Nursing

Assessment: Patient-Centered Care
Assessment: Patient-Centered Care
Week 2: AACN Essentials Self-Assessment and Patient-Centered Care
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This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO 2)
CO7 Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)
Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.. Follow the directions on the form. Note your total score. Next, review this article:
Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.
After you have completed your self-assessment, answer the following questions:
Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?
Essential VIII: Professionalism and Professional Values discusses professional standards of moral, ethical, and legal conduct. Review the Professional Integrity Module-Academics and Practice at the beginning of the course (the first module). Then reflect on your own beliefs and values as they relate to professional nursing practice.
Discuss implications of professional nursing integrity and academic integrity.
Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.. Follow the directions on the form. Note your total score. Next, review this article:

Assignment:Standards of Practice
Assignment:Standards of Practice
The Course Outcome covered this week is CO3.
CO3: Describe standards of practice for culturally competent nursing care. (PO6)
The basis for our lesson this week came from the Standards of Practice for Culturally Competent Nursing Care Executive Summary, Transcultural Nursing Society: https://www.tcns.org/standards (Links to an external site.)Links to an external site..
Assume your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards.
Download and read the Executive Summary, and select one of the 12 standards as the basis for the discussion. Think about the standards as they relate to culturally sensitive care.
Explain how your department or organization currently gives credence to this standard.
If it does not, from your newfound knowledge, offer suggestions of how the standard can be incorporated into patient care in your department or organization.
Note: Make sure you choose a standard that another student has not selected. Keep in mind that each of us does not work in an acute care setting, so examples from other practice settings will add to a more robust discussion.
Assume your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards.
Download and read the Executive Summary, and select one of the 12 standards as the basis for the discussion. Think about the standards as they relate to culturally sensitive care.
Assume your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards.
Download and read the Executive Summary, and select one of the 12 standards as the basis for the discussion. Think about the standards as they relate to culturally sensitive care.

Assignment: Assessing and Treating Clients With Dementia
Assignment: Assessing and Treating Clients With Dementia
The Alzheimer’s Association defines dementia as “a general term for a decline in mental ability severe enough to interfere with daily life” (Alzheimer’s Association, 2016). This term encompasses dozens of cognitive disorders of impaired memory formation, recall, and communication. The care and treatment of clients with dementia is dependent on multiple factors, including the stage of dementia, comorbidities, family support, and even the care setting. In your role, as the psychiatric mental health nurse practitioner, you must be prepared to not only treat clients with these various cognitive disorders, but also the multiple behavioral issues that often accompany them. 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 dementia.
Reference: Alzheimer’s Association. (2016). What is dementia? Retrieved from http://www.alz.org/what-is-dementia.asp
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 chapter, 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 13, “Dementia and Its Treatment”
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 insomnia
donepezil
galantamine
memantine
rivastigmine
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.
Meltzer, H. Y., Mills, R., Revell, S., Williams, H., Johnson, A., Bahr, D., & Friedman, J. H. (2010). Pimavanserin, a serotonin receptor inverse agonist for the treatment of Parkinson’s disease psychosis. Neuropsychopharmacology, 35, 881–891. Retrieved from http://www.nature.com/npp/journal/v35/n4/pdf/npp2009176a.pdf
Required Media
Laureate Education. (2016h). Case study: An elderly Iranian man with Alzheimer’s disease [Interactive media file]. Baltimore, MD: Author.
Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment:
Review this week’s Learning Resources. Consider how to assess and treat clients requiring therapy for dementia.
The Assignment
Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. 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 6 midterm
Question 1
A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the best response made by the psychiatric-mental health nurse practitioner (PMHNP).
Question 2
Which statement about neurotransmitters and medications is true?
Question 3
When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be:
Question 4
During gene expression, what must occur prior to a gene being expressed?
Question 5
While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process?
850 × 1203

Standards of Practice in Healthcare
Standards of Practice in Healthcare
Week 6 discussion
Standards of Practice
The Course Outcome covered this week is CO3.
CO3: Describe standards of practice for culturally competent nursing care. (PO6)
The basis for our lesson this week came from the Standards of Practice for Culturally Competent Nursing Care Executive Summary, Transcultural Nursing Society: https://www.tcns.org/standards (Links to an external site.)Links to an external site..
Assume your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards.
Download and read the Executive Summary, and select one of the 12 standards as the basis for the discussion. Think about the standards as they relate to culturally sensitive care.
Explain how your department or organization currently gives credence to this standard.
If it does not, from your newfound knowledge, offer suggestions of how the standard can be incorporated into patient care in your department or organization.
Note: Make sure you choose a standard that another student has not selected. Keep in mind that each of us does not work in an acute care setting, so examples from other practice settings will add to a more robust discussion.
The basis for our lesson this week came from the Standards of Practice for Culturally Competent Nursing Care Executive Summary, Transcultural Nursing Society: https://www.tcns.org/standards (Links to an external site.)Links to an external site..
Assume your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards.
Download and read the Executive Summary, and select one of the 12 standards as the basis for the discussion. Think about the standards as they relate to culturally sensitive care.
Explain how your department or organization currently gives credence to this standard.
If it does not, from your newfound knowledge, offer suggestions of how the standard can be incorporated into patient care in your department or organization.
Note: Make sure you choose a standard that another student has not selected. Keep in mind that each of us does not work in an acute care setting, so examples from other practice settings will add to a more robust discussion.

Assignment:Weekly Health Informatics
Assignment:Weekly Health Informatics
NURS 675LA-B Weekly Health Informatics Practicum Activity Summary/Reflection Log
Weekly practicum activity summaries and reflections to be submitted for review are to be typed, grammatically correct, and error free.
Weekly practicum activity summaries should include:
1. Stated weekly informatics focus and learning objectives.
2. Summary of planned or completed informatics activities.
3. Discussion of technology, processes, data analysis, workflow, gaps, evidence-based practice, and other informatics role activities completed during the week.
4. Reflection on your own learning and implications for future informatics role and/or implications on health care delivery and outcomes.
Students will receive feedback from faculty regarding their weekly personal learning objectives, activities, and reflections.
TemplateforWeeklyPracticumActivitySummary
Directions:Submitathree- to five-pagesummary ofeachweek’s activitiesusingthetemplatebelow.Ifaninterviewisconducted,alsoattachthelist ofinterviewquestionsused.
Name:
Week#_ Focus:
1. Mypersonallearningobjectivesthisweek(list):
a.
b.
c.
2. Summaryof planned/completedactivities:
3. Discussion of technology, processes, data analysis, workflow, gaps, evidence-based practice, and other informatics role activities completed during the week: (IncludetwoormorecitationsfromrelevantliteratureusingAPA6thed.format.)
4. Reflection on your own learning and implications for future informatics role and/or implications on health care delivery and outcomes:
Instructions
An informatician conducts data assessments of public health information. They are responsible for organizing, synthesizing, and interpreting data and transforming it into pertinent information that may be used to identify implications for public health program planning and development.
In this assignment, you will continue to use your pre-intervention asthma surveillance data set from the CDC in the Excel spreadsheet to analyze your database from a summary perspective. You will calculate various statistical means of the asthma data in your Excel spreadsheet using Pivot Table reports. You will then answer the following questions in a 3–4-page paper, and embed your pivot tables in your report to explain the summary results.
What statistical mean results do your Pivot Tables demonstrate about this grade school population of students?
Data Means Statistical Questions
What was the most frequent number of missed days?
What is the mean (average) number of missed days because of asthmatic conditions?
Which school had the highest average of missed days?
Was the school with the highest average of missed days for males the same as the school with the highest average of missed days for females?
Is the average number of missed days higher among those who answered yes to asthma than the overall average?
What is the average age of the student population?
In a summary, explain how an informatician can use an outcome measurement of missed school days to monitor and evaluate population health; in this situation, asthma cases in elementary school children. Refer to the following article by Moonie, Sterling, Figgs, and Castro (2006):
Moonie, S. A., Sterling, D. A., Figgs, L., & Castro, M. (2006). Asthma status and severity affects missed school days. The Journal of School Health, 76(1), 18–24. Retrieved from
http://search.proquest.com.southuniversity.libproxy.edmc.edu/docview/215674744?accountid=87314
Submission Details:
Give reasons and examples in support of your responses. Cite all sources using APA format.
Submit a 3–4-page report in a Microsoft Word document to the Submissions Area by the due date assigned.
Name your document SU_PHE6203_W3_A2_LastName_FirstInitial.doc.
Attachments
Submissions
No submissions yet. Drag and drop to upload your assignment below.Upload SubmissionDrop files here, or click below!UploadRecordChoose ExistingYou can upload files up to a maximum of 40 MB.Reflect in ePortfolio
Activity Details

Assignment: Approach To Anorexia
Assignment: Approach To Anorexia
Question 51
A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know that the best initial approach is to:
Question 52
Diagnostic confirmation of acute leukemia is based on:
Question 53
What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
Question 54
Potential causes of septic arthritis include which of the following?
Question 55
What diabetic complications result from hyperglycemia?
Retinopathy
Hypertension resistant to treatment
Peripheral neuropathy
Accelerated atherogenesis
Question 56
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Question 57
Which of the following patients most warrants screening for hypothyroidism?
Question 58
You have a new patient that presents with generalized lymphadenopathy. You know that this is indicative of:
Question 59
A typical description of a tension headache is:
Question 60
What is the first symptom seen in the majority of patients with Parkinson’s disease?
Question 61
A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is:
Question 62
The most effective treatment of non-infectious bursitis includes:
Question 63
Which of the following medications increase the risk for metabolic syndrome?
Question 64
Which history is commonly found in a patient with glomerulonephritis?
Question 65
Warfarin (Coumadin) is prescribed for a frail, elderly male with new onset atrial fibrillation. The goal INR for this patient should be:
Question 66
Other than smoking cessation, which of the following slows the progression of COPD in smokers?
Question 67
The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is:
Question 68
The organism most often associated with prostatitis is:
Question 69
Potential causes of hypocalcemia include which of the following?
Question 70
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?
Question 71
The most common cause of elevated liver function tests is:
Question 72
A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:

Assignment:Sleep/Wake Disorders
Assignment:Sleep/Wake Disorders
It is not uncommon to experience a night or two of disrupted sleep when there is something major going on in your life. However, sleep/wake disorders are much more than an occasional night of disrupted sleep. A recent report from the Centers for Disease Control and Prevention estimated that between 50 and 70 million American have problems with sleep/wake disorders (CDC, 2015). Although the vast majority of Americans will visit their primary care provider for treatment of these disorders, many providers will refer patients for further evaluation. For this Discussion, you consider how you might assess and treat the individuals based on the provided client factors.
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 11, “Disorders of Sleep and Wakefulness and Their Treatment”
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 insomnia
alprazolam
amitriptyline
amoxapine
clomipramine
Case 1: Volume 2, Case #16: The woman who liked late-night TV
Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady
Case 3: Volume 1, Case #5: The sleepy woman with anxiety
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 9 discussion
Discussion: Presentations of ADHD
Although ADHD is often associated with children, this disorder is diagnosed in clients across the lifespan. While many individuals are properly diagnosed and treated during childhood, some individuals who have ADHD only present with subsyndromal evidence of the disorder. These individuals are often undiagnosed until they reach adulthood and struggle to cope with competing demands of running a household, caring for children, and maintaining employment. For this Discussion, you consider how you might assess and treat individuals presenting with ADHD.
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.
Clancy, C.M., Change, S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity disorder: Effectiveness of treatment in at-risk preschoolers; long-term effectiveness in all ages; and variability in prevalence, diagnosis, and treatment. Table B. KQ2: Long-term(>1 year) effectiveness of interventions for ADHD in people 6 years and older.
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.

Discussion: Bowel and Urinary Disorders
Discussion: Bowel and Urinary Disorders
Module 01 Written Assignment – Bowel and Urinary Disorders
Complete the comparison tables on urinary disorders and bowel disorders.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Comparison of Urinary Elimination Disorders:
Stress Incontinence
Benign Prostatic Hypertrophy
Pyelonephritis
Pathophysiology
Etiology
Clinical Manifestations
Interventions
Comparison of Bowel Elimination Disorders:
Diarrhea
Bowel Obstruction
Hemorrhoids
Pathophysiology
Etiology
Clinical Manifestations
Interventions
Module 02 Written Assignment – Fluid/electrolyte disturbances and ABG interpretation
Complete the Fluid disturbance table and answer the following ABGs (Arterial Blood Gases).
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Comparison of Fluid Deficit and Fluid Overload
a
Fluid Deficit
Fluid Overload
Definition
Causes/Risk Factors
Clinical Manifestations (including laboratory data)
Collaborative Management (Interventions)
Interpret the following Arterial Blood Gases
1. pH 7.33 PaCO2 60 HCO3 34
A. Normal ABG values
B. Respiratory acidosis without compensation
C. Respiratory acidosis with partial compensation
D. Respiratory acidosis with full compensation
2. pH 7.48 PaCO2 42 HCO3 30
A. Metabolic acidosis without compensation
B. Respiratory alkalosis with partial compensation
C. Respiratory alkalosis with full compensation
D. Metabolic alkalosis without compensation
3. pH 7.38 PaCO2 38 HCO3 24
A. Respiratory alkalosis
B. Normal
C. Metabolic Alkalosis
D. None of the above
4. pH 7.21 PaCO2 60 HCO3 24
A. Normal
B. Respiratory acidosis without compensation
C. Metabolic acidosis with partial compensation
D. Respiratory acidosis with complete compensation
5. pH 7.48 PaCO2 28 HCO3 20
A. Respiratory alkalosis with partial compensation
B. Respiratory alkalosis with complete compensation
C. Metabolic alkalosis without compensation
D. Metabolic alkalosis with complete compensation
Module 03 Written Assignment – Respiratory Disease
Complete the Respiratory Diseases comparison table.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Comparison of Respiratory Disorders:
Asthma
Emphysema
Chronic Bronchitis
Pneumonia
Pathophysiology
Etiology/Population at Risk
Clinical Manifestations including Laboratory data
Typical Nursing Diagnosis
Interventions
Module 04 Written Assignment – Concept Map-Hypertension
Develop and Concept Map, using the form provided, on the following patient. Include Diagnostic data and medical orders that you expect to be ordered on the patient.
T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.
Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.
Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.
Possible Nursing Diagnosis
Patient Data/Risk Factors
Clinical Manifestations
Subjective:
Objective:
Module 05 Written Assignment – Medications affecting Coagulation
Please go through and fill out the table on Medications affecting Coagulation. If need be go back on previous lectures or your textbook for resources to help you complete the assignment.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 06 Written Assignment – Inflammatory Diseases
Complete the comparison table for Inflammatory Diseases.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Comparison of Inflammatory Disease:
Rheumatoid Arthritis
Systemic Lupus Erythematosus
Ulcerative Colitis
Pathophysiology
Etiology
Clinical Manifestations
Common Laboratory Tests
Treatment
Module 07 Written Assignment – Acute Complications of Diabetes
Fill out the Table comparing the Acute Complications of Diabetes.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Comparison of Acute Complications of Diabetes:
Hypoglycemia
Diabetic Ketoacidosis
Hyperosmolar Hyperglycemic Nonketotic syndrome
Clinical Manifestations
Diagnostic Data
Interventions
Patient Teaching
Module 08 Written Assignment – Otitis Media
An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.
Answer the following questions:
What else should you ask the client?
What teaching would you reinforce to prevent the recurrence of otitis media?
What expected outcomes would be specific to this situation?
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 09 Written Assignment – Seizures
An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.
Questions:
On the initial home visit by the nurse, what assessments should be made?
The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Module 10 Written Assignment – Exemplars
Fill out the Alteration in Metabolism Exemplar Table.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Alterations in Metabolism
Obesity
Hyperthyroid
Hypothyroid
Pathophysiology
Risk Factors
Assessment Findings (including Labs)
Possible Nursing Diagnosis
Interventions (including Medications)

Assignment: Outpatient Orthopedic Clinic
Assignment: Outpatient Orthopedic Clinic
Create a Power Point Presentation to discuss the following
Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad
Question 2
Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis?
Question 3
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:
Question 4
The most effective intervention(s) to prevent stroke is (are):
Question 5
Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long term pain relief?
Question 6
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?
Question 7
Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
Question 8
Prolonged PT suggests:
Question 9
Diagnostic radiological studies are indicated for low back pain:
Question 10
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:
Question 11
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
Question 12
Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis?
Question 13
A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?
Question 14
Which of the following statements about multiple sclerosis (MS) is correct?
Question 15
Which patient would benefit most from screening for type 2 diabetes?
Question 16
Differential diagnosis of proteinuria includes which of the following?
Question 17
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:
Question 18
A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is:
Question 19
What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis?
Question 20
The cardinal sign of infectious arthritis is:
Question 21
Legal authority for advanced practice nursing rests with:
Question 22
The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:

Assignment:How to Prepare Custodial Parent
Assignment:How to Prepare Custodial Parent
Week 5 Quiz
Question 1 (5 points)
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse initially:
Question 1 options:
Asks if they have any thoughts of committing suicide.
Recognizes that this score is not indicative of depression.
Knows it is not unusual for clients this age to earn such a score.
Notifies the client’s healthcare provider immediately.
Question 2 (5 points)
A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority when preparing the grandmother for long-term success in this new role?
Question 2 options:
Reviewing the developmental milestones of childhood.
Identifying local sources of child counseling services.
Discussing the common challenges of parenting a 6 year old.
Teaching stress management and relaxation techniques.
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Question 3 (5 points)
The client is diagnosed with dyslipidemia. This diagnosis is supported when the client’s lipid panel indicates a: Select all that apply.
Question 3 options:
Triglyceride level of triglyceride levels (>2000 mg/dL).
Low Density Lipids (LDL) level of 120 mg/dL.
Total Cholesterol level of 260 mg/dL.
High Density Lipids (HDL) level of 70 mg/dL.
Glucose level of 230 mg/dL.
Question 4 (5 points)
Which factor is the greatest barrier to an older adult living independently?
Question 4 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 5 (5 points) Question 5 Unsaved
Compared with acute pain, persistent pain requires the nurse to:
Question 5 options:
Monitor vital signs more frequently.
Document the character of the pain as burning.
Administer analgesics at least every 4 hours.
Educate the client to the benefit of specific lifestyle changes.
Question 6 Unsaved
When diagnosed with diverticulosis, a client asks how this problem occurred. Which assessment data identifies a risk factor for diverticulosis?
Question 6 options:
Drinks a quart of whole milk daily.
Takes an over the counter laxative twice weekly.
History of a Helicobacter pylori infection.
Maintains a diet low in fiber.
Question 7 (5 points) Question 7 Unsaved
When focusing best on the goal of enhancing the health and well-being of the older residents of extended care living facility, the nurse:
Question 7 options:
Assures that they all receive their medications and treatments on time.
Assesses each new resident to determine their food and beverage preferences.
Asks the nursing assistant to “allow the residents to dress themselves but to check that they are dressed appropriately.”
Documents that “the residents appeared to enjoy the opportunity to socialize at the weekly Sunday brunch.”
Question 8 (5 points) Question 8 Unsaved
The nurse best addresses the spirit of the Healthy People 2020 project regarding the older adult when:
Question 8 options:
Providing information regarding where free flu vaccinations are being given to those over 65 years of age.
Facilitating a “Walking for your Health” program for residents of a senior living apartment complex.
Arranging for a registered nutritionist to hold a “Grandparents and their Grandchildren Cooking Together” class.
Encouraging their utilization of government sponsored health and wellness programs that target the senior citizen.
Question 9 (5 points) Question 9 Unsaved
When acting as a fictive kin, in which activity will a paid caregiver engage?
Question 9 options:
Being responsible for paying the client’s bills.
Organizing the client’s birthday celebration.
Accompanying the client to doctor’s appointments.
Assuring the client has clean, appropriate clothing available.
Question 10 (5 points) Question 10 Unsaved
An older adult is being treated for severe pain resulting from a history of osteoarthritis. In her discharge teaching, which information is most important to the successful management of the pain?
Question 10 options:
Check for incompatibilities before taking any new medications.
Arrange to take a dose of analgesic prior to physical activity.
To take the analgesic around the clock as prescribed.
Be alert for the signs of overdose toxicity.
Question 11 (5 points) Question 11 Unsaved
Which diagnostic laboratory test should the nurse anticipate being ordered for the purpose of evaluating an individual’s acute, unexplained weight loss? Select all that apply.
Question 11 options:
A complete blood count (CBC).
Urinalysis.
Fecal occult blood.
Serum potassium.
Serum electrolytes.
Question 12 (5 points)
When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse best ensures an understanding of oral hypoglycemic medications when providing:
Question 12 options:
The package insert and assessing the client’s reading skills.
The client with the website address for the American Diabetes Association.
Oral explanations and sending the client home with a written copy.
The information in paragraph form as opposed to numbered line fashion.
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Question 13 (5 points) Question 13 Unsaved
While the older African-American is at the highest risk for developing Alzheimer’s disease, the nurse demonstrates an understanding of this disease process’s risk factors when assessing this population’s:
Question 13 options:
Weight and elimination patterns.
Heart rate and capillary refill status.
Blood pressure and glucose serum levels.
Muscle strength and reflex times.
Question 14 (5 points) Question 14 Unsaved
When best promoting a sense of well-being, the role of the nurse caring for a terminally ill client is to:
Question 14 options:
Assume responsibility regarding medical decision making.
Encourage the client to identify his/her idea of a peaceful death.
Provide information regarding hospice care’s ability to prolong life.
Help empower the client to achieve his/her potential for wellness.
Question 15 (5 points) Question 15 Unsaved
The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client’s statement that:
Question 15 options:
“Will I start taking my St John’s Wort as soon as I can eat again?”
“I’ve haven’t taken my ginkgo for exactly 10 days.”
“I didn’t want to risk catching a cold so I took my Echinacea with just a sip of water.”
“It seemed strange not taking my garlic pill this morning.”
Question 16 (5 points) Question 16 Unsaved
The nurse shows understanding of the need to promote healthy skin in the older adult when encouraging the client to: Select all that apply.
Question 16 options:
Wear a wide-brimmed hat when outdoors.
Pad feet with socks when wearing shoes.
Clean the skin with a moisturizing soap.
Bathe in tepid water.
Always wear gloves in the winter.
Question 17 (5 points) Question 17 Unsaved
What is true about instruments to assess for depression in older adults?
Question 17 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.
Question 18 (5 points) Question 18 Unsaved
The family member of a patient asks if vitamin C will prevent aging. In formulating an appropriate response, the nurse considers the:
Question 18 options:
Free radical theory.
Immunity theory.
Clinker theory.
Continuity theory.
Question 19 (5 points) Question 19 Unsaved
Which housing arrangement would best address the family who wants to provide housing for an older family member who has a large degree of physical and cognitive independence and a desire to be closely involved with the family?
Assignment:How to Prepare Custodial Parent