NR511 Midterm Exam Guide

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NR 511 Week 4 Midterm (Exam Version 5)
NR511 Midterm Exam Guide

(NR511 Midterm Exam Guide)

Question 1: 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 2: Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis?

a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics

Question 3: 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 4: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?

a. “It is probably just a cyst, because that is the most common breast mass.”
b. “We will order a mammogram and ultrasound to help establish a diagnosis.”
c. “We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”
d. “Because your lump is painful, it is most likely not cancer.”

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: 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 7: Which characteristic of delirium helps to distinguish delirium from dementia?

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

Question 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?

a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure

Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?

a. Posterior dislocations are more common than anterior dislocations.
b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
c. Recurrent dislocations are uncommon and would require a greater force to result in injury.
d. Surgery is most commonly the treatment of choice.

Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?

Question : 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.

NR511 Midterm Exam Guide

Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?

a. Overweight

b. Mild obesity

c. Moderate obesity
d. Morbid obesity

Question 12: 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

Question 13: 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 14: 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 15: 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 16: A 24-year-old 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 17: 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

Question 18: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?

a. Spores

b. Leukocytes

c. Pseudohyphae
d. Epithelial cells

NR511 Midterm Exam Guide

Question 19: Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?

a. 10%

b. 20%

c. 30%
d. 50%

Question 20: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?

a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test

Question 21: 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 22: 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 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.

Question 24: 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

Question 25: 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 26: Immunizations are an example of which type of prevention?

a. Primary
b. Secondary
c. Tertiary

Question 27: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?

a. Permanent tissue damage may occur, resulting in necrosis to that body part.
b. The area will be super sensitive.
c. The area is prone to a repeat frostbite.
d. The area is as susceptible as any other area.

Question 28: 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 29: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?

a. Propranolol

c. Ergotamine
b. Timolol

d. Topiramate

Question 30: 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

 
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Health Promotion Concepts

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Health Promotion Concepts

(Health Promotion Concepts)

can you help me with this assignment with good quality and be on time please?

its an outline for the research paper and  the topic is osteoarthritis disease. 3 peer reviewed journal articles. Write about the 5 levels and how health promotion can be used at each. Intrapersonal-individual knowledge, attitude, and skills. Interpersonal/social support-friends/families, doctors, etc. Organizational-state/local health departments, professional associations, etc. Public policy-ACA, CDC, NIH, HP2020, etc.

 students will submit an outline of their signature assignment-ecological research paper with APA 6th edition in-text citations/references. The assignment is to identify which information will be used in the final paper and to research appropriate and relevant information based on the topic chosen.  A sample of how to structure an outline is provided for your guidance. It is not information that pertains to your research paper. Instructor will provide feedback based on outline submitted.

sample outline

Developing Outline and Annotated Bibliography

The purpose of this assignment is to develop the outline of empirical studies you plan to include in your final paper. Do not use this information for your own paper. This is a sample on how to structure an outline. 

Paper Outline. The outline should be at least 1 page, single spaced, using standard outline numbering/lettering, and should break down the major issues (i.e., Health issue, community, 5 levels of ecological model) you plan to cover in your final signature assignment. For example, an outline for developing an educational program on breast cancer screening (see section IV. b of the outline) might look like this:

I. Introduction.

A. High incidence of breast cancer among Vietnamese women (Deepen & Cockburn, 2010; ACS, 2013).

B. Importance of breast cancer screening for early detection (ACS, 2013; ASCO, 2009).

C. Lower rates of mammography among Vietnamese (Tanjasiri, 2007; Kagawa-Somger & Pourat, 2009).

II. Individual psychological factors associated with Asian breast cancer screening.

A. Fear and other cultural beliefs about breast cancer (McPhee, 2008; Kagawa-Singer, 2003).

B. Cultural modesty and lack of breast cancer screening (Kagawa-Singer, 2003; Tanjasiri, 2007).

C. Summary: Asian women tend not to discuss screening with anyone.

III. Interpersonal factors-Importance of social support for Asian women.

A. Role of social support in coping with cancer (Ashing-Giwa, 2012; Pasick, 2008).

B. Importance of medical providers promoting screening to women (McPhee & Nguyen, 2009; Tran, 2009).

C. Role of community health educators to promote screening among women and providers (Nguyen, 2009; Kagawa-Singer, 2008).

D. Summary: Social support from family and friends is promising to promote screening among Asian women.

IV. Organizational

A. Health insurance coverage on mammograms (Yi, 2010; McPhee, 2006).

B. State/local health departments to support breast cancer screening (CDC, 2007).

V.  Community

A. Community based organizations to support breast cancer screenings (CDC, 2008).

B. Comprehensive cancer control coaliation on breast cancer screening (NIH, 2013).

VI. Policy/Societal

A. Healthy People 2020 goals on national breast cancer screenings

B. Affordable Care Act policies

VII. Summary

A. Paragraph summarizing gaps regarding lack of efforts to increase women’s social support around screening.

B. The purpose of this project is to develop and pilot test an educational program to increase social support among friends to promote screening among Vietnamese women in Orange County.

Annotated Bibliography (OPTIONAL). Write a brief summary of each empirical study you plan to include in your final paper. Each entry should start with a full reference to the study in APA style followed by a 100-150 word description and evaluation of the articles. Do not merely copy the abstract – you should highlight only the things relevant to your topic.

Specific Instructions

1. Typed, single spaced, one inch margins on all sides, 12 point font (preferably Times New Roman).

2. Use APA style for citations and reference page.

 
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Discussion 1: Play Therapy

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Discussion 1: Play Therapy

(Discussion 1: Play Therapy)

Children who have been abused or traumatized in some way may benefit from working with a therapist. Children often reenact trauma through repetitious play in order to establish mastery over their emotions and integrate experiences into their history on their own terms. Through the use of toys and props, children may naturally share their emotions and past experiences without feeling the pressure they might encounter with traditional talk therapy.

For this Discussion, review the course-specific case study for Claudia and the Chiesa (2012) and Taylor (2009) articles.

· Post an explanation of ways play therapy might be beneficial for Claudia. 

· Using the insights gained from the articles, describe ways you might have worked with Claudia to address her fears and anxiety related to the mugging she witnessed.

Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

References (use 3 or more)

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

Ruffolo, M. C., & Allen-Meares, P. (2013). Intervention with children. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 41–69). Hoboken, NJ: Wiley.

Taylor, E. R. (2009). Sandtray and solution-focused therapy. International Journal of Play Therapy, 18(1), 56–68.

van der Kolk, B. A. (2003). The neurobiology of childhood trauma and abuse. Child and Adolescent Psychiatric Clinics, 12, 293–317. Retrieved from http://www.traumacenter.org/products/pdf_files/neurobiology_childhood_trauma_abuse.pdf

van der Kolk, B. A. (2005a). Child abuse & victimization. Psychiatric Annals, 35(5),374–378. Retrieved from http://www.traumacenter.org/products/pdf_files/neurobiology_childhood_trauma_abuse.pdf

van der Kolk, B. A. (2005b). Developmental trauma disorder. Psychiatric Annals, 35(5), 401–408.

Gil, E. (1991). The healing power of play: Working with abused children. New York, NY: Guilford Press:

Chapter 2, “The Child Therapies: Application in Work With Abused Children (pp. 26–36) (PDF)

Chapter 3, “The Treatment of Abused Children” (pp. 37–82) (PDF)

Discussion 2:
Transference and Countertransference

Specific skills and knowledge are essential for a social worker working with children. Understanding transference and countertransference is crucial to a healthy therapeutic relationship. Both transference and countertransference can be evident in any client–therapist relationship, but are especially important in working with children because of a common instinct among adults to protect and nurture the young. The projection or relocation of one’s feelings about one person onto another, otherwise known as transference, is a common response by children (Gil, 1991). Countertransference, a practitioner’s own emotional response to a child, is also common.

For this Discussion, review the Malawista (2004) article.

· Post your explanation why transference and countertransference are so common when working with children. 

· Then, identify some strategies you might use to address both transference and countertransference in your work with children.

Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

References (use 3 or more)

Chiesa, C. (2012). Scripts in the sand: Sandplay in transactional analysis psychotherapy with children. Transactional Analysis Journal, 42(4), 285–293.

Ruffolo, M. C., & Allen-Meares, P. (2013). Intervention with children. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 41–69). Hoboken, NJ: Wiley.

Taylor, E. R. (2009). Sandtray and solution-focused therapy. International Journal of Play Therapy, 18(1), 56–68.

Malawista, K. L. (2004). Rescue fantasies in child therapy: Countertransference/ transference enactments. Child and Adolescent Social Work Journal, 21(4), 373–386

 
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Strategic Planning Process

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Strategic Planning Process

(Strategic Planning Process)

Question description

Please take note of the following info since the papers will all be in a way connected. The bolded information directly below is just for FYI for this week, and weeks to follow, the actual assignment follows. If any confusion please reach out to me.

Citation: Hitt, M.A., Ireland, R.D., & Hoskisson, R.E. (2015). Strategic Management: Competitiveness & Globalization: Concepts and Cases (11th Ed.). South-Western College Pub. (Please use at least two references)

I have attached the grading guide for this week for further clarity and the APA formatted paper

During Week 1 or in Workshop 1, be prepared to commit to the development of a detailed and comprehensive strategic plan for a real-world organization that you research and study during this capstone course.

You will choose an organization according to the following:

  • Current employer
  • Most recent or former employer
  • Place of business that you have patronized or have been familiar with over a long period of time.
    • Avoid choosing an organization that is so large that historical data would be difficult to apply. Firms in the Russell 2000® index may fit well, whereas firms in the Dow 30 Industrial index probably do not.

Each week, you will develop a portion of the Strategic Plan including a Microsoft® PowerPoint® presentation. You will develop all the individual parts week by week and assemble them for the Week 6 Strategic Plan and Implementation Paper and PowerPoint® presentation.

Week 1 Assignment Info:

Choose an organization that you would like to study and ultimately create your own strategic plan for. Consider using:

  • Current employer
  • Most recent or former employer
  • Place of business that you have patronized or have been familiar with over a long period of time
  • Organization that you want to work for once you complete your MBA
  • The organization can be a start-up that you or a significant other may create in the future. For a start-up, focus on an entrepreneurial idea that is of substantive interest, so this project leaves you with a product you may leverage in the future.

Write a 1,050-word paper in which you address the following:

  • Identify the major components of the strategic management process.
  • Discuss how these components work together to create value for the organization.
  • Evaluate the company’s mission statement, vision statement, motivation strategy, innovation strategy, and people strategy. If the organization does not have one or more of these, how does that affect the organization and its people?
  • Explain the role of ethics and corporate social responsibility in strategic planning. How does this direct their strategy? How does the organization’s vison and mission align with your own values and vision? If you are currently working for the organization, how does your role influence this and vice versa?
 
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Religion In Sixteenth & Seventeenth Century

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Religion In Sixteenth & Seventeenth Century European Art

(Religion In Sixteenth & Seventeenth Century)

In the sixteenth and seventeenth centuries, European art was profoundly influenced by religious themes, reflecting the tumultuous spiritual landscape of the era. The Reformation and Counter-Reformation played pivotal roles in shaping artistic expression. Protestant reformers like Martin Luther emphasized simplicity and direct engagement with the scriptures, which led to a more austere aesthetic in Protestant regions, focusing on biblical scenes and moralistic themes.

Conversely, the Catholic Church, through the Counter-Reformation, sought to reaffirm its influence and appeal through the Baroque style, characterized by dramatic, emotional, and grandiose art. This period saw an explosion of religious art aimed at inspiring faith and awe among the faithful. Artists such as Caravaggio and Bernini created intensely realistic and emotionally powerful works. Caravaggio’s use of chiaroscuro (light and dark contrast) added a dramatic intensity to religious scenes, while Bernini’s sculptures captured dynamic movement and divine ecstasy.

In addition, the period’s art also served as a means of religious propaganda, depicting saints, martyrs, and biblical events to convey theological messages. The Council of Trent (1545-1563) mandated that art should be clear, didactic, and stimulate piety, influencing artists to create works that were accessible and emotionally resonant to the lay public. This era’s religious art remains a testament to the deep intertwining of faith and creativity in early modern Europe.

Instructions

Religion in Sixteenth- and Seventeenth-Century European Art

Whether artists were working under the patronage of a Catholic Pope, endorsing a Counter-Reformation agenda, or producing art influenced by the Protestant Reformation, religion had an undeniable impact on the creation of art in the High Renaissance and Baroque periods in Europe.

Carefully examine the following works, and read about each one in your textbook, course and video lectures, and through reliable internet resources:

  • Michelangelo, Sistine Chapel Ceiling, 1508-12
  • Grünewald, Isenheim Altarpiece, 1510-15
  • Durer, Four Apostles, 1526
  • Caravaggio, The Calling of St. Matthew, 1599-1600
  • Rubens, The Raising of the Cross, 1610-11

In an essay of 5-7 well-developed paragraphs, address each of the following questions, making specific references to the five paintings listed above:

  1. How does each painting reflect the religious context in which it was created? What is the religious context or influence apparent in each painting?
  2. What additional historical events may have influenced the creation of each painting?
  3. What, if any, was the influence of the patron of each painting?
  4. Explain how the style and specific visual characteristics of each painting contributed to or reflected its overall religious context or meaning, especially for contemporary audiences.

Include specific details about the visual characteristics and content of each painting in your response.

Provide proper citations for any information from outside sources included in your essay.

 
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Nursing Care Models Paper1

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Nursing Care Models Paper1

(Nursing Care Models Paper1)

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Directions

1. Read your text, Finkelman (2016), pp- 111-116.

2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

4. Write a 5-7 page paper.

5. You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu(Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

6. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

7. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

8. Discuss your observations about how the current nursing care model is being implemented. Be specific.

9. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

10. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

11. Write your paper using APA format using Microsoft Office 2010 or later.

12. Submit your paper no later than 11:59 p.m. MT on Sunday by the end of Week 5.

Textbook to be used: Third Edition: Leadership and Management for Nurses: Core Competencies for Quality Care by Anita Finkelman. Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333

 
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Endocrine Disorders Nursing Quiz

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Endocrine Disorders Nursing Quiz

(Endocrine Disorders Nursing Quiz)

Walden NURS6501 Week 9 Quiz

Question 1

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

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

Question 2

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

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

Question 3

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

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

Question 4(Endocrine Disorders Nursing Quiz)

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

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

Question 5

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

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

Question 6

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

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

Question 7

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

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

Question 8

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

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

Question 9(Endocrine Disorders Nursing Quiz)

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

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

Question 10

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

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

Question 11

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

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

Question 12

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

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

Question 13(Endocrine Disorders Nursing Quiz)

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

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

Question 14

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

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

Question 15

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

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

Question 16

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

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

Question 17

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

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

Question 18

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

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

Question 19(Endocrine Disorders Nursing Quiz)

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

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

Question 20

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

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

Question 21

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

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

Question 22

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

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

Question 23

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

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

Question 24

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

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

Question 25

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

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

Question 26

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

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

Question 27

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

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

Question 28

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

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

Question 29

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

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

Question 30(Endocrine Disorders Nursing Quiz)

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

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

Question 31

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

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

Question 32

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

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

Question 33

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

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

Question 34

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

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

Question 35

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

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

 
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Research Article Critique.

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Research Article Critique.

(Research Article Critique.)

Research Article Critique. Compassion fatigue, burnout, among oncology nurses in the United States

Question description

Purpose

The purpose of this assignment completed as an APA Paper is for the student to learn to examine, analyze, critique, and summarize an original research article.

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Points

The assignment is worth a total of 175 points.

Due Date

You are to submit your paper by Sunday 11:59 p.m. MT at the end of Week 6.

Requirements

Through this assignment, the student will:

  1. Critique the required article found below and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of each. (CO 1, CO2,)
  2. Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5).

You are required to use the assignment specific item(s) (article/systematic review/topic/form/templates) or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required item, as defined above, will be evaluated for evidence of an academic integrity violation.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. This includes blank, incomplete, incorrect file, and/or incorrect file format documents. It is your responsibility to submit the correct completed assignment in the correct format to the correct submission area. Your last submission before the due date will be graded. You may not resubmit after the due date with a different file and incur a late deduction per the Late Assignment policy.

Guidelines to Writing the Paper

  1. This assignment is completed as an APA paper. APA resources can be found on the Course Resources Module. You are required to complete the paper using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
  2. Download the required article for analysis:

Wu, S., Singh-Carlson, S., Odell, A., Reynolds, G., & Yuhua, S. (2016). Compassion fatigue, burnout, and compassion satisfaction among oncology nurses in the United States and Canada. Oncology Nursing Forum, 43(4), E161-E169. doi:10.1188/16.ONF.E161-E169

https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=116230076&site=eds-live&scope=site (Links to an external site.)Links to an external site.

  1. Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.
    1. Provide a brief description of the research article to be discussed.
    2. Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice.
    3. You will need to summarize and analyze the information from the article in your own words
  1. Describe the research question for this study in a paragraph.
  1. Describe the research in greater detail.
  2. Include your observations about this question.
  3. Discuss events or trends that could have affected this question.
  4. You will need to summarize and analyze the information from the article in your own words
  1. Describe the research design of this study, and in your own words discuss the design.
    1. Discuss the research design of the study.
    2. Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.
    3. You will need to summarize the information from the article in your own words
  2. Describe the sample.
  1. Briefly describe the sample size used for this study
  2. Make a judgment as to whether the sample size was adequate and defend your answer.
  3. Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.
  4. Are these numbers adequate? Discuss gaps in that you identified.
  5. You will need to summarize and analyze the information from the article in your own words
  1. Describe the data collection method(s)’
  1. Who collected the data?
  2. What tools were used?
  3. What were the ethical considerations addressed and discuss gaps you identified.
  4. You will need to summarize and analyze the information from the article in your own words
  1. Describe the limitations of the study.
  1. Identify the limitations within the study
  2. Describe how the limitations could be overcome in subsequent studies
  3. Comment on why limitations are important to list and discuss within a study
  4. You will need to summarize and analyze the information from the article in your own words
  1. Describe the findings reported in the study.
  1. Describe the findings reported in the study
  2. Discuss whether the findings of the study answered the research question posed within the study
  3. Discuss the credibility of the findings
  4. If the findings do not support the research question posed within the study, what do you believe is the reason?
  5. You will need to summarize and analyze the information from the article in your own words
  1. Summary
    1. Summarize important points from the body of your paper including the key components of the paper.
    2. Include a statement about the research question and the findings.
    3. Discuss the probability of implementation into practice. Based on these findings, is the evidence strong enough to suggest a change in practice, or an idea for practice?
    4. End with a concluding statement.
  2. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source.
  3. Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page. A url link alone is not an adequate reference. See the APA Guidelines in Course Resources for examples of properly formatted references.
 
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Responding to Classmates’ Insights

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Responding to Classmates’ Insights

(Responding to Classmates’ Insights)

Repsond to 4 classmates posts for CAPSTONE COURSE

Question description

AT LEAST 150 WORDS EACH…WRITE AS IF YOU ARE TALKING TO THE STUDENT

POST 1:

In consideration of diversification planning, i would reccomend option i) Lease three cargo jets which you would operate exclusively for a large air-package service firm. The firm is willing to give a four-year contract with a clause that automatically adjusts the fees to reflect the current cost of fuel. The cost to establish the business (crew training, additional maintenance facilities and equipment) is $300,000. The ROI is 20% and the risk factor is 3 to 4. There is a large return on investment with a relatively low risk factor. For my company, and where they are currently at, this is a reasonable way to turn profit with minimal risk. I dont see much ethical concern, if any, with this decision either.

POST 2:

In an effort to diversify the operation I would I would recommend option a) Acquire a food service company that serves several airlines. It is located in the airline’s largest hub. The cost is $500,000 and the Return on Investment (ROI) is estimated to be in the 12-20% range with a risk factor of 5. Considering the fact that the food industry venture is located at the base. This venture would be convenient due to its location. Also, this would be a potential to opening this business to other vendors such as other airlines, providing them a wider variety of meals. A prime example is LSG Lufthansa Service Holding AG, LSG Sky Chefs. LSG (n.d.) showed where this company was originally a subsidiary of American Airlines, but now they are a subsidiary of Lufthansa. LSG is the world’s largest provider of airline catering. However, ethical implications could include areas of social responsibility, sustainability and integrity. Hui (2013) showed where companies can also have ethical implications in marketing. Regardless of the industry, a socially-responsible company should care about their customers, employees, suppliers, the local community, society, and the environment. In this case, the activities of this company has a wide impact on the society and development. The company and its ventures should actively manage the economic, social, environmental and human rights with the intent of avoiding conflicts.

References(Responding to Classmates’ Insights)

Hui, W. (2013). Why Corporate Social Responsibility is the Greatest Ethical Challenge to U.S.-China Relations. Retrieved from http://www.globalethicsnetwork.org/profiles/blogs/…

POST 3:

In the start of this course, my knowledge and skills abilities were somewhat vague regarding this course and the Capstone requirements. This course demonstrated that upon completion we should have the capacity to apply whatever we learned from day one with the intent of delivering the required results. Preparation for the Capstone has been the most significant and relevant insight. This course has better prepared me to understand what to expect around the bend. My academic goal has experienced a total transformation from initially taking this course. My goals have changed from a more analytical stance to one more of leadership. This course was also beneficial in understanding the importance of team dynamics. I must attest that taking this course has also questioned the value of online higher educational institutions. The course has tested my patience on several occasions, and for that I am grateful. The course was an actual simulation of the real world and has prepared me for my new role at my organization. As for my professional goals, I am pleased with the current return on my investment. I have since received a promotion in November of 2017, and am on track for future growth.

POST 4:

How has your ability to perform these skills and apply this knowledge evolved for each competency?

The main takeaway from this course has been “pulling it all together”. We have all gone through a lot of study and research with different aspects of analyzing and strategy options. This course, and the included simulation, really pulled some of those disparate concepts and ideas and pulled them together in a scenario based simulation that required implementation of those skills and abilities, beyond simple paper writing.

What concepts, skills, or insights were most relevant to you?

Seeing the results of choices over the course of the simulation, and understanding how the choices made created those results was the key for me in this class. Getting feedback of my analysis and expectations after each decision really gave me a greater understanding of how I can use different strategies and research directions to properly assess a situation.

How have you grown in your academic and professional goals? Have you made progress on any items in the action plan you developed during the first course?

The thing I gained most from this course was an improved confidence in myself, and my abilities. While you all understand how much work we have done over the previous classes to get to this point, it still just felt like classwork. I have used some of the new techniques and processes in my routine, but it didn’t really feel like I was becoming a “Master”. The simulation created a great example of finding the scope of a project, analyzing the situation, forming a strategy, and interpreting the results. By tying it all together, it solidified fro me how far I have come, and that I am quite capable of carrying this knowledge into real world situations. In short, it has made me confident in my skills that I hadn’t felt yet.

 
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Nursing Philosophy

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Nursing Philosophy

(Nursing Philosophy)

Nursing philosophy is a framework that guides the ethical, compassionate, and professional practice of nurses. At its core, it is centered on the belief that nursing is not just a profession, but a commitment to holistic patient care. This philosophy emphasizes the intrinsic value of each individual, advocating for personalized care that respects the physical, emotional, social, and spiritual needs of patients.

A fundamental aspect of nursing philosophy is the dedication to promoting health, preventing illness, and alleviating suffering. This involves a deep respect for patient autonomy and dignity, ensuring that care decisions are made in collaboration with patients and their families. Nurses are seen as advocates, educators, and supporters, providing care that empowers patients and enhances their well-being.

Additionally, nursing philosophy encompasses a commitment to lifelong learning and professional development. Nurses must continually update their knowledge and skills to provide evidence-based care and adapt to the ever-evolving healthcare environment. Ethical principles, such as beneficence, nonmaleficence, justice, and fidelity, underpin the practice, guiding nurses in making morally sound decisions.

In essence, nursing philosophy is about combining scientific knowledge with compassionate care, fostering a therapeutic environment where patients feel valued and supported. It underscores the vital role of empathy, respect, and ethical integrity in delivering high-quality healthcare.

The paper should be three typewritten double spaced pages following APA style guidelines. The paper should address the following:

1. Introduction that includes who you are and where you practice nursing

2. Definition of Nursing

3. Assumptions or underlying beliefs

4. Definitions and examples of  the major domains (person, health, and environment) of nursing

5. Summary that includes:

a. How are the domains connected?

b. What is your vision of nursing for the future?

c. What are the challenges that you will face as a nurse?

d. What are your goals for professional development?

 
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