Nursing

Discuss: Characteristics of Nurses
Discuss: Characteristics of Nurses
Week 1 discussion
Should all nurses be considered leaders? What characteristics of nurses make them leaders? How do your responses compare or contrast with the view of power according to servant leadership? Support your response with evidence from the textbook or Topic Materials.
Week 2 discussion
In the secular approach to leadership, there is an inherent belief that hard work will get you to the top and guarantee success. Think of a time in your professional life when this has proven to be true. What were the circumstances? How much influence did you have on the outcome? Based on the textbook, how do your responses compare to the views of servant leadership? How do your responses compare to the secular view of leadership?
Week 3 discussion
You are in a place of influence in your professional life where you can help people be successful. Describe the relationship and what actions you have taken or could take to serve others. Based on the textbook, how does your response compare to the views of authority according to servant leadership? How does your response compare to the secular view of authority?
Week 4 discussion
What is your given “authority” at your work place and/or professional life? Describe a time when you have exercised this authority in your journey as a professional nurse? How does your response compare to the secular view of power? How does your response compare to the secular view of authority? How does your response compare to the view of power according to servant leadership? How does your response compare to the view of authority according to servant leadership?
Week 5 discussion
Describe a time in your professional life when you felt used and manipulated. What were the circumstances? Did you feel valued by the leader? Based on the textbook, explain how the issue of purpose, in the servant-leader paradigm, could have yielded a more beneficial outcome for the leader and yourself.
Week 6 discussion
Resentment tears people and organizations apart. A servant leader focuses on leading and not dictating. Explain how you could transform feelings of resentment into a force for leading.
Week 7 discussion
How do servant leaders, as compared with leaders using the transformational model of leadership, manage organization dynamics and lead change to ensure that the continued success of the stakeholders will be served? Is servant leadership or transformational leadership the best approach to these tasks? Why?
Week 8 discussion
When we consider the word love as a verb instead of a feeling, the biblical worldview would state that this loving relationship is related to two principles: honor and protection. Explain how these two principles guide servant leadership in the workplace.
Week 9 discussion
Servant leaders must be internally consistent with their words and actions. Describe a mentor that you have had that displayed this kind of credibility. Share an example of what you witnessed from this person. Based on the text, contrast your response to the secular view of power.
Week 10 discussion
A credible person will do what they say. Describe a time when you felt free in displaying your integrity at work. Describe a time when you felt fearful displaying your integrity at work. What was the determining factor(s) that allowed you to lead by example versus going against your heart? If you never felt free in displaying your integrity at work, describe what conditions would need to exist for you to do so?
Week 11 discussion
How do you serve others in the profession of nursing? Explain how the way you serve others in the profession of nursing could become more closely aligned with the issue of serving as explained by the servant-leadership paradigm. How does the issue of serving differ from the secular view of power?
Week 12 discussion
Choose one provision from the ANA Code of Ethics. How is ethical behavior an integral part of being a nurse leader? How does one display the characteristics of a role model with this provision? Does a nurse leader have an ethical foundation to inject into business practice?
Week 13 discussion
Have you ever worked with a leader that made you feel that you were more important than they? How did this make you feel? What were the circumstances? What was the outcome? If you have never experienced this kind of treatment from a leader, imagine what it would be like. Based on your response, explain how the displays of humility by a leader exemplify servant leadership. Are displays of humility required to make someone else feel more important than you? Explain your answer.
Week 14 discussion
How do you affirm people at work? When your coworkers talk about you, what do they say about you? Based on the textbook, relate your responses to the issue of preference according to the servant-leadership paradigm. Compare this form of leadership with the secular view of power as it relates to working relationships.

Assignment:Positive Changes to Improve Practice
Assignment:Positive Changes to Improve Practice
Week 5 assignment
Area of Interest PowerPoint Presentation
Purpose
The process for affecting positive change to improve practice outcomes can start with either the identification of an area of interest or the identification of a potential or existing practice problem. Selecting an area of interest helps to define a direction of further inquiry. The purpose of this assessment is for students to identify and discuss an area of interest specific to their selected specialty track. Students will identify a common practice problem related to the selected area of interest and provide a recommendation to affect positive change.
Course Outcomes
Through this assessment, the student will meet the following Course Outcomes.
CO 1: Examine roles and competencies of master’s-prepared nurses essential to performing as leaders and advocates of holistic, safe, and quality care.
CO 3: Analyze essential skills needed to lead within the context of complex systems.
CO 4: Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings.
Total Points Possible
This assessment is worth 175 points.
Due Date
Submit your file(s) by 11:59 p.m. MT Sunday at the end of Week 5.
Requirements
Criteria for Content
Review literature or reflect on an experience that is related to common concepts and topics specific to your identified specialty track. Information on common topics for specific specialty tracks is located in Course Resources. Reflect on an area of passion that facilitated your specialty track selection. Identify a common issue/concern related to your identified area of interest.
In a PowerPoint Presentation, address the following:
Introduction to presentation
Explain the importance of master’s-prepared nurses conducting evidence-based projects related to nursing practice and profession.
Discuss a model for developing an evidence-based project
Include illustration (diagram) of model
Identify specialty track and reasons for selecting this area of study
Introduce area of interest
Discuss what is known about the concept or topic
Provide common themes, ideas, or facts found in literature
Identify a common issue/concern related to your identified area of interest. Provide a recommendation for positive change related to the identified issue/concern.
Consider factors that might influence the recommended change
Identify at least two (2) internal factors that have the potential to influence the change.
Identify at least two (2) external factors that have the potential to influence the change.
Identify two (2) AACN Master’s Essentials that address or support an evidence-based project related to your area of interest.
Conclusion to presentation
Provide references
Preparing the paper
Submission Requirements
Application: Use Microsoft Word 2013™ to create the PowerPoint presentation.
Length: The PowerPoint presentation must be 12 total slides (excluding title and reference slides).
Speaker notes are used and include in-text citations when applicable.
A minimum of four (4) scholarly literature references must be used.
Submission: Submit your file: Last name_First initial_Wk5Assessment_Area of Interest.
Best Practices in Preparing the Project
The following are best practices in preparing this project:
Review directions thoroughly.
Follow submission requirements.
Make sure all elements on the grading rubric are included.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
Review the Creating a Professional Presentation located in Course Resources.
Ideas and information that come from scholarly literature must be cited and referenced correctly.
A minimum of four (4) scholarly literature references must be used.
Abide by CCN academic integrity policy.

Discuss:Models of Transcultural
Discuss:Models of Transcultural
Week 1 discussion
Models of Transcultural Nursing
The Course Outcome covered this week is CO1.
CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)
Chapter 1 of Andrews and Boyle (2016) discusses Leininger’s Sunrise Model of transcultural nursing. However, other models are described and are important to acknowledge, as well. An outstanding resource may be found at the Transcultural Nursing Society’s (TCNS) website.
Locate the website for TCNS (http://www.tcns.org (Links to an external site.)Links to an external site.). Click on the Theories tab.
Besides the Leininger and Purnell models, describe one model.
Explain how you may use the model in your practice setting.
Question 2
Week 7 discussion
Diversity in the Healthcare Workforce
The Course Outcome covered this week is CO2.
CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)
As nurses, we work with providers and healthcare team members whose native language is not English. In fact, some of you may have interviewed a non-native English speaker for your Course Project. This diversity may lead to challenges with communication and the nurse being “caught in the middle.”
Reflect on your newfound knowledge of transcultural nursing.
Share an example of miscommunication that occurred as a result of this diversity and whether an adverse outcome resulted.
Describe how the miscommunication could have been and will be prevented in the future.
Week 7 discussion
Diversity in the Healthcare Workforce
The Course Outcome covered this week is CO2.
CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)
As nurses, we work with providers and healthcare team members whose native language is not English. In fact, some of you may have interviewed a non-native English speaker for your Course Project. This diversity may lead to challenges with communication and the nurse being “caught in the middle.”
Reflect on your newfound knowledge of transcultural nursing.
Share an example of miscommunication that occurred as a result of this diversity and whether an adverse outcome resulted.
Describe how the miscommunication could have been and will be prevented in the future.

Assignment: Traumatic Vaginal Birth
Assignment: Traumatic Vaginal Birth
DISCUSSION B
Group B will complete the initial post. Group A will respond. Baby Leah had a very traumatic vaginal birth. After a vacuum extraction for fetal heart rate tracing changes and a resultant shoulder dystocia, Leah has a mild Erb’s palsy, some facial and truncal bruising. Pediatrician has ordered physical therapy for the palsy and the doctor expects routine care to be provided to her. In addition, do not forget the education you must give to the new parents regarding this injury. Due to the bruising there is an increase in bilirubin levels and some behavioral changes occur with Leah. Please describe what is different and what will you discuss with the family to ensure safety? The bilirubin level requires phototherapy. What precautions must you take? What is essential to manage and treat the elevated bilirubin in addition to phototherapy?
Group A Response Phototherapy is discontinued at the hospital, but at home the parents are encouraged to provide some ‘routine’ therapy for Hyperbilirubinemia. What would you suggest? Do not forget routine discharge instruction for this parent.
Module 6 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
DISCUSSION A
Robert and Jenna Smith’s 2nd child has Down Syndrome. Philip is 14 years old. He has a sibling that is older and one younger. 15 year old sister, Lucy and a little brother Danny who is 10 years old. As all 14 year olds he is becoming more interested in his sexuality and expressing that with curiosity. He has been known to have some overt aggression toward his sister and some classmates in his public school.
Discuss how you could help this family cope and guide Philip to learn appropriate behavior.
Group B Response
Will this behavior interfere with his interest in being in the local Boy Scout troop? His troop leader is his father.
DISCUSSION B
Toddlers have some very unique behavioral characteristics as they move from infancy to childhood. Identify these behavioral changes. Include the challenges that parents may face with these characteristics including identifying temperament, nutritional barriers, hygiene, activity, and sleep.
Group A Response
Can you help parents learn to deal with these behaviors and provide them some insight and guidance that will ease this transition for the child and parent?
You work in the pediatrician’s office.
Assessments and education are the focus of your work.
Module 7 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Discussion A: Group A will complete initial post, Group B will respond to the post.
Bobby was hospitalized 6 days ago for appendicitis. After an appendectomy following a perforated appendix, he now has an open incision requiring BID dressing changes and contact isolation due to a hospital acquired MRSA infection. It is anticipated that he will be here for 5-10 more days for long term antibiotic therapy and wound care. He is 13 years old. He has been afebrile for 24 hours. The wound is open with minimal serous drainage.
He is withdrawn and relates “just tired” when you inquire about how he is this morning. Last week he shared his interest in school. Gets A’s in math, computer science and was supposed to be competing in the school science fair this week.
What do you know about the adolescent and the appropriate developmental level?
Keeping his diagnosis in mind, what about visitation?
Is socialization a need?
What other questions should you ask?
Group B Response
It is 10 pm and you make assessment rounds and find Bobby crying. You ask him what his pain level is. What pain scale are you using?
He says he misses his family and wonders when they are going to come to get him and take him home? He relates his dad told him to be brave but he couldn’t stay with him since
Bobby was going to be in the hospital for such a long time and his dad had to work. He has 2 other brothers older than him. You also notice that his tray is untouched.
In addition to Erikson’s theory of development, children have fear of loss. What is Bobby’s fear?
(do not forget the interdisciplinary team members)
Video: Pre-operative teaching
Discussion B: Group B will complete the initial post, Group A will respond to the post.
Tina is 5 years old, lives with her mother and grandmother. Mother works 2 jobs to help support her mother and her daughter. Tina is well cared for but is now admitted for a cardiac catheterization due to the Ventricular Septal Defect (VSD) that was noted at birth.
Tina has an extensive history of respiratory infections and a nursing diagnosis of ‘activity intolerance’. Her mother relates that she does not allow her to play organized or competitive games due to her health. Tina smiles broadly when you come in the room to begin the pre-operative checklist. She starts to ask you a question when her grandmother tells her she must stay in the bed. “The nurse knows what she is doing and you will just be in the way.” Tina continues to smile at you but moves back to the bed.
You have identified some unique family dynamics, please relate.
What is the Erikson developmental level that Tina should exhibit? And where do you think she is?
How can you assist in the developmental growth?
What education can you give to Tina and her grandmother pre operatively?
What will she expect post operatively?
Assignment: Traumatic Vaginal Birth

Discuss Legacy of Nursing’s History
Discuss Legacy of Nursing’s History
Module 01 Written Assignment – Legacy of Nursing’s History
Select a nurse that historically contributed to the advancement of the profession. Write a 2-3 page paper that responds to the following questions. Identify the nurse and his/her background and complete the following:
Provide a brief description of the major social issues occurring at the time this nurse lived
Describe two contributions made to nursing
Discuss how these two unique contributions influenced nursing as we know it today
Minimum length 2-3 pages not including cover or referencing. APA formatting with referencing and in text citation.
You may use your textbook, readings and the following for background information.
ANA Hall of Fame
American Association for the History of Nursing
Museum of Nursing History – Slide Show Gallery
Strout, K. (2012). Wellness promotion and the Institute of Medicine’s future of nursing report: Are nurses ready? Holistic Nursing Practice 26(3), 129-136.
This assignments must have accurate spelling and grammar and use APA Editorial Format for sources and reference.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 02 Project Assignment – Getting Started
Part 1 – Getting Started
Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.
The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.
Use the Quality of Life Self-Care Wheel to assess your current state. After you determine your scores, in a 2-3 page paper complete the following:
Discuss those areas that are strengths (higher scores) and those areas that need further development (lower scores).
Identify two strategies you can use to maintain or maximize each identified strength.
Identify two strategies you can use to strengthen each area needing development. Explain how you will put these strategies into action. Be specific. For example, instead of stating, “I need to exercise,” your action should state “I will begin to walk 20 minutes a day, 3 days a week.” The action should be SMART- Specific, Measurable, Attainable, Realistic, Timeframe
Also attach your completed form
Minimum length 2-3 pages not including cover or referencing. APA formattingSubmit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Quality of Life Self Care Wheel – Assessment
Passion
Health
Career/School
Rest/
Recreation
Personal
Environment
Development/
Relationships
Finances
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Instructions: Review each Dimension. Think about how each one relates to you. Then select a number from 10 High to 1 Low which best reflects your level of realizing the Dimension.
DIMENSION
Quality of Life Scale – Please Circle
10 = High to 1 = Low
Health
10
9
8
7
6
5
4
3
2
1
Rest/ Recreation
10
9
8
7
6
5
4
3
2
1
Personal
Development/Relationships
10
9
8
7
6
5
4
3
2
1
Finances
10
9
8
7
6
5
4
3
2
1
Environment
10
9
8
7
6
5
4
3
2
1
Career/School
10
9
8
7
6
5
4
3
2
1
Passion
10
9
8
7
6
5
4
3
2
1
What Does Your Score Mean:
10-9:Fantastic Balance/Wellness
8-7:Good Job
6:
Doing Okay
5 and Below:Needs Adjustment
Quality of Life Self Care Wheel
Source: Napoli, M., & Roe, S. (2011). Life by personal design: Limitless horizons. Dubuque, IA: Kendall Hunt.
Dimensions – Some Examples
Health: Healthful eating, exercising, maintaining an appropriate weight, regular physical exams, and using effective stress reduction strategies.
Rest/Recreation: Adequate sleep and rest periods, interspersing work with play, pursuing hobbies, realizing happiness, and having fun.
Personal Development/Relationships: Fulfilling and rewarding relationships with others in your life, needed emotional support systems, developing personal goals such as improving listening, and having meaning and purpose through a desired spiritual life.
Finances: Sufficient resources to support self and those responsible for, aligning needed resources with daily requirements, and adequate discretionary income to purchase wanted items.
Environment: Awareness and being respectful of the environment in which you live in and those around you, having sensitivity to the impact you have on the environment, being chemical/pollutant free, recycling, and using natural products.
Career/School: Regularly improving your knowledge and skill base, setting professional goals and achieving them, having a satisfying and meaningful profession/occupation, being content with your work life, and pursuing work life balance.
Passion: Understanding, defining, and living your life based on your inner feelings, desires, and dreams.
Module 04 Written Assignment – Developing a Philosophy of Nursing
In one page, describe your philosophy of nursing.
The definition of a philosophy is having a personal and specific outlook and approach you can use to make decisions and take action. Your philosophy of nursing should include your beliefs and attitudes about nursing, being a nurse, your approach to caring for others. It can also include your attitudes about working in healthcare facilities, working as part of a team, or even how you feel about people in general.
Save a copy of your philosophy as you will want to refer to it during your Program.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates
Module 05 Project Assignment – How Am I Doing?
Part 2: How Am I Doing?
Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.
The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.
Share in a 2 – 3 page paper, the following:
Re-look at your Quality of Life Self-Care Wheel scores. Have they changed? If so, in what ways.
Think about your current levels of tension and stress. On a scale of 1-10 with 10 being the highest level, what is your score? Now think about the strategies you identified. Describe how well you have put them into action. If you have not been able to implement them, identify why and what you can do to overcome this.
Identify any new strategies that you think will “fit” better and describe why.
Minimum length 2-3 pages not including cover or referencing. APA formatting
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Case Study: Change Model
Case Study: Change Model
Week 5 assignment
Evidence-Based Practice Proposal – Section E: Change Model
In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:
Rogers’ diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.
Question 2
Week 2 assignment
Evidence-Based Practice Proposal – Section B: Problem Description
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

Case: Characteristics of An Individual
Case: Characteristics of An Individual
Week 7 discussion
All research projects are based around variables, which are essentially the characteristics of an individual, group, or the environment that is of interest in a research study. Variables can be straightforward and measurable (e.g., gender, age, amounts, funding). Variables can also be complex (e.g., socioeconomic status of a group, attitudes toward a topic, aspects of a system). Now that your research topic has been identified and you have reviewed the overall literature and constructed your framework, you should identify the key variables of interest. In the discussion board this week, free write a list of variables that revolve around and within your topic of study. Are there variables that are of particular interest or focus in your study? Can you narrow your study down based on your list of variables? Is there anything you need to do to narrow your scope of research and your research questions?
Question 2
Week 3 discussion
When you delve into research, you may find an exhaustive amount of information on your topic. How will you organize your research? What strategies or tools will you use to keep track of everything you are reading, referencing, and synthesizing? In your post, list the keywords you will use to search your topic. Provide suggestions to your peers for focusing the search or for searching subtopics.
Question 3
Week 2 discussion
The role of the informaticist is to facilitate innovative project solutions, encourage team collaboration, help staff learn new systems, etc. What part does research and investigation into specific issues, problems, and trends play in the role of the informaticist? What competencies and skill sets are required for managing change that is based on research?
Question 4
Week 1 discussion
In 1–2 paragraphs, describe issues and trends that affect health informatics. What is the current state of affairs in in general? For example, most facilities have implemented an electronic health record system, but interoperability with their other systems may be an issue. As a nursing informaticist change agent, how can you address these types of concerns in your field?

Assignment: Organizational Culture and Nursing
Assignment: Organizational Culture and Nursing
Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment
Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.
Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.
Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.
Submit a summary of your results. The actual survey results do not need to be included.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.
Question 2
Week 2 assignment
Evidence-Based Practice Proposal – Section B: Problem Description
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

Assignment: Secondary Hypothyroidism
Assignment: Secondary Hypothyroidism
uestion 82. Question :
Secondary hypothyroidism results from
excessive release of thyroid hormone beyond the newborn period
intrauterine exposure to thyrotoxic drugs
disease or disorder of the thyroid gland itself
disease or disorder of the hypothalamus or pituitary gland compromising thyroid function
Question 84. Question :
A nurse practitioner is conducting a four-year old’s well-child exam. Which recommendations would be made for this child?
Hgb, UA, hearing, vision, Dtap, MMR, Varivax, Hib
Hgb, UA, hearing, vision, MMR, Varivax, PCV, TdaP
Hgb, UA, hearing, vision, DtaP, IPV, MMR, Varivax
Hgb, UA, Dtap, IPV, MMR, Varivax
Question 88. Question :
_____________children are less likely to be diagnosed with attention deficit disorder than others.
African American
Non-Hispanic White
Asian
Hispanic
Question 89. Question :
___________ are the first line choice for treatment of attention deficit hyperactivity disorders.
Selective serotonin reuptake inhibitors
Long-acting stimulants
Tricyclics
Dopamine agonist inhibitors
Question 91. Question :
An example of rapid-acting insulin is ______________________.
glargine
detemir
neutral protamine hagedorn
lispro
Question 92. Question :
The best tools for treating adolescents are ______ and ______.
your time; money
patient education; time
their trust; your time
mutual trust; patient education
Question 94. Question :
Antidepressant medication use in the adolescent age group should be monitored due to __________.
risk of pregnancy
weight gain
noncompliance
risk of suicidal ideations
Question 95. Question :
Symptoms of attention deficit hyperactivity disorder are present prior to ________ years of age.
ten
seven
nine
six
Question 98. Question :
Type 1 diabetes begins when ____________________.
the adolescent is overweight
beta cell production fails
insulin resistance is present
poor nutrition is present
Question 99. Question :
Adolescents prefer to be
treated like a child
treated like an adult
treated like a teen ager
taken seriously
Question 100. Question :
Which group of adolescents is more likely to develop Type 1 diabetes?
Non-Hispanic white adolescents
American-Indian adolescents
African-American adolescents
Pacific Islander adolescents

Case Study: Early Life of Infant
Case Study: Early Life of Infant
Question 36. Question :
An infant should be able to say his or her first word by:
four to five months
eight to nine months
twelve to fifteen months
twenty four to twenty six months
Question 40. Question :
The latter part of adolescence includes the ability to develop ________ and _______ means to be a part of society.
strong attachments; sexuality
career; marriage
critical thinking; basic life skills
moral; intellectual means
Question 43. Question :
A fourteen-year-old adolescent presents with fatigue, endocarditis, pulmonary hypertension, arrhythmias, and congestive heart failure. You suspect he may have ____________.
ASD
pulmonary valve stenosis
aortic valve stenosis
a ventricular septal defect (VSD)
Question 45. Question :
A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses?
Unilateral vs. bilateral presentation
Type of drainage
Vision status
History of a bacterial infection one month ago
Question 46. Question :
______________ adolescents should be screened for sexually transmitted diseases.
Males
Females
All
Sexually active
Question 47. Question :
An infant should no longer have a head lag when pulled from the supine to sitting position at what age?
Two months
Four months
Six months
Nine months
Question 50. Question :
____________ should be given as a supplement in the management of delayed puberty.
Vitamins B1 and B12
Vitamins D and E
Vitamin A and Calcium
Calcium and Vitamin D
Week 9 Assignment 3 Quiz (limited questions)
1. Question :
Secondary causes of headaches in children include head trauma. Which of the following symptoms is not associated with headaches following head trauma?
neck pain
has starting within 2 weeks of head injury
has that worsen with activity
vomiting without nausea
Instructor Explanation: See Current Diagnosis and Treatment, p 802
Question 8. Question :
A three-month-old male presents with a cath urine culture result greater than 50,000 E. coli, collected from the ER three days ago. The culture was collected due to an acute febrile presentation in the ER. The child was started on augmentin pending the results of the culture. Your next recommendation would be
to repeat the culture
order a renal ultrasound
no alteration to the current plan, follow up after completion of treatment
renal ultrasound to be done immediately and a voiding cystourethrogram(VCUG)
Question 14. Question :
Which of the following results would you most likely see in a child with a viral infection?
Leukocytosis
Leukopenia
Elevated band count
Increased neutrophil count
Question 17. Question :
The best way to screen for human papilloma virus in an adolescent female is _________.
IN cervical culture and Pap smear
visual inspection and Pap smear
visual inspection only
pap smear only