Nursing

Assignment: Importance of Ethical Theories
Assignment: Importance of Ethical Theories
NUR3826 Ethical and Legal Aspects of Nursing
Week 1 discussion
DQ1 Right Wrong Picture
Differentiate between the terms “Ethics”, “Morals”, and “Values”.
Discuss why ethical theories are important to nursing practice.
Discuss a situation from your clinical practice or training where one or more ethical principles was supportive of care or was in conflict of care.
DQ2 Explain the term “standard of care” from a legal and a nursing perspective.
Include support for your explanation by using references from your ANA Essentials of Nursing Package (Scope and Standards of Practice, Guide to Nursing’s Social Policy Statement, and the Guide to the Code of Ethics for Nurses).
NUR3826 Ethical and Legal Aspects of Nursing
Week 2 discussion
DQ1 Are you knowledgeable about your own state statutes and regulations regarding informed consent?
1. Discuss the law or rules of informed consent in your state or workplace organization.
2. What ethical issues should be realized by practicing nurses in regards to consent?
3. How does the process of consenting patients for genetic testing differ?
4. Many patients or family members ask nurses for further clarification regarding genetic testing and often the response is in terms of what the health care provider himself or herself would do. Discuss this phenomenon and include the concept of “paternalism” in your remarks.
DQ2 Please thoroughly review the “Effective Documentation” and Electronic Medical Record (Computerized Charting)” content from Chapter Nine of the Guido (6th ed.) textbook.
After reviewing:
1) Discuss at least two of the findings you consider most important to your practice.
2) Does your present (or past) employer use Electronic Health Records (EHR)? If so, which technology platform is utilized? In your experience, describe your biggest challenges using EHR?
3) How can privacy and confidentiality be ensured with the use of electronic health records?
4) What ethical issues might arise from the use of technology in patient care?
5) Discuss if the electronic medical record has made documentation better from a legal perspective AND from the nurses’ practice perspective.
NUR3826 Ethical and Legal Aspects of Nursing
Week 3 discussion
DQ1
Discuss issues related to corporate liability and the nurse leader’s role in prevention of legal entanglement.
What role does staffing and delegation play in corporate liability?
DQ2
There are laws that impact nursing practice including licensure, the Nurse Practice Act, the Americans with Disabilities Act (ADA) and the Civil Rights Act of 1991. As a nurse leader, legal and ethical concerns must be acknowledged and addressed to ensure care is safe, timely, effective, efficient, equitable, and patient-centered (STEEEP). Ethical decisions must adhere to both legal and ethical principles.
Consider the following scenario:
Impaired Nurse – A nurse on your unit is frequently late, occasionally looks “high”, and based on your observations, gives substandard care to patients. Upon receiving report, you realize that there is a discrepancy about medication given to one of the patients and what the patient tells you. You have suspicions based on the nurse’s behavior that the nurse might be diverting narcotics meant for patients. What do you do?
Do you have a legal obligation to address suspicions? And if so, what laws or rules would indicate a legal responsibility and what actions would you take? If the nurse is found to have a narcotic addiction, is the identifying nurse required to report this to the state board of nursing?
What is the ethical responsibility of the nurse who suspects a co-worker of substance abuse? What ethical principles apply?
NUR3826 Ethical and Legal Aspects of Nursing
Week 4 discussion
DQ1
Read the attached ethical situations. Choose one of the case study scenarios and answer the questions that follow it (Autonomy, Euthanasia, Oregon Death with Dignity Act, Assisted Reproduction, Universal Health Care, and Bioterrorism). Consider the nurses role, legal considerations, and the ethical principles involved.
DQ2
Choose the health care setting that most closely correlates with your own place of practice or one you desire to work in.
1. Acute Care Setting
2. Ambulatory and Managed Care Setting
3. Public and Community Health Setting
4. Long-Term Care Setting
5. Research
6. Education
Describe the legal and ethical issues that can arise in your chosen setting and reflect on what you have learned in this course to assist you in your practice.

NUR2115- Fundamentals of Professional Nursing
NUR2115- Fundamentals of Professional Nursing Assignments
All Modules
Review various nursing diagnoses related to specific patient problems discussed in Fundamentals
Roughly 60% of the final exam will be cumulative over mod 1-7
Module 1-3 Concepts:
Importance of documentation of assessments & interventions
Types of nonverbal behavior which could promote improved communication
The importance of QSEN competencies in nursing education
What is a sentinel event?
What is the main purpose for incident reporting?
Examples of health promotion activities for primary, secondary and tertiary
ISBARR, DARE, SOAPIEnotes for team communication
Review teaching for a patient with modifiable health risk factors
Age related safety concerns across the lifespan
6 Dimensions of wellness definitions
Know the importance of basing our care plan on nursing theory
HP 2020 Goals
Developmental theories: focus on Erickson’s
EBP- what information to trust for best practices- ANA, CDC, US Dept of Health, National Institute of Health (NIH).
No .com sites for professional nursing. No blogs should be used as a reference-.
OK to use most .org .edu or .gov sites.
I.C.O. statements
ANA Scope of Practice
ANA Standards of Professional Performance- definitions (mod 1)
Musculoskeletal:
Review education on crutch, cane, walkerambulation
Review-safety precautions when repositioning patient in bed
Review nursing interventions which would be included in caring for a patient with contractures
Review the difference between active and passive range of motion
Vital Signs: NUR2115- Fundamentals of Professional Nursing Assignments
Review the assessment of all vital signs including BP, HR, respirations, temperature and pulse ox.
Think about how you would handle VS outside of range for each VS and Spo2
What trends in VS are worrisome and how should the RN respond?
Review normal values for VS: BP, HR, respirations, temperature and pulse ox across the lifespan
When may it be inappropriate to delegate VS?
Module 4-7:
Review definitions of the nursing process including:
Assessment
nursing diagnoses
Planning
Outcomes
interventions
evaluation
When you obtain your assessment data, what is the next step in the process?
After establishing goals, what is the next step?
After implementing a new teaching plan, what is the next step (using the nursing process?)
In order to create a nursing diagnosis, what details do you reference?: A. the medical diagnosis or B. the Nursing assessment?
When prioritizing the nursing diagnoses, what goes first, your actual diagnoses or the “risk for” diagnoses.
Respiratory/Cardiac:
Review various lab data and normal values: BUN, electrolytes, CBC, blood glucose
Review the common adventitious lungs sounds (wheezes, pleural friction rub, rhonchi, crackles and stridor) and what specific conditions you would auscultate them (COPD, pneumonia, asthma, CHF)
Review-respiratory terminology: dyspnea, cyanosis, tachypnea, bradypnea, apnea in beginning of Chap 38
Review the ACUTE and Chronic effects of hypoxia on the respiratory system and the rest of the body.
Review-the anatomical locations for auscultation of cardiac and respiratory systems (aortic, pulmonic, tricuspid and mitral)
Review how to determine types of pitting edema: 1+, 2+, 3+ and 4+
Review interventions to decrease risks for pulmonary embolism
Review-grading of pulses: bounding, normal, diminished, absent
Infection/ Inflammation/ Thermoregulation:
Review the difference between inflammation and infection
Review the effects of excessive or ineffective inflammatory response which could occur in a patient
Review-the purpose/benefits of the inflammatory process including fever benefits
Review infection terms: opportunistic, virulence, phagocytosis, hospital-acquired, nosocomial, immunocompromised
Review-the chain of infection: infectious agent, reservoir, portal of exit, portal of entry, susceptible host, mode of transmission
Review stages of infection: incubation period, prodromal stage, full stage of illness, convalescent period
Review-types of nosocomial and hospital acquired infections (HAI’s)
Review rationale of proper hand hygiene
Review terminology: bacteremia nur 2115 final exam
Review-signs and symptoms of infection
Review the difference between endogenous nosocomial and exogenous nosocomial infection
(Mod 7) Integumentary and Tissue Integrity:
Review the stages of pressure ulcers including I, II, II and VI ulcers as well as unstageable and suspected deep tissue injury
Review integumentary changes in various developmental ages
Review-the importance of nutrition and wound healing
Review the following precautions: protective, droplet, airborne, contact, standard, isolation, airborne
Review the difference between a wound evisceration, dehiscence, fistula, hemorrhage.
Review-the use and advantages of negative pressure wound therapy (wound vac)
Review process of healing: primary, secondary, tertiary
Review the use and rationale of the Braden scale
Review-the difference between acute and chronic wounds
Review the effect of shearing force and friction on skin integrity
40% of exam will be on the following sections:
Glucose Regulation:
Review patient education a nurse would include in self administration of insulin
Review-the normal lab values for fasting blood glucose and A1C
Review risk factors and complications of diabetes
Review-treatment modalities for diabetes
Review treatment for hypoglycemia
Review-education and teaching on foot care of a diabetic patient
Gastrointestinal:
Review the complete assessment of the GI system including inspection, auscultation, palpation and percussion
Review conditions of diarrhea and constipation and precipitating factors of each
Review-the components in a focused GI assessment
Review risks and treatments for constipation& diarrhea
Review effects of immobility on the GI system
Review-the risk factors which increase irritable bowel syndrome (IBS)
Review diagnostic colon cancer screening nur 2115 final exam
Review-teaching regarding a patient undergoing a colonoscopy
Review education and teaching regarding ostomy care
Review side effects of diarrhea& constipation
Discuss the interrelationship between GI system disorders and antibiotics
Genitourinary:
Review the components of performing a GU assess
Review s/s of UTI, risks for developing UTI and treatments
Review-the effects of immobility on the GU system
Review the GU terminology: micturition, oliguria, dysuria, retention, urgency
Review nursing care for urinary incontinence nur 2115 final exam
Review-the process of obtaining a 24-hour urine collection
Review the collection of a midstream urine specimen
Pain/Stress & Adaptation:
Review the effects that severe/uncontrolled pain has on VS
Review the types of pain: chronic, acute, intractable, neuropathic, radiating, phantom, referred psychogenic
Review-which pain management tasks can be delegated to nursing assistant
Review alternative techniques of pain management: hypnosis, distraction, guided imagery, massage, reiki, music, aromatherapy
Review risks of inadequate pain management
Review-care planning and prioritization of pain control
Describe the body’s stress response
What are the physiological effects of prolonged stress on the body?
Describe sleep deprivation and establishing a care plan around sleep

Assignment: Case Study of Telehealth
Assignment: Case Study of Telehealth
Question 20
The number of states that now have elder abuse laws is:
40
45
48
50
Question 21
Which of the following best describes the term “Telehealth”?
Transmission of information from one site to another.
Delivery of health care through a telecommunications system.
Transmission of sounds and images between two or more sites.
Combination of robotics and virtual reality to allow treatment modalities in distant sites.
Question 22
Apparent consent occurs when the patient:
Voluntarily signs a consent form for an invasive procedure.
Orally agrees to have an invasive procedure performed.
Allows a family member to sign the informed consent form for him or her.
Shows by his or her conduct that he or she agrees to the treatment.
Question 23
In passing the Americans with Disabilities Act of 1990, Congress attempted to combine the two legal concepts of:
Disability and the right to work.
Disability and equality.
Disability and autonomy.
Disability and fairness.
Question 24
A nurse, while under a general employment contract with a hospital, is subject to the right to direct and control the details of his or her work by a second entity. Such a nurse would be said to be acting as a (an):
Dual servant.
Borrowed servant.
Independent contractor.
Agent of the principal.
Question 25
Internal sources for determining standards of care include:
Hospital policy and procedure manuals.
Professional journals and nursing texts.
Previous and relevant court cases.
State standards of care as defined by the state board of nursing.
Question 26
The defendant in a lawsuit is the party:
Bringing the lawsuit against another.
Who was injured by the nurse or health care provider.
Who is answering a complaint brought against him or her.
Who is the health care institution in the case.
Question 27
One of the most important state legislative acts in the area of community health nursing is the:
State nurse practice act.
State Medicaid law.
State family consent doctrine.
State reporting statute.
Question 28
Which advanced nurse practitioner role is authorized by nurse practice acts, medical practice acts, and allied health laws?
Nurse anesthetist
Nurse midwife
Family nurse practitioner
Clinical nurse specialist
Question 29
Since unlicensed personnel are not licensed by the state in their own right, they may perform delegated tasks because:
They practice on the license of the professional delegating the task.
They are sanctioned by the American Hospital Association as an exception to the requirement for licensure.
They work under the auspices and licensure of the institution, not the professional nurse.
They are sanctioned by the state nurse practice act as an exception to the requirement for licensure.
Question 30
When nurses assist patients to understand their own value system and make choices consistent with those values, the approach to advocacy is said to be the:
Rights protection model.
Autonomy model.
Values-based decision model.
Patient advocate model.
Question 31
The main purpose of documentation is to:
Communicate the patient’s condition to all members of the health care team.
Record patient information for future research studies.
Verify dates of patients’ admissions to health care institutions.
Ensure that all charges are validly documented and assessed to the patient for collection from third-party payers.
Question 32
What is the most significant professional qualification necessary for a nurse who practices as a school nurse?
The nurse’s ability to work closely with school officials.
The nurse’s ability to properly counsel students about medical concerns.
The nurse’s ability to exercise independent judgment in emergency situations.
The nurse’s ability to effectively teach students about their health and wellness.
Question 33
The functions of risk management include all of the following except:
Defining situations that place the entity at some financial risk.
Intervening in and investigating potential risks that exist in the health care setting.
Identifying opportunities for improving patient care.
Identifying opportunities and funding for patient research.
Question 34
The legal guide to the practice of registered nursing is:
ANA Code of Ethics.
Nightingale Pledge.
State Nurse Practice Act.
Nurse’s Bill of Rights.
Question 35
When a nurse manager assists an employee in deciding about the employee’s future career and possible options available to him or her, the manager is most likely following the ethical principle of:
Justice
Fidelity
Autonomy
Paternalism
Question 36
The standard of care under Good Samaritan laws is usually the:
Standard of the reasonably prudent patient.
Emergency care standard.
Disaster care standard.
Standard of the prudent hospital-based staff nurse.
Question 37
The court found a nurse manager liable for failure to warn. Which option reflects a failure to warn scenario?
The nurse manager did not adequately supervise a newly hired nurse who had not practiced nursing in five years.
The nurse manager did not tell a potential employer that a former employee was asked to resign for incompetence.
The nurse manager did not advise a newly hired nurse that continuing education was an annual requirement for promotion.
The nurse manager did not notify the physician regarding worsening of a patient’s respiratory status.
Question 38
One of the earliest needs for the EMTALA was seen as the need to prevent:
Patients being turned away from clinics because of inability to pay for services.
Health maintenance organizations from making a profit by providing substandard care.
Patients being turned away from emergency centers based on inability to pay for services.
Illegal aliens from receiving free services in the United States.
Question 39
Which group or person has authority to write statutory law such as nurse practice acts?
State legislatures
State boards of nursing
State governors
State nursing associations
Question 40
The doctrine of personal liability is a rule that:
Protects nurses against liability for malpractice.
Holds everyone responsible for his or her own negligent conduct.
Makes some persons responsible for the actions of others.
Ensures that no one has liability in certain legal actions.
Question 41
The statute of limitations for a lawsuit:
Defines events that will not be allowed to be discussed at trial.
Defines the period of time in which a lawsuit may be filed.
Is suspended for minors in all states until they become 18 years of age.
Limits the number of plaintiffs and defendants in any given lawsuit.
Question 42
By passing the Emergency Medical Treatment and Labor Act, Congress:
Established the right of all Americans to have health insurance.
Established the right of access to medical care, regardless of ability to pay.
Established the right of access to medical care, dependent upon the ability to pay.
Set into motion a socialized medical plan for all Americans.
Question 43
Delegation has been a concept used in nursing:
Since the 1990s.
Since the early 1970s.
Since the mid-1950s.
Throughout all of nursing’s history.
Question 44
A confused patient frequently calls out for “help” throughout the shift. When nursing staff respond to the call, the patient is unable to explain what is needed. What action should be taken by the nurse?
Continue to respond and attempt to reorient the patient.
Move the call bell out of the patient’s reach to deter erroneous calls.
Restrain the patient in soft wrist restraints until the physician can be reached.
Chemically restrain the patient with a mild sedative so he/she will sleep.
Question 45
A nurse has decided to obtain individual professional liability insurance. In general, which type of insurance is best for most nurses?
Claims-made
Certificate-based
Occurrence-based
Employer-sponsored
Question 46
A patient on the medical/surgical unit became confused and dangerous to himself and others in the setting, restraints were applied, and the patient was confined to bed. The nurse’s best defense for applying the restraints would be:
Consent.
Self-defense.
Necessity.
Privilege.
Question 47
The standard of care of the nursing student is:
Greater than that of the RN.
Less than that of the RN.
The same as that of the RN.
Not comparable to the standard of the RN.
Question 48
A school nurse negligently administered an overdose of medication to a student, causing the student to suffer a severe reaction that necessitated hospitalization. Should a lawsuit result from this case, the nurse would be held to what standard?
The reasonably prudent school nurse
The reasonably prudent pediatric nurse
The reasonably prudent general duty hospital nurse
The reasonably prudent advanced nurse practitioner
Question 49
Discrimination against which group of persons necessitated the Americans with Disabilities Act?
The increasing population of older Americans
Those returning from war with orthopedic injuries
The increasing numbers of people injured in motor vehicle accidents
Those living with HIV/AIDS
Question 50
External sources for determining standards of care include:
Hospital policy and procedure manuals.
Professional journals and nursing texts.
The individual nurse’s experience and education.
The individual nurse’s job description.
Assignment: Case Study of Telehealth
Assignment: Case Study of Telehealth

Renal and Genitourinary Disorders
Renal and Genitourinary Disorders
Case Study
A 52 year old woman presented to the clinic for ongoing fatigue and weight loss during the last 6 weeks. She thinks she’s loss at least “10 pounds”. For the past week and a half she’s noted some progressing ‘muscle cramping’ tetany, as well as ‘tingling’ sensation around her mouth and lower extremities. She’s also noted some intermittent colicky abdominal pain. On your exam, you noted a positive Chvostek’s sign. PMH: 20 year history of Crohn’s disease. She also tells you that she is a practicing vegan.
List the primary diagnosis and rational
List at least 3 differential diagnosis with a brief rational
Describe the pertinent history required to rule in or rule out
Describe you physical exam findings or screening tools used
Discuss the treatment plan for the patient in your case study using this format
Prescriptions(s):
Interventions/ lifestyle changes:
Referrals:
Follow up:
Education:
(Minimum 2 references)
Overview of Genitourinary Disorders
What does genitourinary mean?
Genitourinary is a word that refers to the urinary and genital organs.
Urology is the branch of medicine concerned with the urinary tract in both genders and the genital tract of the reproductive system in males.
Nephrology is the branch of medicine concerned with the kidney.
What is the urinary tract?
The urinary tract includes the organ system primarily responsible for cleaning and filtering excess fluid and waste material from the blood. The urinary system is made up of the following:
Kidneys
Ureters
Bladder
Urethra
The kidneys also function as glands that produce hormones necessary for building red blood cells and regulating blood pressure.
What causes problems in the urinary system?
In children, problems of the urinary system include acute and chronic kidney failure, urinary tract infections, obstructions along the urinary tract, and abnormalities present at birth.
Diseases of the kidneys often produce temporary or permanent changes to the small functional structures and vessels inside the kidney. Frequent urinary tract infections can cause scarring to these structures leading to renal (kidney) failure. Some diseases that cause kidney damage include:
Glomerulonephritis
Hemolytic uremic syndrome
Polycystic kidney disease
Hydronephrosis
Urinary tract infections
Disorders of the urinary tract are often related to a blockage that prevents complete emptying of the bladder and often leads to reverse flow of urine. A urinary tract obstruction can cause damage to the urinary tract and kidneys because urine backs-up and pools in various areas along the tract. Pooling of urine in the bladder, ureters, or kidneys can lead to infection, scarring, and long-term kidney failure. Some disorders that cause obstruction of the urinary tract include:
Megaureter
Posterior urethral valves
Ureterocele or ureteral duplication
Vesicoureteral reflux
Neurogenic bladder
Several disorders of the urinary tract only affect males, which are largely related to the male anatomy as well as fetal development. Disorders that affect males may involve the penis, urethra, or testes. Some of the male urogenital disorders include:
Undescended testes or cryptorchidism
Hydrocele
Hypospadias
Inguinal hernia
Micropenis
Testicular torsion
Disorders of the genitourinary system in children are often detected by fetal ultrasound prior to birth. If not detected on fetal ultrasound, often children will develop a urinary tract infection that will prompt your child’s doctor to perform special diagnostic tests that may detect an abnormality. Some diseases of the kidney do not reveal themselves until later in life or after a child has a bacterial infection or an immune disorder.

Discuss: Pregnancy Case Review Chart
Discuss: Pregnancy Case Review Chart
Description of the case chosen:
Case #1: Jane
Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness. Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.
Subjective data, identify both given and needed data Objective findings, identify both given and needed data Diagnostic or laboratory testing needed with rationales List of three differential diagnoses with rationales Medications and or treatments needed with rationales Patient education needed Referrals for collaborative care needed with rationales
· Make sure to address all sections. Do not leave any section blank.
· Include relevant subjective and physical objective findings.
· Identify appropriate diagnostic and laboratory testing needed.
· List at least three differential diagnoses with rationales for choosing.
· Identify usual medications, treatments, or patient education needed.
Permalink:
· Determine referrals for collaborative care.
· Summarize the case study and include any further research, diagnostics, procedures, or follow-up needed.
· Provide evidence-based references.
Complete the following chart:
MN577 Unit 9 Pregnancy Case Review Chart
Description of the case chosen:
Case #1: Jane
Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness. Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.
Subjective data, identify both given and needed data Objective findings, identify both given and needed data Diagnostic or laboratory testing needed with rationales List of three differential diagnoses with rationales Medications and or treatments needed with rationales Patient education needed Referrals for collaborative care needed with rationales
· Make sure to address all sections. Do not leave any section blank.
· Include relevant subjective and physical objective findings.
· Identify appropriate diagnostic and laboratory testing needed.
· List at least three differential diagnoses with rationales for choosing.
· Identify usual medications, treatments, or patient education needed.
· Determine referrals for collaborative care.
· Summarize the case study and include any further research, diagnostics, procedures, or follow-up needed.
· Provide evidence-based references.

Erectile Dysfunction
Erectile Dysfunction: T.R. is a 51-year-old male
T.R. is a 51-year-old male who presents to his PCP with the complaint of having some problems in the bedroom. He states that for the past 7 months he has only been able to achieve temporary, partial erections that are insufficient for intercourse. This issue has caused T.R. and his wife to have some marital issues. He was diagnosed with hypertension. He is currently taking Hydrochlorothiazide 25 mg daily.
What are some appropriate questions to ask the patient?
What are three differential diagnoses for the patient?
What physical examination would you perform?
What diagnostics would you include?
Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.
Please write references APA format and include 3 references within the last 5 years.
Renal Disease and Men’s Health Issues
Author Name
Institution Affiliation
As the patient reports feelings of restlessness while he is in the bedroom, we can ask him a number of questions.
1 When were you diagnosed with hypertension?
2 When did you start taking Hydrochlorothiazide 25 mg?
3 Do you feel that you have gained weight?
4 Do you observe some physical changes since the time you have come to know about partial erections?
ECG, Chest X-Ray and Electrocardiogram are three differential diagnoses for this patient (Davenport, 2016).
The physical examination will include checking the patient’s heart rate, monitoring his blood glucose and cholesterol levels, seeing whether he is obese or not, observing whether he has metabolic syndrome, multiple sclerosis or Parkinson’s disease or not and determining if

Assignment: Studying Infectious Communicable Disease
Assignment: Studying Infectious Communicable Disease
Question 1
Epidemiology involves studying infectious communicable disease, not events like injury, obesity, mental health disorders, and seat belt use.
[removed]True
[removed]False
1.6 points
Question 2
The Framingham study was a:
[removed] a. Retrospective cohort study.
[removed] b. Case-control study.
[removed] c. Cross-sectional study.
[removed] d. Prospective cohort study.
1.7 points
Question 3
Epidemiology includes the study of:
[removed] a. Human behavior
[removed] b. Accidents
[removed] c. Disease
[removed] d. All of the above
[removed] e. None of the above
1.7 points
Question 4
The definition of epidemiology involves all of the following EXCEPT:
[removed] a. Identification of determinants
[removed] b. Measuring the distribution of disease
[removed] c. Individuals
[removed] d. Application
[removed] e. The definition includes all of the above
Permalink:
1.7 points
Question 5
Who evaluated the Bills of Mortality?
[removed] a. William Farr
[removed] b. John Graunt
[removed] c. Hippocrates
[removed] d. George Soper
1.7 points
Question 6
Who helped to establish the germ theory of disease?
[removed] a. James Lind
[removed] b. John Snow
[removed] c. Louis Pasteur
[removed] d. Florence Nightingale
1.7 points
Question 7
Who showed that poor diet could result in scurvy?
[removed] a. James Lind
[removed] b. John Snow
[removed] c. Louis Pasteur
[removed] d. Florence Nightingale
1.7 points
Question 8
The web of causation includes host and environmental determinants.
[removed]True
[removed]False
1.6 points
Question 9
A cause of disease is an event, condition, or characteristic that preceded the disease and without which the disease would either not have occurred or would have occurred later.
[removed]True
[removed]False
1.6 points
Question 10
Which sequence below represents the chronological evolution of disease causation approaches in epidemiology (from oldest to newest)?
[removed] a. Web of causation -> Germ theory -> Body humor imbalance-> Ecosocial framework
[removed] b. Germ theory -> Body humor imbalance -> Ecosocial framework -> Web of causation
[removed] c. Body humor imbalance -> Germ theory -> Web of causation -> Ecosocial framework
[removed] d. Body humor imbalance -> Web of causation -> Ecosocial framework -> Germ theory
1.7 points

Advanced Assessment of Health History
Advanced Assessment of Health History
The Alternative Writing Assignment mirrors the discussion content of Debriefing and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1)
2. Differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2)
3. Adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4)
Due Date:
The alternative writing assignment is due no later than the Sunday 11:59 PM MT of the week in which the student did not attend the weekly debriefing session. For example, if you did not attend a debriefing session for Week 3, the written assignment is due the Sunday at the end of Week 4.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
Total Points Possible: 30 Points
Requirements:
NOTE: Complete the NR 509 Alternative Writing Assignment ONLY if you did not attend or do not plan to attend Debriefing for the given week.
1. This paper will be appraised on the quality of the information, inclusion of at least one evidence-based scholarly source, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
2. Scholarly sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Your textbook and lesson are not considered to be an outside scholarly source. For the discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal. You are encouraged to use the Chamberlain library and search one of the available data bases for a peer-reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These web sites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example, the American Heart Association is a .com site with scholarship and quality. It is the responsibility of the student to determine the scholarship and quality of any .com site. Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.
3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation.
6. Organize the headings and content of your paper using the outline below:
o Select a body system relevant to the lesson from the previous week for the topic of this paper. For example, if you are writing this assignment for Week 2, then select the HEENT, Respiratory, or Integumentary system as the focus for the paper (not all three systems). NOTE: If you are writing this assignment for Week 1, select the Health History as the topic of the paper.
o Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable). NOTE: If you are writing the assignment for Week 1, provide an overview of interviewing techniques.
o Construct relevant health history questions (subjective data) pertaining to the body system. NOTE: If writing the assignment for Week 1, construct relevant health history questions for all body systems as included on the review of systems (ROS).
o Provide an overview of the objective data and expected normal physical examination findings for this body system. NOTE: If writing this assignment for Week 1, provide the expected normal subjective findings for each body systems on the ROS.
o Explain special physical assessment examination techniques or procedures specific to assessing this body system. NOTE: If writing the assignment for Week 1, explain advanced interview techniques.
o Analyze and discuss how you might adapt your physical assessment skills or interviewing techniques to accommodate each of the following specific populations:
§ Infant/pediatric
§ Pregnancy
§ Geriatric
o Identify one major disease or disease process that may significantly impact this body system. NOTE: If writing the assignment for Week 1, identify one disease process or condition that may significantly hinder conducting a Health History interview.
o Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process.
o Summarize the key points.
o References in correct APA format
ASSIGNMENT CONTENT
Category
Points
%
Description
Application of Knowledge, Analysis, and Clarity
10
33.33
The quality of this criterion will be evaluated based uponthe following: demonstration of analysis, synthesis, and/or application of principles and concepts consistent with the principles of advanced physical assessment; relevance of content specific to the topic; expected normal findings, appropriate health history questions, and organization and clear presentation of information.
Adapted Physical Assessment Skills to Special Populations, Disease Process, Summary, and Scholarly Source
10
33.33
The quality of this criterion will be evaluated based upon the following: discussion regarding how to adapt physical assessment skills or techniques to accommodate all special populations; identification and discussion of one major disease or disease process and expected examination findings; and summation of key points. Must include at least one scholarly source to support the paper.
Total CONTENT Points= 20 pts
ASSIGNMENT FORMAT
Category
Points
%
Description
Grammar, Spelling, Syntax, Mechanics,APA Format, and Word Requirement
10
33.33
The assignment has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post. The length of the paper is not less than 1,500 words, excluding title page and reference list.
* APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
**Direct quote should not to exceed 15 words & must add substantively to the discussion
Total FORMAT Points= 10 pts
ASSIGNMENT TOTAL= 30 points
Rubric
Title:
NR509 Weeks 1-6 Alternative Writing Assignment_Sept19
NR509 Weeks 1-6 Alternative Writing Assignment_Sept19
Criteria
Ratings
Pts
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 20 Points
Criterion 1
Application of Knowledge, Analysis, and Clarity
Must demonstrate the following elements:
Select an appropriate topic or focus for the assignment;
Demonstrate analysis, synthesis, and/or application of principles and concepts
consistent with advanced physical assessment;
Provide appropriate health history questions;
Identify the expected normal findings;
Content is specific to the topic;
Paper is organized and clearly presented.
(6 Required Elements)
Range
threshold: pts
Edit ratingDelete rating
10.0 pts
Excellent
Demonstrates all elements of the Criterion
Edit ratingDelete rating
9.0 pts
V. Good
Missing 1 element of the Criterion
Edit ratingDelete rating
8.0 pts
Satisfactory
Missing 2 elements of the Criterion
Edit ratingDelete rating
5.0 pts
Needs Improvement
Missing 3 elements of the Criterion
Edit ratingDelete rating
0.0 pts
Unsatisfactory
Missing 4 or more elements OR No assignment
pts
10.0 pts
—
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeCriterion 2 Adapted Physical Assessment Skills to Special Populations, Disease Process, Summary, and Scholarly Sources
Must demonstrate the following elements:
Discuss how to adapt physical assessment skills or techniques to accommodate all special populations;
Identify one major disease or disease process and expected examination findings;
Demonstrate appropriate knowledge of physical assessment examination techniques or procedures;
Identify abnormal findings;
Summarize key points
Must include at least one scholarly source
(6 Required Elements)
Range
threshold: pts
Edit ratingDelete rating
10.0 pts
Excellent
Demonstrates all elements of the Criterion
Edit ratingDelete rating
9.0 pts
V. Good
Missing 1 element of the Criterion
Edit ratingDelete rating
8.0 pts
Satisfactory
Missing 2 elements of the Criterion
Edit ratingDelete rating
5.0 pts
Needs Improvement
Missing 3 elements of the Criterion
Edit ratingDelete rating
0.0 pts
Unsatisfactory
Missing 4 or more elements OR No assignment
pts
10.0 pts
—
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 10 Points
Format Criterion 1
Grammar, Spelling, Syntax, Mechanics, APA Format, and Word Requirement
NOTE: Failure to comply with the word requirements for this assignment will result in the grade of zero (0) for this Criterion.
Range
threshold: pts
Edit ratingDelete rating
10.0 pts
Excellent
0-1 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
9.0 pts
V. Good
2-3 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
8.0 pts
Satisfactory
4-5 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
5.0 pts
Needs Improvement
6-7 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
0.0 pts
Unsatisfactory
8 or more errors in grammar, syntax, spelling, punctuation, mechanics, and APA format Or Less than 1,500 words, excluding title page and reference list OR No assignment
pts
10.0 pts
—
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeLate Penalty Deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
Range
threshold: pts
Edit ratingDelete rating
0.0 pts
Minus Points
Edit ratingDelete rating
0.0 pts
Minus Points
pts
0.0 pts
—
Total Points: 30.0 out of 30.0
The abstract of an article often holds valuable information for capturing the essence of a study. However, it is not good practice to simply read an abstract and attempt to apply this research to your practice.
Using your PICO(T) question and the Shapiro Library, locate a relevant research article and attach a link to your initial post. Then, choose one section, other than the abstract, and assess the information it provides for its potential to inform evidence-based practice. Title your post with the section name (e.g., Introduction) to avoid 20 posts regarding the same section.
In your responses, choose two peers who reviewed different sections than your own and comment on their assessments. Did they miss anything?
Advanced Assessment of Health History

Assignment: Nursing Article critique
Assignment: Nursing Article critique
This criterion is linked to a Learning Outcome Research Question
Describe, analyze, and summarize the research question for this study your own words.
20.0 pts
Fully describes, analyzes, and summarizes the research question in detail
18.0 pts
Generally, describes, and analyzes the research question.
16.0 pts
Briefly summarizes the research question, but omits some aspects of the question.
8.0 pts
Incorrectly describes the research question.
0.0 pts
Does not describe the research question.
20.0 pts
This criterion is linked to a Learning Outcome Design of Study
Describe, analyze, and summarize the research design of this study in your own words.
20.0 pts
Fully describes, analyzes, and summarizes the design of the study in detail.
18.0 pts
Generally, describes, and analyzes the design of the study.
16.0 pts
Briefly summarizes the design of the study, but omits some aspects of the design.
8.0 pts
Incorrectly describes the design of the study.
0.0 pts
Does not describe the design of the study.
20.0 pts
This criterion is linked to a Learning Outcome Sample/Population of the Study
Describe, analyze, and summarize the sample in your own words.
25.0 pts
Fully describes, analyzes, and summarizes the sample used in the study in detail.
22.0 pts
Generally, describes, and analyzes the sample used in the study.
20.0 pts
Briefly summarizes the sample used in the study, but omits some details.
10.0 pts
Incorrectly describes the sample in the study, or omits major details
0.0 pts
Does not describe the sample used in the study.
25.0 pts
This criterion is linked to a Learning Outcome Data Collection Methods
Describe, analyze, and summarize the data collection method(s)’ in your own words.
25.0 pts
Fully describes, analyzes, and summarizes all of the data collection methods used in the study.
22.0 pts
Generally, describes, and analyzes the majority of data collection methods used in the study.
20.0 pts
Briefly summarizes and describes parts of the data collection method used in the study.
10.0 pts
Incorrectly describes the data collection method used in the study.
0.0 pts
Does not describe the data collection method used in the study.
25.0 pts
This criterion is linked to a Learning Outcome Limitations
Describe, analyze, and summarize the limitations of the study in your own words.
20.0 pts
Fully describes, analyzes, and summarizes the limitations found in the study in detail.
18.0 pts
Generally, describes, and analyzes the limitations found in the study.
16.0 pts
Briefly summarizes the limitations found in the study.
8.0 pts
Incorrectly describes the limitations found in the study.
0.0 pts
Does not describe the limitations found in the study.
20.0 pts
This criterion is linked to a Learning Outcome Findings
Describe, analyze, and summarize the findings reported in the study in your own words.
20.0 pts
Fully describes, analyzes, and summarizes the findings of the study in detail.
18.0 pts
Generally, describes, and analyzes the findings of the study.
16.0 pts
Briefly summarizes the findings of the study.
8.0 pts
Incorrectly identifies the findings from the study
0.0 pts
Does not describe the findings of the study.
20.0 pts
This criterion is linked to a Learning Outcome Summary of Article
Summarize important points from the body of your paper including the key components of the paper and discuss the probability of implementation into practice.
25.0 pts
ummarizes study in detail and states specific rationale for whether a change in practice is warranted.
22.0 pts
Generally, summarizes study. Gives broad rationale for whether a change in practice is warranted.
20.0 pts
Briefly summarizes study and states rationale for whether a change in practice is warranted.
10.0 pts
Minimally summarizes study. Gives poor rationale for whether a change in practice is warranted.
0.0 pts
Does not summarize study and does not give rationale for whether a change in practice is warranted.
25.0 pts
This criterion is linked to a Learning Outcome Grammar, Punctuation, and Spelling/ APA Formatting
No more than 0–3 errors in grammar, punctuation, and spelling. APA formatting is correct with 0–3 errors.
20.0 pts
No errors in grammar, punctuation, APA, and spelling.
18.0 pts
One to four errors in grammar, spelling.
16.0 pts
Five to eight errors in grammar, spelling, and syntax.
8.0 pts
Nine to twelve errors in grammar, spelling, and syntax.
0.0 pts
Thirteen or more errors to the point where it is difficult to understand the meaning of the student’s writing.
20.0 pts
Total Points: 175.0

Change Event Strengths and Weaknesses
Change Event Strengths and Weaknesses
Permalink:
We have determined that change is inevitable and subject to a number of variables attributing to the success or failure of the change process. The Final Paper is an exploration of a change initiative that you have personally experienced or researched. The paper should demonstrate your knowledge of the change process through a comprehensive analysis and discussion of the following aspects of organizational change. Your paper must include:
An identification and description of a professional change initiative personally experienced or researched.
A discussion of the change initiative as seen through the eyes of the leader and the follower.
A discussion of the successes and failures experienced during the change event.
An analysis of the concepts and theories used to facilitate the change process.
An evaluation of the impact of the change upon the organization.
A discussion on the sustainability of the change effort.
You must incorporate concepts and theories relating to the change process as they apply to each section of the paper.
Select a Fortune 500 company and research their Integrated Marketing Communications (IMC) tactics. Select at least one traditional and one digital venue to research the IMC tactics. In a two to four-page paper, analyze whether or not the tactics are effective and why. Describe any recommendations for improvement.
The paper
· Must be two to four double-spaced pages in length (excluding the title and reference pages) and formatted according to APA style as outlined in the .