Nursing

Assignment: Treating Clients with With Bipolar Disorder
Assignment: Treating Clients with With Bipolar Disorder
Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for clients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) clients often present as depressive or manic, but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with bipolar disorder.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 6, “Mood Disorders”
Chapter 8, “Mood Stabilizers”
Stahl, S. M., & Ball, S. (2009b). Stahl’s illustrated mood stabilizers. New York, NY: Cambridge University Press.
To access the following chapters, click on the Illustrated Guides tab and then the Mood Stabilizers tab.
Chapter 4, “Lithium and Various Anticonvulsants as Mood Stabilizers for Bipolar Disorder”
Chapter 5, “Atypical Antipsychotics as Mood Stabilizers for Bipolar Disorder”
Vitiello, B. (2013). How effective are the current treatments for children diagnosed with manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-0060-3
Note: Retrieved from Walden Library databases.
Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the pharmacokinetics of controlled-release paroxetine in healthy Chinese subjects: comparison of traditional phenotype and activity score systems. European Journal of Clinical Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6
Note: Retrieved from Walden Library databases.
Required Media
Laureate Education. (2016f). Case study: An Asian American woman with bipolar disorder [Interactive media file]. Baltimore, MD: Author
Note: This case study will serve as the foundation for this week’s Assignment.
Optional Resources
Mostafavi, A., Solhi, M., Mohammadi, M., Hamedi, M., Keshavarzi, M., & Akhondzadeh, S. (2014). Melatonin decreases olanzapine induced metabolic side-effects in adolescents with bipolar disorder: a randomized double-blind placebo-controlled trial. Acta Medica Iranica, 52(10), 734-739.
Retrieved from http://acta.tums.ac.ir/index.php/acta
To prepare for this Assignment:
Review this week’s Learning Resources. Consider how to assess and treat clients requiring bipolar therapy.
The Assignment
Examine Case Study: An Asian American Woman With Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
Week 5 assignment
Assignment: Assessing and Treating Clients With Anxiety Disorders
Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt clients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, clients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with anxiety disorders.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 9, “Anxiety Disorder and Anxiolytics”
Stahl, S. M., & Grady, M. (2010). Stahl’s illustrated anxiety, stress, and PTSD. New York, NY: Cambridge University Press.
To access the following chapters, click on the Illustrated Guides tab and then the Anxiety, Stress, and PTSD tab.
6000 × 4000

Effective Leadership in Healthcare
Effective Leadership in Healthcare
Week 1 discussion
Discussion Question
Post a detailed description of your experience of working with a nurse leader. Include the following aspects in your description.
Of the leadership theories discussed this week, which one did this nurse leader subscribe to? Why?
How has your experience been with the nurse leader? Provide a description of your interactions with him or her?
Week 2 discussion
Discussion Question
Using the South University Online Library or the Internet, research about power sources for a nurse leader. Based on your understanding, answer the following questions:
In your opinion, what are the three most important power sources for a nurse leader? Why?
How are they best used in a leadership role? Describe.
What sources of power do you see most often displayed in your work environment? Why?
Week 3 discussion
Discussion Question
Effective leadership can help nurse leaders to bring about a desirable change within the system. Using the South University Online Library or the Internet, gain adequate insight into change theories and change management, and answer the following questions:
What does it mean to be a change agent? Give two examples of when you were a change agent or witnessed another nurse as a change agent
What happened and how did the change occur? Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.
Week 4 discussion
Discussion Question
With a society that is so diverse in its own nature, issues pertaining to cultural diversity are bound to occur in the process of team management and leadership. Using the South University Online Library or the Internet, research about cultural diversity. Based on your research and understanding, answer the following questions:
How does having members of different cultures on a team affect the team’s performance?
How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?
Week 5 discussion
Discussion Question
Using the South University Online Library or the Internet, research about nursing informatics or technologies used in nursing. Based on your research, answer the following questions:
What technology does your facility use?
How has it improved patient care or outcomes?
What can be done to make it more useful or to further improve patient care or outcomes?
Week 1 assignment
Week 1 Project
Time Management
This assignment is about you. It is an assessment of your abilities and traits.
Every week you will complete a personal assessment–your own personal leadership framework.
This assignment will help you figure out what style of leadership you have been following and whether this style works for you.
Through this assignment, you will find the various approaches of leadership that complement each other. There is no one theory that describes the only way to be an effective leader. Each theory focuses on different issues, but they all help you to better understand how to become a successful leader.
Using the South University Online Library or the Internet, research about Time Management Assessment.
Note: You can also use the following link to access the Time Management Assessment: Time Management Assessment
Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:
Incorporates your time management self-assessment information and the concepts learned this week (leadership theories, leadership versus management, professional nursing organizations, and time management.
Includes identification of one leadership theory, which you feel best describes your leadership style.
Includes a comparison between leadership and management
Includes a suggestion on how to apply this week’s concepts to the work environment.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details
Support your responses with examples.
On a separate references page, cite all sources using APA format
Name your document SU_NSG4029_W1_Project_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.
Week 2 assignment
Week 2 Project
This assignment will help you understand your personality type. Through this assignment, you will analyze how your specific personality type can enhance or hinder effective leadership in the health care environment.
Using the South University Online Library or the Internet, research about personality types.
Note: You can use the following link to access the online assessment: Jung Typology Test
Based on your research and understanding, write a 3- to 4-page Microsoft Word document that:
Integrates how your specific personality type can enhance or hinder effective leadership in the health care environment.
Explains all four aspects of your personality gleaned from the assessment.
Includes 2- to 3-journal article references.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Name your document SU_NSG4029_W2_Project_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.
Week 3 assignment
Week 3 Project
Conflict Handling Style
This assignment will help you understand conflict at the individual, team and organizational levels.
Using the South University Online Library or the Internet, research and identify additional information on handling conflict.
Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:
Includes a description of change theories, conflict theories, and leader as a change agent.
Integrates how your ability to handle conflict can either enhance or hinder effective leadership in the health care environment.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details
Support your responses with examples
On a separate references page, cite all sources using APA format.
Name your document SU_NSG4029_W3_Project_LastName_FirstInitial.doc
Submit your document to the Submissions Area by the due date assigned.
Week 4 assignment
Week 4 Project
This assignment will help you to understand EI.
Using the South University Online Library or the Internet, research about EI theories, communication styles, team building, and decision making. Go to the website berkeley.edu and take the quiz.
Based on your research and understanding, create a white paper in a 3- to 4-page Microsoft Word document that:
Describe how your EI level can either enhance or hinder effective leadership in the health care environment.
Discuss the results of the EI Quiz.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Name your document SU_NSG4029_W4_Project_LastName_FirstInitial.doc
Submit your document to the Submissions Area by the due date assigned.
Week 5 assignment
Week 5 Project
Compilation
Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4.
In addition to the work you completed in the last four weeks, your assignment should also:
Include an introduction and a conclusion.
Implement the recommendations from the instructor.
Describe the role of nursing informatics.
Explain how nursing informatics or technology in health care will help or hinder your leadership.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details
Support your responses with examples.
Name your document SU_NSG4029_W5_Project_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.
Effective Leadership in Healthcare

Assignment:Deficit Hyperactivity Disorder
Assignment:Deficit Hyperactivity Disorder
Chapter 12, “Attention Deficit Hyperactivity Disorder and Its Treatment”
Stahl, S. M., & Mignon, L. (2012). Stahl’s illustrated attention deficit hyperactivity disorder. New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated Guides tab and then the ADHD tab.
Chapter 4, “ADHD Treatments”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.
Review the following medications:
For ADHD
armodafinil
amphetamine (d)
amphetamine (d,l)
atomoxetine
Case 1: Volume 1, Case #13: The 8-year-old girl who was naughty
Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter
Case 3: Volume 2, Case #21: Hindsight is always 20/20, or attention deficit hyperactivity disorder
Review this week’s Learning Resources and reflect on the insights they provide.
Go to the Stahl Online website and examine the case study you were assigned.
Take the pretest for the case study.
Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.
Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).
Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.
Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.
Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.
Review the posttest for the case study.
Week 10 discussion
Discussion: Influencing Social Change
Individuals with psychiatric mental health disorders are frequently stigmatized not only by society as a whole, but also by their friends, family, and sometimes healthcare providers. In your role, however, you have the opportunity to become a social change agent for these individuals. For this Discussion, consider how you might make a positive impact for your clients and advocate for social change within your own community.
Learning Objectives
Students will:
Apply strategies to become a social change agent for psychiatric mental health
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Angermeyer, M. C., Matschinger, H., & Schomerus, G. (2013). Attitudes towards psychiatric treatment and people with mental illness: Changes over two decades. The British Journal of Psychiatry, 203(2), 146–151. Retrieved from http://bjp.rcpsych.org/content/203/2/146.full
Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia. American Family Physician, 85(1), 20–22. Retrieved from http://www.aafp.org/journals/afp.html
Note: Retrieved from from the Walden Library databases.
Dingfelder, S. F. (2009). Stigma: Alive and well. American Psychological Association, 40(6), 56. Retrieved from http://www.apa.org/monitor/2009/06/stigma.aspx
Jenkins, J. H. (2012). The anthropology of psychopharmacology: Commentary on contributions to the analysis of pharmaceutical self and imaginary. Culture, Medicine and Psychiatry, 36(1), 78–79. doi:10.1007/s11013-012-9248-0
Note: Retrieved from from the Walden Library databases.
Price, L. H. (2010). Violence in America: Is psychopharmacology the answer? Brown University Psychopharmacology Update, 21(5), 5. Retrieved from http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1556-7532
Note: Retrieved from from the Walden Library databases.
Optional Resources
Bennett, T. (2015). Changing the way society understands mental health. National Alliance on Mental Illness. Retrieved from http://www.nami.org/Blogs/NAMI-Blog/April-2015/Changing-The-Way-Society-Understands-Mental-Health
Mechanic, D. (2007). Mental health services then and now. Health Affairs, 26(6), 1548–1550. Retrieved from https://web.archive.org/web/20170605094514/http://content.healthaffairs.org/content/26/6/1548.full
Rothman, D. J. (1994). Shiny, happy people: The problem with “cosmetic psychopharmacology.” New Republic, 210(7), 34–38.
To prepare for this Discussion:
Reflect on how you might influence social change for psychiatric mental health.
Week 2 assignment
Assignment: Assessing and Treating Pediatric Clients With Mood Disorders
When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.
Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Chapter 6, “Mood Disorders”

Assignment: Abdomen and Genitourinary System
Assignment: Abdomen and Genitourinary System
Week 6 discussion
Assessment of the Abdomen and Genitourinary System
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)
CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
Amira is a 27-year-old Syrian refugee who has been residing in a local homeless shelter since her arrival here in the United States 4 weeks ago. She was brought into the emergency room this morning via squad after being found by a shelter employee sitting in a pool of blood on the bathroom floor crying and holding her abdomen. Due to her limited English speaking abilities, she is unable to provide specific details as to her complaints but the shelter employee states that she has recently stopped eating and has not looked well for the past couple of days.
Based on the limited information provided, please answer the following questions.
How will you prioritize your care of Amira, what assessments will you complete, and in what order? Please provide rationale for choosing this order.
Are there any cultural beliefs/practices that must be taken into consideration when planning her care?
Considering her symptoms of abdominal pain and bleeding, is it possible that her status as a homeless refugee is a causative or contributing factor to her illness? Please provide rationale for your response.
Due to her limited English speaking abilities, she is unable to provide specific details as to her complaints but the shelter employee states that she has recently stopped eating and has not looked well for the past couple of days.

Assgnment:Time Management Plan
Assgnment:Time Management Plan
Time Management Plan Assignment
Time Management Plan Guidelines and Grading Rubric
Updated 7/2018
PURPOSE
The purpose of this assignment is to allow the learner to use effective strategies to manage time as a professional nurse and online student.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO3. Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)
CO4. Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)
CO5. Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)
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 resources provided to Chamberlain students. (PO5)
DUE DATE
Submit the assignment by Sunday end of Week 2, 11:59 p.m. MT.
POINTS
This assignment is worth a total of 225 points.
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
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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:

Assignment:Gathering Data in Health Care
Assignment:Gathering Data in Health Care
You only need to post an initial response to one of the following. Your participation posts can be to anyone and either option. The only rule regarding your selection is what others have posted. Half of your group will respond to option #1 and half of your group will respond to option #2. Therefore if you are in a group of 6 and when you log on 3 people already made a post to option #1 than you will make your initial post to option #2. Your posts to others can be in either option #1 or #2.
Option 1: In the following scenario, discuss the developmental, age, socioeconomic and cross-cultural considerations that should be considered during the gathering of the subjective and objective and the provision of health care. Discuss the findings presented. Is there additional information / assessments you would like to know prior to making a clinical judgment?
It is December in a northern state. S.A. has brought her two children, ages 3 and 5 years, to the health clinic for the first time. She states that she recently emigrated from India. She is wearing a sari with a light coat, and each child is wearing a light jacket. Interaction between parent and children is appropriate. The children both fall at the 4th percentile for both height and weight. Overall, nutrition status appears to be satisfactory.
Option 2: S.P. is a 75-year-old female who presents to the provider’s office with fatigue. Subjective data includes: PMH – hypertension, hyperlipidemia, MI 3 years ago; fatigue started about a month ago, getting worse; relieved with rest, exacerbated with activity; denies chest pain, ankles swollen. The Objective data includes: Vital signs T 98.3, P 112, R 18, BP 110/54; Lungs – bilateral lower lobe crackles anterior and posterior; O2 sat = 94% on RA; Skin is cool to touch; CV- heart rate regular, positive peripheral pulses, ECG=no changes, +2 edema bilateral ankles; Medications include Metoprolol 20mg/day and Aspirin 325mg per day.
1. What other questions should the nurse ask about the fatigue?
2. What other assessments are necessary for this patient?
3. Based on the readings, what is the most likely cause of fatigue for this patient?

Case Study: Geriatric Nurses
Case Study: Geriatric Nurses
Question 11 To best assure the existence of competent entry level geriatric nurses among its graduates, a school of nursing:
Question 11 options:
Requires students take at least one geriatric-focused course.
Integrates geriatric content throughout its curriculum.
Ctresses the importance of providing effective geriatric care.
Supports its faculty in acquiring efficiency in geriatric care topics.
Question 12
Health disparities are preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities. Health disparities exist in all age groups, including older adults.
Question 12 options:
True
False
Question 13 A community health nurse provides an annual flu prevention workshop at a local senior center. The activities include a lecture on preventing infections, which includes hand washing and limiting exposure to individuals who are ill, as well as an influenza immunization clinic. The nurse is basing her activities on what theory of aging?
Question 13 options:
Wear and tear.
Cross-link
Immunity.
Free radical.
Question 14
Which of the following culturally diverse male clients will most benefit from educational material related to “Staying Healthy into your 80s”
Question 14 options:
Japanese.
Swedish.
Chinese.
Irish.
Question 15 Nursing sensitive quality indicators are an important part of the equation when it comes to establishing evidence-based practice guidelines.
Question 15 options:
True
False
Question 16
A group of nursing students conducts a small research project examining the most effective means to deliver medication education to older adults. Their sample consists of 100 adults from ages 55 to 101 who live in the same community. The students conclude that individuals from ages 55 to 64 prefer computerized instructions, and individuals from ages 65 to 100+ prefer typewritten instructions. What is a potential problem with this study?
Question 16 options:
The sample size of 100 is too small to draw any conclusions.
The older adults ranging in age from 65 to 100+ were grouped into one category.
It has been proven that older adults are not computer literate.
The study design is not a randomized, controlled trial.
Question 17
A 66-year-old retired professional basketball player is admitted to the hospital for a total knee replacement due to osteoarthritis. In preparing preoperative teaching for this patient, to the nurse includes which theory of aging to help him understand how the disease has progressed?
Question 17 options:
Free radical theory
Wear and tear theory.
Gene theory.
Cross-link theory.
Question 18 When assessing an older Asian adult for their personal perception of health and wellness, the nurse recognizes the most important question is:
Question 18 options:
“Are you well enough to care for your own physical needs?”
“Do you exercise regularly?”
“Have you been sick lately?”
“When do you believe a person possesses wellness?”
Question 19 An example of a wellness-based nursing intervention would include:
Question 19 options:
Providing the Internet address of support groups and resources to the computer-literate, Internet-proficient daughter of your oncology client.
Lecturing a diabetic client that he would not have been admitted this time if he had been compliant with his treatment plan.
Encouraging the client on a low fat, low sodium diet to allow the staff to make menu selections for her meals.
Responding to your older client’s request to be ambulated by stating, “You should take it easy and rest. You’re 90 years old-you deserve it!”
Question 20
The nurse is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome?
Question 20 options:
Asking the family to answer interview questions.
Frequently repeating instructions and requests.
Speaking at a slower than normal speed.
Using very simple sentences and phrasings.
Week 2 Project
Assessing and Planning Care for an Elderly Person
In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.
By the due date assigned, choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.
Download a patient questionnaire. This form should be used as an example.
After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.
Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.
Tinetti Balance and Gait Evaluation
Katz Index of Activities of Daily Living
Assessment of Home Safety
The Barthel Index
Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)
Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.
Make sure that you integrate personal cultural awareness and cultural competency.
Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Week 2 Knowledge Check
Question 1
Functional assessment tools provide a structure for assessing the older person’s ability to perform self-care tasks.
Question 1 options:
A) True
B) False
Question 2
Nursing support for psychosocial wellness should focus on facilitating independence, promoting a sense of control, addressing role loss, and fostering social supports.
Question 2 options:
A) True
B) False
Question 3
Hearing loss associated with age related degeneration of auditory structures is known as:
Question 3 options:
A)
otosclerosis
B)
tinnitus
C)
Meniere’s disease
D)
Presbycusis
Question 4
The leading cause of severe vison loss and blindness in people over 60 is:
Question 4 options:
A)
glaucoma
B)
macular degeneration
C)
cataracts
D)
retinal detachment
Case Study: Geriatric Nurses
Case Study: Geriatric Nurses

Assignment:Why Nursing values honesty
Assignment:Why Nursing values honesty
Week 6 Professional Paper Assignment
Professional Paper Guidelines and Grading Rubric
Updated 7/2018
PURPOSE
The purpose of this assignment is to allow the learner to demonstrate writing skills, organizational skills, and ability to correctly present ideas and credit others in APA formatting when writing a professional paper.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO3: Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)
CO4: Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)
CO5: Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)
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 resources provided to Chamberlain students. (PO5)
POINTS
This assignment is worth a total of 225 points.
PREPARING THE Professional Paper
Carefully read these guidelines including the Rubric, which may be found in the Gradebook.
Download the NR351 Professional Paper Template (Links to an external site.)Links to an external site.. Rename that document as Your Last Name Professional Paper.docx. Save it to your own computer or drive in a location where you will be able to retrieve it later. Type your assignment directly on the saved document. Remember that only Microsoft Word 2010 or a later version is acceptable. The document must be saved as a .docx. Save frequently to prevent loss of your work.
Mechanics of the Professional Paper include:
Times New Roman size 12 typeface (font) double spaced with 1-inch margins
No abstract
Correct APA format
Correct spelling, apostrophe use, grammar, punctuation, paragraphing, and sentence structure
Contents must include Title Page, body of the paper (500-600 words including Introduction, two Main Points and subpoints from your Professional Paper Worksheet outline including revisions suggested by instructor, and Conclusion), and References page.
Two Main Points and Conclusion will be Level 1 headings. No Level 2 headings are to be used for this short paper.
References should only include your Hood textbook and the assigned article found here:
https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=26390744&site=eds-live&scope=site (Links to an external site.)Links to an external site.
Contents of the paper must include any revisions suggested by your instructor in Professional Paper Worksheet feedback.
When your assignment is complete, save and close your Professional Paper. When you are happy with your paper, submit it and check your TurnItIn similarity index to see if it is below 25%. You may resubmit up until the due date if you wish to make changes. The last version you submit prior to the deadline will be graded. Per Chamberlain policy, any final paper submitted with a similarity index greater than 24% will be investigated for potential plagiarism.
**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.
TOPIC Robins, H., & Dai, F. (2015). Handoffs in the Postoperative Anesthesia Care Unit: Use of a Checklist for Transfer of Care. AANA Journal, 83(4), 264-268.

Assignment: Patient With a Hearing Problem
Assignment: Patient With a Hearing Problem
Question 1
An older African-American client shares that they, “Don’t hear as well as they used to.” Responding based on evidence-based data, the nurse will: p.85
Question 1 options:
Inquire as to whether the client has tinnitus.
Assess the client for middle ear fluid accumulation.
Ask whether the client has ever been diagnosed with otosclerosis.
Check the client’s ears for a cerumen impaction.
Question 2
The major focus regarding nursing education for the older adult regarding the use of herbal supplements is the:
Question 2 options:
High risk of herbal overdose since the manufacturing process lacks effective controls.
Likelihood that the client will substitute herbals for more expensive prescribed medications.
Expense of the herbal supplements since they are seldom covered by insurance.
Possibility of herbals interaction dangerously with the client’s prescribed medications.
Question 3
When comparing the Older American’s Resources and Services (OARS) with the Katz index of ADLs, what is true?
Question 3 options:
The Katz index and the OARS both measure only ADL performance.
The OARS is a comprehensive assessment tool that measures ability in five areas; the Katz index measures only ADL performance.
The OARS is used only for older adults in the long-term care setting; the Katz index is used in all settings.
The OARS is not valid for use in older adults who are cognitively impaired, whereas the Katz index is.
Question 4
The nurse is recommending that a client diagnosed with moderate stage Alzheimer’s disease attend a support group when he becomes defensive about not driving his automobile and the effects it will have on, “being stuck at home.” Which is the priority outcome expected for this client when attending the group sessions?
Question 4 options:
Facilitates socialization thus minimizing the effects of social isolation.
Helps with minimizing the loss as a factor in causing depression.
Provides caregivers with respite while assuring the client is well attended to.
Allows for the opportunity for a mental health professional to assess the client.
Question 5
Which intervention is therapeutic when facilitating communication with a cognitively impaired older client?
Question 5 options:
Explain a task using simple, concise phrasing and one step at a time.
Give instructions to a group whenever possible to provide peer support.
Allow for additional time for the client to respond to questions or directions.
Use non-verbal as well as verbal cues to help get your message across to the client.
Speak loudly to gain and retain the client’s attention.
Question 6
When a client’s thyroid panel shows an elevated TSH, the nurse reviews the client’s medication history for a current prescription for:
Question 6 options:
Lithium.
Heparin.
Aspirin.
Phenytoin (Dilantin).
Question 7
The nurse is completing discharge instructions for an 88-year-old patient who is being discharged from the hospital following a myocardial infarction. He is provided with written literature on heart healthy diets, exercise, and smoking cessation. His daughter states, “I don’t know why you are bothering. What difference is it going to make? He has been smoking and eating poorly for years; he isn’t going to change now.” This statement reflects the concept of:
Question 7 options:
Reality orientation.
Character assessment.
Negative stereotyping.
Senescence.
Question 8
A NANDA nursing diagnosis that could be appropriate for an older adult with a marked hearing impairment is:
Question 8 options:
Fear.
Social Interaction Impaired.
Confusion (Chronic).
Risk for Injury.
Self Esteem Disturbance.
Question 9
The nurse is most concerned by observing when assisting with an older client’s bath:
Question 9 options:
A persistent red lesion with a poorly defined base and an adherent yellow-white scale.
A slightly raised irregular patch that is bluish black in color.
An open sore that bleeds, oozes, or crusts and remains for 3 weeks or more.
Rough, scaly, sandpaper-like patches that are slightly tender.
Question 10
The original intent of Social Security was to:
Question 10 options:
Provide a hospital insurance plan.
Minimize the dependency of older members on younger members of society.
Provide the blind, older adult, or disabled with adequate financial support.
Penalize women financially for numerous zero wage years while raising children.
Question 11
Which statement by the nurse is the strongest example of ageism by professional nurses?
Question 11 options:
“It takes a special nurse to provide good care to the older population of clients.”
“It’s difficult for a nurse to develop an effective relationship with an older client because of the barriers their age creates.”
“It is so difficult to find nurses who are truly effective geriatric nurses.”
“With the older population increasing so dramatically in numbers, nursing will have a difficult time meeting their needs.”
Question 12
Which nursing statement shows a true appreciation for an older client’s willingness to tell their personal stories about “the war?”
Question 12 options:
“It’s so nice to see them excited and engaged as they tell the stories.”
“It helps their memory so much to re-tell their stories.”
“I learn so much about a client when they share their life story with me.”
Page 12 of 20
Question 13
Ethnocentrism is defined as:
Question 13 options:
An understanding of another’s cultural beliefs and practices.
A conflict that occurs when an individual interacts with another whose beliefs differ from his own.
Application of limited knowledge about one person with characteristics specific to another person.
A belief that one’s ethnic group is superior to that of another.
Question 14
Which factor is the greatest barrier to an older adult living independently?
Question 14 options:
Deficits in vision and/or hearing resulting in safety issues.
Limited finances that prevent upkeep and maintenance of a residence.
Depression that occurs after the death of a spouse or significant other occurs.
The manifestation of cognitive impairment resulting from dementia or Alzheimer’s.
Question 15
An older adult client is being seen for the first time at the outpatient geriatric clinic. As a component of the nursing admission history, the nurse inquires about the use of herbs and other supplements. The basis for this inquires is that such herbal therapy:
Question 15 options:
May interact with prescription medications.
Are hazardous when used by older adults.
Replace the need for prescription medications.
Cause excessive sedation in older adults.
Question 16
A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be “senile.” The advanced practice nurse administers the clock drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on his performance, the nurse concludes that the patient:
Question 16 options:
Probably has Alzheimer’s disease.
Needs further evaluation.
Probably has delirium.
Needs a functional status assessment.
Question 17
The nurse is reviewing the post surgical laboratory values of an older adult client. The client’s Erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:
Question 17 options:
The nurse is reviewing the post surgical laboratory values of an older adult client. The client’s Erythrocyte sedimentation rate (ESR) is 20 mm/hr. The nurse initially responds to this data by:
Recognizing that the value is normal for older adults.
Notifying the client’s health care provider immediately.
Requesting that the laboratory re-run the test.
Question 18
It has been projected that the cultural group presenting the greatest growth rate among the older adult population will be the:
Question 18 options:
African-Americans.
Asian/Pacific Island Americans.
Native Americans.
Hispanic Americans.
Question 19
What is true about instruments to assess for depression in older adults?
Question 19 options:
Older adults tend to score inaccurately low (indicating less depression) than younger adults on the Zung Self-Rating Depression Scale.
The shortened Geriatric Depression Scale does not contain a question to evaluate suicide potential.
The Beck Depression Inventory is designed for gerontological patients.
The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult.
Week 4 Project
Analysis of an Age Related Topic
By the due date assigned, submit your assignment to the Submissions Area.
Conduct in-depth analysis of a pertinent topic related to aging. Define the problem, specific population affected, cultural implications, and financial/legal/ethical implications. What interventions can be used to improve the problem? What resources are available? What are the associated costs? Is this idea sustainable?
Submit your paper in a 6–7-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
References must be within 3 years.
Submission Details
Name your document SU_NSG4067_W4_A2_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.
Assignment: Patient With a Hearing Problem

National Resources Allocated for Nursing
National Resources Allocated for Nursing
Week 4 Project
Locating Resources
Locate a minimum of three community or national resources for your illness group chosen in Week 1, preferably in your community. Study these resources and write a report about them in a 4- to 5-page Microsoft Word document. Include in your response all the information the patient should know about them (the specific services they offer, fee schedules, if and when appropriate, criteria for eligibility, and any other important information). Discuss potential advantages and disadvantages for vulnerable populations in seeking these resources.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Question 2
The Impact of Chronic Illness
Identify one person from the illness group you chose in Week 1. The person should not be a patient at the facility in which you work. You can use friends, family members, or coworkers. Do not use the person’s name in the paper but only initials. Administer the questionnaire you created in Week 1 to that person. Compile the data and analyze the responses to better illustrate where this person, his or her family, and friends are in relation to accepting the diagnosis in relation to the standard health or illness definitions. The analysis should also include coping skills, treatment, and support aspects of the illness. Identify how this will direct care plan development for the chosen illness group.
Compile a report of your interview with the questions you created, the responses you received, your analysis, and your interpretation of how it will affect planning care for the group in a 4- to 5-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.