Nursing

Case:Application of Nursing Theory
Case:Application of Nursing Theory
Week 7 discussion
Application of Nursing Theory to Practice
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer that resulted in a temporary colostomy. Select one of the nursing theories from our textbook and address the following:
How you would provide professional nursing care for Mr. R. using the theory you have selected? Be sure to use terminology from the selected nursing theory to explain your interventions.
How can patient-centered care and the patient’s cultural preferences be enhanced by use of this theory?
Relate applications of legal and/or ethical standards to this case study.
Application of nursing theories
1. APPLICATION OF NURSINGTHEORIESINNURSING PROCESS
2. I. Lydia E. Hall’sI. Lydia E. Hall’sCore, Care and Cure ModelCore, Care and Cure ModelHall’s three aspects of nursing
3. Concept:Concept:? Care should be the primary focus and that nursesCare should be the primary focus and that nurseswere the most qualified to provide the type of carewere the most qualified to provide the type of carethat would enable patients to achieve theirthat would enable patients to achieve theirmaximum potential.maximum potential.? The focus of nursing is the provision of intimateThe focus of nursing is the provision of intimatebodily care and the nurse must know how tobodily care and the nurse must know how tomodify the care depending on the pathology andmodify the care depending on the pathology andtreatment while considering the patient’s uniquetreatment while considering the patient’s uniqueneeds and personality.needs and personality.
4. ? Nursing as having three aspects, like care,Nursing as having three aspects, like care,core and cure.core and cure.? The individual, as unique, capable ofThe individual, as unique, capable ofgrowth and learning and requiring a totalgrowth and learning and requiring a totalperson approach.person approach.? Environment to be conducive for theEnvironment to be conducive for thepatient’s self development.patient’s self development.
5. ? The major purpose of care is to achieve anThe major purpose of care is to achieve aninter-personal relationship with the individualinter-personal relationship with the individualthat will facilitate the development of corethat will facilitate the development of core(i.e., the development of self-identity and self-(i.e., the development of self-identity and self-direction by the patient.direction by the patient.
6. ApplicationApplicationThis theory will be applicable inThis theory will be applicable inassessment, planning and implementation of theassessment, planning and implementation of thepatient care.patient care.Three interlocking circles, presenting aThree interlocking circles, presenting aparticular aspect of nursing like care, core andparticular aspect of nursing like care, core andcure.cure.So, the patient whoever comes toSo, the patient whoever comes tohospital will be considered as a Body, person andhospital will be considered as a Body, person anddisease. The nurse who is providing care to thedisease. The nurse who is providing care to thepatient should meet all his bodily care likepatient should meet all his bodily care likebathing, eating, elimination and dressing therebybathing, eating, elimination and dressing therebymeeting his comfort.meeting his comfort.
7. During care, the nurse shouldDuring care, the nurse shoulddevelop an interpersonal relationship anddevelop an interpersonal relationship andconsider the patient as a person to provide himconsider the patient as a person to provide hima way to express his feelings and emotions toa way to express his feelings and emotions togain self-identity.gain self-identity.After developing an interpersonalAfter developing an interpersonalrelationship, the nurse should see patient andrelationship, the nurse should see patient andfamily through medical care and consider himfamily through medical care and consider himas a diseased person and act an advocate toas a diseased person and act an advocate tocure his condition.cure his condition.
8. II.II.BETTY NEUMAN SYSTEMSBETTY NEUMAN SYSTEMSMODELMODEL(CONCEPTUAL MODEL)(CONCEPTUAL MODEL)Concept:Concept:Major concepts identified in the model are;Major concepts identified in the model are;? ClientClient? VariablesVariables? EnvironmentEnvironment? StressorsStressors? Wellness &Wellness &? Nursing InterventionsNursing Interventions
9. ? ClientsClients are viewed as wholes whose partsare viewed as wholes whose partsare in dynamic interaction.are in dynamic interaction.? VariablesVariables are those which simultaneouslyare those which simultaneouslyaffecting the client system. They are,affecting the client system. They are,Physiological, psychological, socio-cultural,Physiological, psychological, socio-cultural,developmental and spiritual.developmental and spiritual.? EnvironmentEnvironment is defined as being all theis defined as being all theinternal and external factors that surroundinternal and external factors that surroundand interact with person and client. There areand interact with person and client. There arethree relevant environments: Internal,three relevant environments: Internal,External and Created.External and Created.
10. ? StressorsStressors (intrapersonal, interpersonal,(intrapersonal, interpersonal,extra personal) are significant to the conceptextra personal) are significant to the conceptof environment and are described asof environment and are described asenvironmental forces that interact with andenvironmental forces that interact with andpotentially alter system stability.potentially alter system stability.? WellnessWellness is a condition where all theis a condition where all thesubsystems are in balance and harmony withsubsystems are in balance and harmony withthe whole of the client and is balanced on thethe whole of the client and is balanced on theactual or potential effort that environmentactual or potential effort that environmentstressors have on the energy level of thestressors have on the energy level of thesystem.system.
11. ? Nursing interventions are describedNursing interventions are described bybyusing the term prevention. There are threeusing the term prevention. There are threetypes of prevention: Primary, Secondary, andtypes of prevention: Primary, Secondary, andTertiary.Tertiary.
12. Model:Model:The Neuman Systems ModelThe Neuman Systems Model((Conceptual Model)Conceptual Model)
13. ApplicationApplicationThis conceptual model will be applicableThis conceptual model will be applicablefor:for:? Assessment of the client systemAssessment of the client system? Utilization of the nursing process (Planning)Utilization of the nursing process (Planning)? Implementation of preventive interventionsImplementation of preventive interventions
14. Application of Betty Neuman’s Systems ModelApplication of Betty Neuman’s Systems Modelfor the Patient with Diabetes Mellitusfor the Patient with Diabetes Mellitus
15. III. HILDEGARD E. PEPLAUIII. HILDEGARD E. PEPLAUTHEORY OF INTERPERSONALTHEORY OF INTERPERSONALRELATIONSRELATIONSConcept:Concept:? The four phases of the nurse-patient relationshipThe four phases of the nurse-patient relationshipare; Orientation, Identification, Exploitation andare; Orientation, Identification, Exploitation andResolution.Resolution.OrientationIdentificationExploitationResolutionOn admissionDuring intensivetreatment periodConvalescenceandRehabilitationDischargeOverlapping phases in Nurse-patientrelationships
16. ? She proposed and described six nursing roles like:She proposed and described six nursing roles like:Stranger, Resource person, Teacher, Leader,Stranger, Resource person, Teacher, Leader,Surrogate, and Counselor.Surrogate, and Counselor.Factors influencing the blending of the nurse-patient relationship
17. HILDEGARD E. PEPLAUTHEORY OF INTERPERSONALRELATIONS
18. ApplicationApplicationThis theory will be applicable inThis theory will be applicable in? AssessmentAssessment? PlanningPlanning? Implementation andImplementation and? Evaluation of patient careEvaluation of patient careAlso, allows nursing to move awayAlso, allows nursing to move awayfrom “doing to “to” doing with” clients.from “doing to “to” doing with” clients.
19. Application:PEPLAU’S FRAMEWORK FOR AN ANXIETY PATIENT
20. IV. FAYE GLENN ABDELLAHIV. FAYE GLENN ABDELLAHTWENTY-ONE NURSINGTWENTY-ONE NURSINGPROBLEMSPROBLEMSConcept:Concept:? HealthHealth? Nursing Problems andNursing Problems and? Problem SolvingProblem Solving
21. ? HealthHealth may be defined as the dynamicmay be defined as the dynamicpattern of functioning whereby there is apattern of functioning whereby there is acontinued interaction with external andcontinued interaction with external andinternal forces that result in the optimal useinternal forces that result in the optimal useof the wellness.of the wellness.? Nursing Problems:Nursing Problems: The client’s healthThe client’s healthneeds can be viewed as problems which mayneeds can be viewed as problems which maybe overt as an apparent condition, or covertbe overt as an apparent condition, or covertas a hidden or concealed one.as a hidden or concealed one.
22. ? Problem-solvingProblem-solving process involves,process involves,identifying the problem, selecting pertinentidentifying the problem, selecting pertinentdata, formulating hypothesis, testingdata, formulating hypothesis, testinghypothesis through the collection of datahypothesis through the collection of dataand revising the hypothesis when necessaryand revising the hypothesis when necessaryon the basis of conclusion obtained from theon the basis of conclusion obtained from thedata.data.Nursing CenteredClient centeredDisease centeredThe focus of care pendulum
Case:Application of Nursing Theory
Case:Application of Nursing Theory

Reasons for Conducting Health Promotion
Reasons for Conducting Health Promotion
Week 1 discussion
Discussion Questions
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, post a response to one question in the Discussion Area by the due date assigned. You may respond to your classmates’ postings for either question.
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-year-old adolescent patent for an annual visit. The patient’s mother is also present during the visit and notes that the patient’s grades in school have been declining. Her son is also hanging out with a group of kids that she has concerns about. The mother has concerns for what is going on with her son. Answer the following questions using course resources (texts) and two other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5 year time frame).
What are the components of an annual exam for an adolescent patient?
Is the mother required to be present during your exam?
Describe 1 health promotion idea that you would discuss with your middle adolescence patient. Why is this idea important?
What are some screening tools that might be of importance in this situation? (hint: do you suspect drug or alcohol abuse here?)

Nurse’s Role in Patient Care
Nurse’s Role in Patient Care
Week 3 assignment
This is for informational purposes only and not to be used as a template
Patient education goes hand-in-hand with improved patient outcomes and quality of life. Educating the patient is an integral part of the nurse’s role in patient care. In order to ensure the success of the patient teaching plan, the processes involved in developing a nursing patient teaching plan should be centered around the patient and inclusive of the family.
Instructions
Patient Assessment
This step requires the analysis and organization of information about the patient. Determine the patient’s level of understanding about her disease, injury or condition.
Use the information gathered about the patient to judge how well she will be able to understand and apply what is taught to her.
Be sure to factor in cultural considerations that are specific to that patient such as ethnicity and religion. It will be necessary to factor in any information you have about the patient’s level of development as well. It may be necessary for the nurse to motivate the patient in order for her to learn. Ability to learn is affected if the patient is too tired, in pain, upset or distracted.
Planning
Formulate patient goals. Take the patient and the family’s point of view into consideration, as their input will have an effect on their outcomes. Patient outcomes and motivation are directly associated with the amount of input they have in determining their goals. The goals must be realistic and able to be achieved by the patient.
Identify how the teaching plan will be carried out. Implement the plan according the patient’s learning style (audio, visual, or kinetic) as opposed to the nurse’s teaching style.
Develop nursing goals based on desired health outcomes. They should be patient-centered and based on health outcomes for the patient’s health status and quality of life.
Determine Method of Implementation
The method of implementation of the nursing patient teaching plan should be specific to the patient’s learning style and desired outcomes that were identified.
Prepare to document patient responses and level of understanding as the nurse perceives them while the teaching plan is implemented.
Prepare to document any other relevant information that will assist with the evaluation of learning.
Formulate Evaluation Process
An evaluation process will need to be formed in order to assess patient outcomes. The following specific elements of patient learning will need to be evaluated: patient knowledge, behavior, attitude, and skills. The evaluation should include a review of the documentation that details patient responses and level of understanding that were recorded during the implementation steps.
The evaluation plan should include observations of the family’s understanding of what will be required of them for the patient to achieve desired outcomes.
The last key element of the evaluation plan is the nurse’s recommendation for follow-up procedures to be used in the event that the patient’s learning was not sufficient to produce desired outcomes.

Assignment: End-stage Renal Disease
Assignment: End-stage Renal Disease
Question 73
Which is the most common cause of end-stage renal disease in the United States?
Question 74
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?
Question 75
A patient has just been diagnosed with Bell’s palsy. He is understandably upset and has questions about the prognosis. You response should be:
Question 76
Major depression occurs most often in which of the following conditions?
Question 77
At what age is screening most likely to detect scoliosis?
Question 78
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
Question 79
Sam, age 67, is a diabetic with worsening renal function. He has frequent hypoglycemic episodes, which he believes means that his diabetes is getting “better.” How do you respond?
Question 80
Which of the following set of symptoms should raise suspicion of a brain tumor?
Question 81
What is the first step in the treatment of uric acid kidney stones?
Question 82
A 35 year old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The nurse practitioner suspects acute bacterial prostatitis. Which of the following specimens would be least helpful for diagnosis?
Question 83
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?
Question 84
How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?
Question 85
The most reliable diagnostic indicator of gout is:
Question 86
What information should patients with diabetes and their families receive about hypoglycemia?
Question 87
Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining his feet with monofilament, you discover that he has developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Martin receive today regarding the care if his feet?
Question 88
Microalbuminuria is a measure of:
Question 89
Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:
Question 90
A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?
Question 91
The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
Question 92
Which factors are associated with high risk for foot complications in a patient with diabetes mellitus?
Obesity
Abnormal nails
Abnormal gait
Poorly controlled lipids
Question 93
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?
Question 94
A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?
Question 95
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?
Question 96
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:
Question 97
A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?
Question 98
Which of the following is the most common cause of low back pain?
Question 99
A nurse practitioner diagnoses a 60 year old male with balanitis. Which disease is commonly associated with balanitis?
Question 100
Which of the following characteristics are associated with prepatellar bursitis?

Assignment:General Appraisal Overview
Assignment:General Appraisal Overview
Week 1 discussion
DQ1 What is the difference between research- and evidence-based practice projects? Provide an example of each one and the reason for the difference. Why should nurses be interested in learning about EBP?
DQ2 How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?
Week 2 discussion
DQ1 Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review
Begin the development of your PICOT question, using the following resources:
“Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix
Text readings
Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.
You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.
DQ2 What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?
Week 3 discussion
DQ1 What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?
DQ2 What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?
Week 4 discussion
DQ1 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.
DQ2 Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.
Week 5 discussion
DQ1 Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?
DQ2 Consider an obstacle or barrier to the implementation of evidence-based practice you identified in last week’s discussion. What are two ways to address this problem?
Week 6 discussion
DQ1 When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a help or a hindrance when wanting to create a change?
DQ2 What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project?
Week 7 discussion
Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information?
Week 8 discussion
DQ1 Post your “Evidence-Based Practice Proposal Project Presentation.” Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.
DQ2 There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.

Assignment: Acute Otitis Media
Assignment: Acute Otitis Media
uestion 51
Risk factors for acute otitis media (AOM) include all of the following except:
Question 52
Shirley, age 58, has been a diabetic for 7 years Her blood pressure is normal Other than her diabetes medications, what would you prescribe today during her routine office visit?
Question 53
The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:
Question 54
A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis Of the following terms, which correctly describes the suspected condition?
Question 55
The most common cancer found on the auricle is:
Question 56
A 58 year old complains of tightness in his chest while cutting firewood It disappears quickly if he stops chopping He denies shortness of breath, his total cholesterol level is less than 200 mg/dL, and he is a non-smoker What is the most appropriate action for the nurse practitioner to take with this patient?
Question 57
A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her back It has irregular borders and is about 11mm in diameter What should the nurse practitioner suspect?
Question 58
Lisa, age 49, has daily symptoms of asthma She uses her inhaled short-acting beta-2 agonist daily Her exacerbations affect her activities and they occur at least twice weekly and may last for days She is affected more than once weekly during the night with an exacerbation Which category of asthma severity is Lisa in?
Question 59
Mort is hypertensive Which of the following factors influenced your choice of using an alpha blocker as the antihypertensive medication?
Question 60
Management of a patient with hypertension and an abdominal aortic aneurysm would include:
Question 61
An 8 year old presents to the health clinic with history of acute onset severe sore throat and respiratory distress with stridor in the last 2 hours The child’s history is positive for fever and pharyngitis for 2 days What is the most likely diagnosis?
Question 62
Impetigo and folliculitis are usually successfully treated with:
Question 63
Which of the following color changes in a pigmented lesion suggests malignant transformation?
Question 64
A patient presents with an inflamed upper eyelid margin The conjunctiva is red and there is particulate matter along the upper eyelid The patient complains of a sensation that “there is something in my eye” What is the diagnosis and how should it be treated?
Question 65
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily The nurse practitioner suspects acute diverticulitis and possibly an abscess The most appropriate diagnostic test for this patient at this time is:
Question 66
An 80-year-old male admits to difficulty swallowing during the review of systems The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is:
Question 67
When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
Question 68
Sandra has celiac disease You place her on which diet?
Question 69
Harvey has had Meniere’s disease for several years He has some hearing loss but now has persistent vertigo What treatment might be instituted to relieve the vertigo?
Question 70
A 12 year old patient is afebrile and complains of severe left ear pain On examination, the TM is gray and intact and there is a green discharge in the external canal What action by the nurse practitioner is most appropriate?

Transcultural Perspectives in Lifespan
Transcultural Perspectives in Lifespan
Week 5 discussion
Transcultural Perspectives Across Lifespan
The Course Outcomes covered this week are below.
CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)
CO Perform a culturally competent nursing assessment. (PO7)
This week
select and read one of the chapters of particular interest to you listed in Assignments under Readings;
discuss what information you should obtain to develop and implement culturally appropriate plans of care for an individual of this group; and
share a brief case study or exemplar as a way to share your formation.
Examples:
Childbearing: A young Hasidic mom just emigrated from Israel to the United States. She is at term and comes to your Mother/Baby Unit for delivery.
Children: Oman is 5 years old. His family members are refugees from Syria. At the local community center a routine blood sugar test indicated his results were very high. He now needs hospitalized for control.
Adult: Luca moved to the United States after earning her BSN in Manila, Philippines. She works three jobs so that she can send money home to her family. She needs a treatment for breast cancer, but taking time off from any of the jobs will create a hardship on her local and extended family at home.
Older Adult: KC is 72 years old and came to the United States many years ago from Ghana. He is divorced, his children do not live in the area, and you often see him at the senior citizen’s center where you volunteer. He has uncontrolled hypertension.
Mental Health: Arkady was born in the former Soviet Union. He has battled depression most of his adult life and has been hospitalized again in the mental health facility 30 miles from his family for a suicide attempt. Although he has health insurance, the benefits for his diagnosis are about to expire.

CaseStudy: Healthy People Initiative
CaseStudy: Healthy People Initiative
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
The topic this week asks you to apply what you have learned to the following case study.
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 (Links to an external site.)Links to an external site. and your text as a guide, answer the following questions.
What additional information would you like to gather from Maria?
What are Maria’s real and potential health risks?
Why is Maria’s culture important when obtaining the health assessment?
Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.
Week 2 discussion
General Survey/Skin/Nutrition
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.
Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).
Medications:
Lopressor
Lisinopril
Plavix
Metformin
Novolin R per sliding scale *NEW*
Multivitamin
Colace
Zithromax *NEW*
Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.
Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
What, if any, concerns related to Millie’s skin and nutritional status do you have?
What nursing interventions will you include in the plan of care to address these concerns?
What teaching strategies will you use to educate Millie and Fred on the new medications?
Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.

Assignment: Future Nursing Competencies
Assignment: Future Nursing Competencies
Week 1 discussion
Nurse of the Future Nursing Core Competencies
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO4 Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO 4)
CO9 Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using success resources provided to Chamberlain students. (PO 5)
Now that you have examined the Nurse of the Future Nursing Core Competencies, why do you think these competencies were selected? Which 2 of the 10 competencies will be most important to your future nursing practice and why?
Week 2 discussion
Interprofessional Collaboration Strategies
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO4 Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO 4)
CO9 Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using success resources provided to Chamberlain students. (PO 5)
In today’s changing healthcare environment, it is more important than ever for professional nurses to be skilled in collaborating with professionals from other healthcare disciplines. What communication strategies can professional nurses use to specifically promote collaboration with other healthcare disciplines and professionals?
Week 3 discussion
Integration of Evidence-Based Practice Into Professional Nursing Practice
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO8 Discuss the role of evidence-based practice in the provision of professional nursing care. (PO 8)
As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion.
Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like.
Week 4 discussion
Nursing Roles in Quality Improvement
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
How do nurses promote patient safety and improve quality at your workplace? How do you report errors and near misses? What changes would you suggest be made on your unit or facility to improve a nonpunitive culture of safety?

Assignment:Time Management Plan
Assignment:Time Management Plan
PREPARING THE TIME MANAGEMENT PLAN
Carefully read these guidelines and grading rubric.
Download the required Time Management Plan Template (Links to an external site.)Links to an external site..
You are required to complete the form 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.
Rename that document as Your Last Name Time Management Plan.docx. Save as a .docs file (NOT Word Pad) to your own computer or flash drive in a location where you will be able to retrieve it later. Type your assignment directly on the saved document. Save your work frequently as you type to prevent loss of your work.
As you prepare your Time Management Plan, consider your own life. When do you work, sleep, and spend time with family and friends? How will the addition of online coursework impact your time management?
Complete the Time Management Plan with your schedule for a future course week. Be sure to consider all of the activities that you will do during that week. Work on this assignment during Weeks 1 and 2. Don’t wait until the due date to begin your work!
An example (Links to an external site.)Links to an external site. of a weekly plan has been provided to help you with this assignment.
Be sure to answer all of the questions in addition to completing the grid.
View the Chamberlain RNBSN Academic Integrity Tutorial in its entirety by visiting the Policies page, found under the Introduction & Resources Module. You may view a transcript of the tutorial.
When your Time Management Plan assignment is completed, save and close the completed template. Enter the course, click on Modules, go to the Week 2 Time Management Plan Assignment page, and click the orange Submit Assignment button.
**Academic Integrity Reminder**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Directions:
1. Carefully read the Time Management Plan Guidelines and Grading Rubric found under Week 2 Assignments, which provides specific details on how to complete this assignment.
2. Rename this template by clicking File, then Save As. Change the file name so it reads Your Last Name Time Management Plan.docx. For example, if your last name is Smith, type Smith Time Management Plan.docx.
3. Save the document as a .docx compatible with Microsoft Word 2010 or later.
4. Type your name and date at the top of this template.
5. Type your answers directly on the template. Follow all instructions. Save frequently to prevent loss of your work.
6. Prior to the due date, post general questions about this assignment to the Q & A Forum so your classmates can read the advice, too. You may also e-mail private questions to your instructor.
7. Submit this assignment by clicking on the orange Submit Assignment button on the Week 2 Time Management Plan Assignment page by the end of Week 2, Sunday at 11:59 p.m. MT.
Times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
12 a.m.–1 a.m.
1 a.m.–2 a.m.
2 a.m.–3 a.m.
3 a.m.–4 a.m.
4 a.m.–5 a.m.
5 a.m.–6 a.m.
6 a.m.–7 a.m.
7 a.m.–8 a.m.
8 a.m.–9 a.m.
9 a.m.–10 a.m.
10 a.m.–11 a.m.
11 a.m.–12 p.m.
12 p.m.–1 p.m.
1 p.m.–2 p.m.
2 p.m.–3 p.m.
3 p.m.–4 p.m.
4 p.m.–5 p.m.
5 p.m.–6 p.m.
6 p.m.–7 p.m.
7 p.m.–8 p.m.
8 p.m.–9 p.m.
9 p.m.–10 p.m.
10 p.m.–11 p.m.
11 p.m.–12 a.m.
Academic Integrity Policy Attestation:
By typing my name in the box to the right, I attest and affirm that I have watched the entire Academic Integrity tutorial and will comply with the Academic Integrity Policy of Chamberlain College of Nursing.
Answer:
Academic Integrity Question #1:
What is one example of plagiarism that was mentioned in the Chamberlain Academic Integrity Tutorial?
Answer:
Academic Integrity Question #2:
Other than not sharing passwords, what is one way students can avoid plagiarism that was mentioned in the Chamberlain Academic Integrity Tutorial?
Answer:
Self-Evaluation: Challenges (see Rubric)
What are your greatest challenges with time management?
Answer:
Self-Evaluation: Strategies (see Rubric)
What effective strategies will you use to overcome these challenges?
HINT: Review New Student Orientation and SSPRNBSN (Student Success Strategies resource) for ideas.
Answer: