 kg/m 2 . In considering a diagnosis of acute gouty arthritis, the nurse practitioner knows that the best diagnostic indicator is:

Serum uric acid.

Joint X-ray.

Erythrocyte sedimentation rate (ESR).

Analysis of joint aspirate for urate crystals.

55. Which of the following is the most appropriate antibiotic for a 57-year-old man with acute bacterial rhinosinusitis and who has type 2 diabetes mellitus, COPD and a beta-lactam allergy?

Cephalexin (Keflex ® ).

Amoxicillin-clavulanate (Augmentin ® ).

Trimethoprim with or without sulfamethoxazole (Primsol ® , Bactrim ® ).

Levofloxacin (Levaquin ® )

 
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Utilizing Orem’s Self-Care Framework

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Dorethea Orem theory of Self-Care Deficit theory, writing homework help

Utilizing Orem’s Self-Care Framework

(Utilizing Orem’s Self-Care Framework)

Question description

How do I complete this assignments including all the requirements?

Theory

Requirements Description of the Assignment: Dorethea Orem theory of Self-Care Deficit theory will be presented as a framework to resolve a problem occurring within one of the  (Chose One) professional areas of leadership, education, informatics, healthcare policy or advance clinical practice.

Heading #1. Introduction:

The introduction for this paper includes:

•  General statements on the idea of Nola Pender Promotion Model being applied to health promotion issues in nursing practice.

• A one-paragraph summary of the selected specific nursing theory is required.

• Information identifying the sections of this assignment.

• References from nursing literature are required.

Heading #2. Description of Issue (Nurse to patient ratio)

The selected issue or concern must be clearly identified as being significant to the professional area of Family Nurse Practitioner The issue or concern must be presented comprehensively, but concisely by answering each of the following questions. Each question must be address

• What is the specific issue or concern being presented?

• Why should the nursing profession care about this issue or concern?

• What does the nursing literature have to say about this issue or concern including its frequency of occurrence?

• Who are the stakeholders or the people affected by the issue or concern? References from nursing literature are required.

Heading #3. Application of Selected Nursing Theory to Issue or Concern:(Utilizing Orem’s Self-Care Framework)

This section of the assignment focuses on using the selected nursing theory to resolve the described issue or concern. Required information includes:

• Restating the selected nursing theory to be used

• Identification of one strategy useful in resolving the identified issue or concern. • The strategy should be presented in depth with the following information being required:

– A specific description of how the selected nursing theory can help to resolve the issue or concern o A specific and detailed description of the strategy to be used

– A specific and detailed description of how the strategy can be implemented

– A specific and detailed description of one suggestion for future research into either the selected nursing theory or selected issue or concern.

References from nursing literature are required.

Heading #4. Conclusion:

This section provides a summary or review of the key elements of the assignment including the selected nursing theory and its application to the issue or concern.

The concluding statements include self-reflection on the new knowledge gained about applying nursing theory to a professional issue or concern.

Preparing the Assignment Format and Special Instructions

1. Paper length: 6 pages minimum; 8 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements.

2. A minimum of 7 (seven) scholarly references are required. References must be current – not older than 5 years

 
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health intervention for health promotion

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health intervention for health promotion

(health intervention for health promotion)

Question description

PLEASE READ CAREFULLY AS THESE ARE TWO SEPARATE ASSIGNMENT IN ONE. MUST BE DONE ON TWO SEPARATE DOCUMENTS

FIRSY ASSIGNMENT- A DISCUSION

For this discussion, choose a nursing intervention strategy that you can use to promote health for a specific family. Review pp 225 – 230 of your text. Select one of the nursing intervention strategies found (Self-Care Contract: Involvement of all family members; Family Empowerment and Family Strengths-Based Nursing Care; Anticipatory Guidance and Offering Information; Use of Rituals/Routines and Family Time; Family Meal and Healthy Eating). Describe the major points of the strategy you select. Then, identify and describe a family you know who might benefit from the selected strategy. Identify why the family needs to develop this health promotion practice. Explain specifically how you would go about intervening with this family to help them with health promotion activities.

Objectives

References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

LINK TO BOOK

http://ners.unair.ac.id/materikuliah/ebooksclub.or…

SECOND ASSIGNMENT- A PAPER NO LESS THAN 2 AND A HALF PAGES LONG, PAPER MUST INCLUDE INTRODUCTION AND CONCLUSION.

Overview

Choose a chronic illness that could affect a patient in your nursing practice. Discuss three (3) ways you could promote the health of the patient and the family dealing with the specific illness.

Objectives

Incorporate health promotion ideas into nursing practice

READ-chapters to read 8,9,10

USE LINK ABOVE FOR THE CHAPTERS A MINIMUM OF 2 REFFRENCE MUST COME FROM THE CHAPTER READING FROM THE BOOK ABOVE

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

I HAVE ATTACHED THE BOOK FOR THIS POST. WILL ALSO ATTACH THE RUBRIC FOR THE SECOND ASSIGNMENT. PLEASE FOLLOW EXACT RUBRIC TO COMPLETE THE PAPER.

PLAGIARISM WILL NOT BE ACCEPTED. WILL BE PUT IN AN ONLINE SITE TO TEST PLAGIARISM, PLEASE FOLLOW RUBRIC OR ASSIGNMENT WILL NOT BE ACCEPTED

 
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Family Genogram Analysis

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Multigenerational Insight: Family Genogram Analysis

(Family Genogram Analysis)

Genogram Paper

This can stay as first paragraph- My family genogram consists of a total of seven family members, starting from the eldest, my grandmother and grandfather both from my mothers side are still alive as for my dads mother, she passed away in 2006, my father and mother, my sister, and my other half-sister, who is a member of the family after my father’s infidelity (Dunn & Levitt, 2000). The family tree is stretched across three generations, the elderly generation consisting of my grandparents, my parents and the young generation including me and my two sisters.

Paragraph 2 – talk about the first generation of my genogram. So the first generation of my genogram is my grandparents. The stage they are in is the aging family stage. This is the 8th stage. At this point in there life they are just looking to enjoy every day with happiness and love. They moved back to Africa to better enjoy there life and be around the people they love most.

Paragraph 3 – second generation is my parents. The are in the 7th Stage which is known as the middle aged parents stage. Right now I’m this stage my parents are focused on there careers and making sure they can pay the bills so that me and my sisters can grown up in a good home. There number one priority in this stage is making sure the kids grow into productive people in the world.

Paragraph 4 – Third generation consist of me the only boy and my two sisters. We are in the Launching Center Stage. This is the 7th stage. In this launching stage of life we are trying to figure out our life’s. Fresh out of college or about to graduate soon, we are trying to find stable jobs and also try and work towards building a family of our own one day.

Paragraph 5 – In this paragraph talk about the Advantages and Disadvantages of a genogram.

Ending – Is have you learned anything about your family from the genogram project. So something you can say here is that I never took the time to analyze my family from a outside prospective so doing this project helped me appreciate my family more and everything they’ve been through. You can say my perception has changed on my family Because now everything makes sense to me. Like why my parents work so hard because they want me and my sisters to make it through the launching stage successfully.

 
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Ethics in Research

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Ethics in Research 80 words

(Ethics in Research)

Ethics in research are fundamental principles guiding the conduct of scientific inquiry, ensuring integrity, respect, and responsibility towards participants, society, and the scientific community. Central to ethical research is the principle of beneficence, which prioritizes the well-being of participants, minimizing harm and maximizing benefits. Respect for autonomy emphasizes the right of individuals to make informed decisions about their participation, necessitating informed consent and protection of privacy and confidentiality. Justice mandates equitable distribution of risks and benefits, avoiding exploitation or discrimination.

Researchers must adhere to professional standards, including honesty, transparency, and accountability in reporting and dissemination of findings. Ethical considerations extend beyond human subjects to encompass animal welfare and environmental impact. Ethical review boards or Institutional Review Boards (IRBs) play a crucial role in evaluating research proposals to ensure compliance with ethical guidelines and regulations.

Violations of research ethics can have serious consequences, compromising scientific integrity, damaging trust, and causing harm to individuals or communities. Therefore, upholding ethical standards is not only a moral imperative but also essential for the credibility and sustainability of scientific research.

(Ethics in Research)

As noted in your book, psychological testing is often used in behavioral and social research. Most colleges and universities have a committee dedicated to approving human participant research, called the Institutional Review Board. In the past, certain types of research undertaken using human participants have been considered unethical. Refer to the Stanford Prison Experiment study, by clicking the title or the link provided below.

Based on the findings of this study and others, discuss what you consider to be important prerequisites for conducting research on human behavior by using human participants. Be sure to incorporate information on ethical principles drawn from the online content, the textbook, and other credible, scholarly sources such as the APA website listed below to substantiate the points you are making.  Apply APA standards for citations of sources.

Explain the importance of the Zimbardo study in guiding our decision-making as related to testing and research.

Zimbardo, Z.P. (2009). The Stanford prison experiment. Retrieved from http://www.prisonexp.org/

American Psychological Association. (2010a). Ethical Principles of Psychologists and Code of Conduct 2010 Amendments. Standard 8 : Research and Publication. Retrieved from http://www.apa.org/ethics/code/index.aspx

American Psychological Association. (2010b). Ethical Principles of Psychologists and Code of Conduct 2010 Amendments. Standard 9 : Assessment. Retrieved from http://www.apa.org/ethics/code/index.aspx

 

Grading Criteria  Maximum Points    Quality of initial posting, including fulfillment of assignment instructions  16    Quality of responses to classmates  12    Frequency of responses to classmates  4    Reference to supporting readings and other materials  4    Language and grammar  4    Total:  40

 
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Journal Review

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Journal Review

(Journal Review)

Guidelines:

You are to select a scholarly, peer reviewed, full-text journal article in the field of developmental psychology to read and critically analyze its content.

Full-text journal articles may be accessed online through your school library, You will have to sign in using your  credentials. Once you are signed in, select a search engine (e.g. – EBSCOhost) and then select databases you want to search (e.g. – Academic Search Premier, Psychology and Behavioral Science Collection, PsycINFO).

Key points for your Journal Article Summary:

Your article needs to be peer-reviewed, which means experts in the field have reviewed it to ensure its credibility before its publication. In other words, Psychology Today is NOT an appropriate source, but the International Journal of Group Psychotherapy is. You can choose to have results limited to only those that have been peer-reviewed and those that are full-text by selecting these options when searching topics. Reading only an abstract is not sufficient for this assignment; articles must be full-text.

Your summary should include the following factors:

  • What was the hypothesis for this study?
  • The number of participants and their demographics.
  • i.e. Was the study made up of 20 college-aged students at a small liberal arts college or 500 participants referred by inpatient psychiatric hospitals?
  • Details about the methodology:
  • Type of research design (i.e. correlation, naturalistic observation, cross-sectional, longitudinal, etc.)
  • Assessments used
  • Procedure
  • What were the results of this study?
  • What confounding variables (factors that were not controlled for but may have affected results) were there?
  • What other factors should be considered when making conclusions about the results?
  • What significance does this study offer the field of developmental psychology?

Include a Christian perspective on the topic using relevant Scripture to support the viewpoint.

Include in the reference page a link to the journal article for easy access.

This paper should be 2-3 pages in length (in addition to a cover page and reference page) and should meet the expectations outlined in the grading rubric.

A good example of a developmental psychology topic would include “Attachment.” Review the following full-text journal article for an example of an appropriate article on this topic:

http://europepmc.org/articles/PMC4714833?pdf=render; https://doaj.org/toc/1932-6203

https://doaj.org/article/3cecef729194475eafeb68925a20e76f

 
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The Diversity Movement

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The Diversity Movement

(The Diversity Movement)

The Diversity Movement, born out of the civil rights era and gaining momentum in the latter half of the 20th century, advocates for inclusivity and representation across all sectors of society. It champions the idea that diversity, encompassing differences in race, ethnicity, gender, sexuality, ability, religion, and more, is not just a moral imperative but also essential for innovation, creativity, and social progress.

Key components of the Diversity Movement include affirmative action policies to address historical inequalities, diversity training programs to foster understanding and respect, and efforts to promote diverse representation in leadership positions. It has led to increased awareness of unconscious biases and systemic discrimination, sparking conversations about privilege, intersectionality, and cultural competence.

The movement has faced challenges, including backlash from those resistant to change and criticisms of tokenism or performative diversity. However, its impact is undeniable, with many institutions adopting diversity initiatives and incorporating diversity, equity, and inclusion principles into their core values. The Diversity Movement continues to evolve, advocating for genuine equity and belonging for all individuals, regardless of their background or identity.

(The Diversity Movement)

The diversity movement suggests that there is strength in our differences and that our differences enhance each other. At the same time, the movement insists that our differences should not have economic, social, or political consequences. We are entitled to the same access to resources and opportunities regardless of our differences. The human suffering from Hurricane Katrina and the images of victims has stimulated the debate about differential access to resources.

Read the report Women in the Wake of the Storm: Examining the Post-Katrina Realities of the Women of New Orleans and the Gulf Coast. On the basis of your reading, create a report, answering the following:

Discuss the prominent dimensions of diversity revealed as a result of the Hurricane Katrina disaster.

Discuss factors that specifically influenced women’s vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.

Describe the implications for healthcare organizations as a result of the disaster.

Discuss at least of two of the policy implications that are outlined in the report. If you were given the task to add another policy recommendation what would it be and why?

Make your report in a 4- to 5-page Microsoft Word document.

Submission Details:

Support your responses with examples.

Cite any sources in APA format.

 
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Family Genogram Analysis1

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Generational Insights: Family Genogram Analysis

(Family Genogram Analysis1)

1-Please Answer Based On These Answers As They Are Listed, Each One Must Be Answered In APAform And Not Less Than 150 Words

–  I can totally see where there would be tension between these two, especially in today’s world.  I am no expert on religion or science for that matter, but I do feel like some of the tension is unnecessary.  I feel that the two can work to benefit our patients by balancing them with the needs of the patient.  Let’s take my kids for instance, if they were sick with some known treatable disease there would be no other option in my mind to treat them with science and medicine that has been proven to work.  I wouldn’t only pray for them to get better and not do anything about it, but I would pray for them and do whatever was necessary to help my family deal with the stress and worry of a child being sick.  Here we have used them both to our benefit and they each serve a different purpose and effectiveness.  Thanks again for your post!

(Family Genogram Analysis1)

2-My perception of the tension between science and religion is founded at first glance and then not when looked at more closely.  Science and religion can coincide in health care if respected for their own strengths and limitations.  I feel that a healthy balance of both can benefit our patients providing different needs when they’re needed.  I have seen with my own eyes CRP markers drop in an infant receiving antibiotic treatment and I have also seen an infant that wasn’t supposed to live by scientific probability actually make it and thrive with prayer being the only obvious intervention.  So, trying to single out one over the other as more effective than the other seems less beneficial than trying to work them both in when the patient requires such help.

I feel that science is good for some of the more usual cases and things we feel we can help with its information, and I also feel that we can use religion to help a patient with their mental aspects of  healing.  We can quantify an improvement in a patient through lab levels and such, but it’s hard to do the same with religion and how a patient uses that tool as comfort or however they use it in their lives.  “Some observational studies suggest that people who have regular spiritual practices tend to live longer. Another study points to a possible mechanism: interleukin (IL)-6. Increased levels of IL-6 are associated with an increased incidence of disease. A research study involving 1700 older adults showed that those who attended church were half as likely to have elevated levels of IL-6. The authors hypothesized that religious commitment may improve stress control by offering better coping mechanisms, richer social support, and the strength of personal values and worldview” (NCBI, 2001).  In this example we see the benefits were surveyed to be founded, but the exact workings aren’t exactly known.  The great thing about science is that usually we have some tangible results that are repeatable and there’s safety to be found in that.  The great thing about religion is that we can have faith in whatever we believe in and that’s all that’s needed.  It’s our faith and belief that drives the comfort in religion.

I understand how people will want one to win over the other and I feel that it depends on the person and how they view it.  I feel that there doesn’t need to be this tension because they both can serve separately but benefit the patient when both are utilized.  If you have multiple tools in the box, why not use a variety of them and pick whichever is most appropriate for the task at hand?  Each tool has their own specialty and doesn’t mean one has to be better than the other or tension between the two, they just need to work for the purpose they’re intended.

Reference(Family Genogram Analysis1)

Puchalski, C. 2001.  The role of spirituality in health care.  Retrieved from:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305900/

 

 

3-I was able to develop a greater understanding of the tension between science and religion based on the article, the role of spirituality in health care and the lecture notes this week. I have always believed in God and often pray in silence for my patients or families in the Peds ED. Many times, it will be for something as small as obtaining an IV on a patient that has been deemed a “hard stick.” However, what I refrain from doing is addressing my patients’ spiritual beliefs throughout their stay. My thoughts include “what if they don’t believe?”, “will they be offended?”  Today there is often tension in any conversation. Politics, healthcare, beliefs in God, what to post on your social media account, etc.. Everyone has an opinion but verbalizing that opinion can cause tension with your closest family member. Specific to healthcare in the West, scientism and relativism has exacerbated the perceived tension between scientism and religion (“Worldview Foundations of Spirituality and Ethics”, 2018) . If we base all healthcare beliefs off scientism and relativism, there is no room for hope or belief that God (or the patient’s higher power) has any room for preforming a miracle or comforting the patient in their time of need. As Puchalski (2001) said, “Healing can be experienced as acceptance and peace with one’s life. This healing, I believe is at its core spiritual.” Patients need to understand the science and reality behind any diagnosis, whether acute or chronic. However, they need the opportunity to heal as a whole person which includes their spirituality. “It is critical that we as physicians and health care providers listen to all aspects of our patients’ lives that can affect their decision making and their coping skills” (Puchalski, 2001).

I believe that it is important to have a balance between science and religion without the tension. One were our patients can express their spirituality and we can be honest with our professional knowledge and offer our presence and compassion at the same time.

Reference:Reference(Family Genogram Analysis1)

Puchalski C. M. (2001). The role of spirituality in health care. Proceedings (Baylor University. Medical Center) , 14 (4), 352-7.

Worldview Foundations of Spirituality and Ethics. (2018). Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/users.html?operation=loggedIn#/learningPlatform/loudBooks/loudbooks.html?viewPage=current&operation=innerPage&currentTopicname=Worldview Foundations of Spirituality and Ethics&topicMaterialId =a52bac38-a38a-4edc-8747-efe8f3c85261&contentId=6775b54b-52b8-4bb1-b4de-a5bd34e39a90&

 
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Interpersonal Communcation

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Interpersonal Communcation

(Interpersonal Communcation)

Question description

Part I: Listening Analysis First read the Week 2 lecture on listening and do the listening exercises to evaluate your listening skills. Then, use that information to describe an instance when you failed to be an effective listener.

Next, respond to the following prompts. As you compose your responses, you should make connections to the ideas contained in the listening chapter assigned for the week.

  • Where in the stages of listening did you experience breakdown?
  • What was the reason you failed to listen effectively?
  • What could you have done differently to improve your listening?

This part of the assignment should be written with at least four paragraphs (with a minimum of three to four sentences each) of commentary, which is in addition to any quoting from the exercise itself you may choose to do. It may be helpful to explain your thought process and provide examples to give explanation to your descriptions of why you feel that way. This is not a formal paper, but college-level spelling, grammar, and syntax are expected.

Part II: Small Group and Public Speaking Strategies Later in this course, you will read chapters that address skills in both small group communication and public speaking. This assignment is intended to get you thinking about those skills before that information is covered in class, so know that you are not expected to have fully researched responses for this part of the Week 2 assignment.

Using the Communication Improvement Strategy Table from the Week 1 Lecture, develop an improvement strategy that follows it according to the following assessments:

  • the checklist describing the skills covering small-group communication in Chapter 9 on page 189; and
  • the Test Yourself inventory on public-speaking apprehension in Chapter 11 on page 209 OR the checklist describing the steps in preparing a speech on page 234.

You may choose to format these into tables or write them in paragraph form. With whichever option, you should have clear labels for the four main areas: problem, goal, plan, and test of measurability.(Interpersonal Communcation)

Part III: Presentation Topics and Research Ideas Based on the improvement strategies and work on the CCC that you have completed up to this point, put together a numbered list of at least six presentation topics you might have an interest in researching and developing for the Week 6 assignment. Rank the topics with your strongest choice at the top of the list and the others in descending order.

Using your first-topic choice, list three APA formatted references that would be suitable as research sources to support a presentation. These should be in addition to your textbook and not come from the open Web (e.g., a Google search, a blog, and so on). The best place to look is the Chamberlain University Library.

Include your work for Parts I, II, and III in the same Word file (.docx).

Submit your assignment.

Rubric(Interpersonal Communcation)

Week 2: Homework 2

Week 2: Homework 2
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeListening Analysis
20.0 ptsPaper addresses all aspects of Part I: Listening Analysis 17.0 ptsPaper addresses most aspects of Part I: Listening Analysis 14.0 ptsPaper addresses some aspects of Part I: Listening Analysis 11.0 ptsPaper addresses few aspects of Part I: Listening Analysis 0.0ptsNo effort
20.0pts
This criterion is linked to a Learning OutcomeSpeaking Strategies
10.0 ptsPaper addresses all aspects of Part II: Small Group and Public Speaking Strategies 8.5 ptsPaper addresses most aspects of Part II: Small Group and Public Speaking Strategies 7.0 ptsPaper addresses some aspects of Part II: Small Group and Public Speaking Strategies 6.5 ptsPaper addresses few aspects of Part II: Small Group and Public Speaking Strategies 0.0ptsNo effort
10.0pts
This criterion is linked to a Learning OutcomeWriting
5.0 ptsThroughout the whole work, the writing · actively engages with the topic · is free of major errors in grammar, spelling, and punctuation · demonstrates strong word choice and sentence variety 4.0 ptsThroughout most of the work, the writing · actively engages with the topic · is free of major errors in grammar, spelling, and punctuation · demonstrates strong word choice and sentence variety 3.0 ptsThroughout some of the work, the writing · actively engages with the topic · is free of major errors in grammar, spelling, and punctuation · demonstrates strong word choice and sentence variety 2.0 ptsThroughout little of the work, the writing · actively engages with the topic · is free of major errors in grammar, spelling, and punctuation · demonstrates strong word choice and sentence variety 0.0ptsNo effort
5.0pts
This criterion is linked to a Learning OutcomeLength
5.0 ptsCommentary includes at least three paragraphs of three to four sentences each 4.0 ptsCommentary includes at least three paragraphs but the paragraphs are less than 3 sentences each 3.0 ptsCommentary includes only two paragraphs or the paragraphs are less than 3 sentences. 1.0 ptsCommentary has only one paragraph or the paragraphs are shorter than 3 – 4 sentences. 0.0ptsNo Effort
5.0pts
Total Points: 40.0
 
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Mock Individual Assessment1

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Mock Individual Assessment (Rough Draft) .

(Mock Individual Assessment1)

Mock Individual Assessment (Rough Draft)

For this assignment you are to:

    • Improve your interview and referral questions for the case vignette you selected in M1 Assignment 3.

Use the case vignette you selected in M1 Assignment 3 for this assignment.

Next, create and document a set of mock interview questions and potential referral questions to ask your client and yourself. You can determine the questions in relation to the case vignette that you choose.

You might also want to consider some of the example referral questions listed below.

Analyze all the information provided in the case vignette and begin to formulate a hypothesis as to why the individual needs referral.

Example Referral Questions:(Mock Individual Assessment1)

      • As a forensic mental health professional, what factors need to be considered in your psychological testing for the forensic assessment report?
      • What behavioral observations do you make about the client by reading the case vignette?
      • What are your assessment options in working with the client?
      • What standards and accepted psychological tests might you apply to your client in forensic settings? Select from the instruments you researched in M3 Assignment 2 RA.
      • How will you recognize and evaluate your client’s offender behaviors associated with malingering and deception?
      • What theoretical orientation do you want to use in this case for your treatment recommendations?
      • What is the case scenario you have selected?
      • What is the reason for referral?
      • What is the purpose of the forensic assessment and report?
      • What is the nature of the problem presented in your selected case vignette?
      • What is the context in which the forensic assessment report will be used?
      • What is the background of your client? What are the symptoms displayed by your client and the significance they have in this case?
      • What is the mental status of your client? Be sure to elaborate on every major component addressed in the mental status examination.
      • What interview type and approach did you use with your client?
      • What tests are appropriate to use in your forensic assessment report? Identify one intelligence test, one objective personality test, and one projective test.
      • What collateral information will you use in the process of the evaluation?
      • How will you present your impressions of the client?
    • Write a Forensic Mental Health Professional Individual Assessment Report.

Use the Forensic Mental Health Professional Individual Assessment Report template (you can download the template from this link).Attached

Evaluate and interpret the information provided to you in the case vignette that you have selected in M1 Assignment 3. Synthesize the information you collected to create a Forensic Mental Health Professional Individual Assessment Report. Your findings should be in a report format.

In a 10- to 12-page report, include only the following components:

      • Reason for Referral: Explain the objective of your case vignette analysis, clearly bringing out the aspects or reasons that motivated you to carry out the study.
      • Presentation: Create mock interview data and collateral information (you are to identify the questions to ask in the interview). Provide a synopsis of the interview. Provide data to support the mental status of your client, based on your forensic assessment report and the mental status components you have identified.
      • Current Life Situation and Background Information: Explain the problem provided in your selected case vignette using the interview and mental status data. How does the data relate to the background of your client and your behavioral observations?
      • Objective Testing: Identify the assessment instruments you would recommend to evaluate the client and explain the rationale for your recommendations. Describe the objective tests you have selected and their use. How did you apply these tests to your selected case vignette? Based on your study, what is your analysis of the symptoms displayed by your client? What ethical and multicultural issues do you need to address? You will apply what you have learned from M3 Assignment 2 RA into this section.
      • Provide your diagnostic impressions based on DSM-5 criteria. What is your principal diagnosis? What is your secondary diagnosis? Are there other conditions that may be the focus of clinical attention to consider?
      • Conclusion and Recommendations: What is your hypothesis based on the mental status examination, the interview, personality tests, and symptoms analysis? Explain your hypothesis and substantiate it, using instances from your case study. Discuss your results with conclusions and recommendations.

The final Forensic Mental Health Professional Individual Assessment Report should contain all the assigned components and the corresponding information.

Your final deliverables for this module are:(Mock Individual Assessment1)

  • Selected case vignette
  • List of interview/referral questions
  • Assessment template
  • Final assessment report

Your report should be approximately of 12–15 pages.

 
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