Nursing

Assignment: Psychiatric Disorders and Screening
Assignment: Psychiatric Disorders and Screening
Week 3 discussion
Students will not receive credit for any discussions posted after Sunday 11:59pm MT.
Anxiety and depression are the most common psychiatric problems you will encounter in your primary care practice.
Review this case study
HPI: KB, 55 year old Caucasian female who presents to office with complaints of fatigue. The fatigue has been present for 6 months and seems worse in the morning, improving slightly through the day. KB reports a lack of energy and “loss of joy”. States” I really don’t feel like going anywhere or doing anything” Reports she often has difficulty staying on task and completing projects for work. She reports not feeling hungry and does not feel rested when she wakes up in the morning. KB is a widow for 2 years, social events that are couples only can make her symptoms worse. She tries to do at least one social activity a week but it can be really exhausting. Her husband died in their car while she was driving him to the hospital and sometimes driving in that car makes all the memories come back. She recently got a puppy, which she thought would help with the loneliness but the care of the puppy seems overwhelming at times. Rest and exercise, specifically yoga and meditation seem to make her feel better. At this time she does not want to do either. She has not tried any medications, prescribed or otherwise. She reports drinking a lot of coffee, but that does not seem to help.
Current medications: Excedrin PM about once a week when she can’t sleep, seems to help a bit. NKDA.
PMH: no major illnesses. Immunizations up to date.
SH: widowed, employed full time as a manager. Drinks wine, 1 glass every night. No tobacco, no illicit drugs. Previously married while living in France, reports an abusive relationship. The French government gave custody of her son to the ex-husband. She returned to US without her son 10 years ago. She sees her son two times a year, they skype and text “all the time” but she misses him.
FH: Parents are alive and well. Has one son, age 21, he is healthy but lives in France with his father.
ROS
CONSTITUTIONAL: reports weight loss of 2-3 pounds, no fever, chills, or weakness reported
HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclera. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat.
CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema.
RESPIRATORY: No shortness of breath, cough or sputum.
GASTROINTESTINAL: Reports decreased appetite for about 3 months. No nausea, vomiting or diarrhea. No abdominal pain or blood.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.
GENITOURINARY: no burning on urination. Last menstrual period 4 years ago.
PSYCHIATRIC: No history of diagnosed depression or anxiety. Reports great anxiety due to verbal and concern for physical abuse, reports feeling very sad and anxious when divorcing and leaving her son in France. Did not seek treatment. She started to feel better after about 4 months.
ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria or polydipsia
ALLERGIES: No history of asthma, hives, eczema or rhinitis.
Discussion Questions:
1. Research screening tools for depression and anxiety.
Choose one screening tool for depression and one screening tool for anxiety that you feel are appropriate to screen KB.
Explain why you chose that particular tool for KB. If you can, attempt to score KB based on the information provided (not all data may be provided). Include what questions could be scored, and your chosen score.
2. Identify your next step for evaluation and treatment for KB.
What medication, if any, would you recommend for treatment? Provide the rationale. This should include the medication class, mechanism of action of the medication and why this medication is appropriate for KB. Include initial prescribing information.
If the medication works as expected, when should KB expect to start feeling better?
DQ2
Geriatric Assessment Tools
Students will not receive credit for any discussions posted after Sunday 11:59pm MT.
Review the course library page list of available screening tools. Link to Library (Links to an external site.)Links to an external site.
Scroll down and look on the left hand side of the screen: Geriatric Assessment tools
Choose two assessment tools that are appropriate for primary care (excluding depression, anxiety and pain screening tools) and discuss the following:
explain the purpose of the tool
scoring guidelines
how you apply the assessment in practice
*If you would like to present a screening tool that is not listed, contact your instructor for approval.

NUR 2488 Module 03 Written Assignment – Cultural Considerations in Mental Health Nursing
Assignment: Cultural Considerations in Mental Health Nursing
Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.
Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:
Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
Implementation:What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
Evaluation:How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.
Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed. For more information on APA, please visit the Online Library. Assignment: Cultural Considerations in Mental Health Nursing

Capella FPX4010 Assessment 3
Assignment: Capella FPX4010 Assessment 3
For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.
The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a culture of ownership and shared responsibility (Berkow et al., 2012). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.
Demonstration of Proficiency
Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.
Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Communicate the interdisciplinary plan with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
Reference
Berkow, S., Workman, J., Aronson, S., Stewart, J., Virkstis, K., & Kahn, M. (2012). Strengthening frontline nurse investment in organizational goals. JONA: The Journal of Nursing Administration, 42(3), 165–169.
Professional Context
This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.
Scenario: Assignment: Capella FPX4010 Assessment 3
Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.
Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.
Instructions: Assignment: Capella FPX4010 Assessment 3
For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.
The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.
Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
Additional Requirements: Assignment: Capella FPX4010 Assessment 3
Length of submission:Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA formatting: Make sure that in-text citations and reference list follow current APA style. Assignment: Capella FPX4010 Assessment 3

Assignment: Writing Patient Report
Assignment: Writing Patient Report
Question 1
A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:
Question 2
Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is:
Question 3
Mark has just been given a diagnosis of congestive heart failure. Which of his medications should be discontinued?
Question 5
Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?
Question 6
Risk factors for acute arterial insufficiency include which of the following?
Question 7
What is the Gold standard for the diagnosis of asthma?
Question 8
Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?
Question 9
Amaurosis fugax is described as a:
Question 10
Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to suspect unstable angina. Your next action would be to:
Question 11
Which of the following patient characteristics are associated with chronic bronchitis?
Question 13
John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?
Question 14
A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding?
Question 15
Expected spirometry readings when the patient has chronic emphysema include:
Question 16
Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:
Question 17
A 58-year-old man is diagnosed with Barrett’s esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this patient’s disorder?
Question 18
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?
Question 19
A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse practitioner should:
Question 20
An employee picnic menu includes grilled hamburgers, potato salad, and homemade ice cream sundaes. Within an hour after the meal, several children and parents begin to have nausea, vomiting and stomach cramps. None of those affected have fever. What is the most likely etiologic agent?
Question 21
Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:
Question 22
Treatment of H.pylori includes which of the following?
Question 23
Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?
Question 24
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?
Question 25
Your patient Jerry has gout. What do you suggest?
Question 26
A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a “sun worshiper.” The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:
Question 27
Martha had a less than 7% value on her Schilling test. What medication do you anticipate she might need?
Question 28
The nurse practitioner observes a tympanic membrane that is opaque, has decreased mobility, and is without bulging or inflammation. The least likely diagnosis for this patient is:
Question 29
Which statement below is correct about pertussis?
Question 30
An AST that is more than twice the level of ALT is suggestive of:
Question 31
Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her?
Question 32
Acute rheumatic fever is an inflammatory disease which can follow infection with:

Assignment: Capella FPX4000 Assessment 3
Capella FPX4000 assessment 3
Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.
Introduction: Assignment: Capella FPX4000 Assessment 3
In your health care career you will be confronted with many problems that demand a solution. By using research skills you can learn what others are doing and saying about similar problems. Then you can analyze the problem and the people and systems it affects. You can examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real world problem.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
Analyze a health care problem or issue by describing the context, explaining why it is important, and identifying populations affected by it.
Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
Competency 3: Apply ethical principles and academic standards to the study of health care.
Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.
Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes, and references.
Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed. Assignment: Capella FPX4000 Assessment 3
Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas | Transcript media piece) and provide details about it.
To explore your chosen topic, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in the second assessment.
Identify possible causes for the problem or issue.
Use scholarly information to explain the health care problem or issue.
Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
You may use articles you found while working on Assessment 2 or you may search the Capella Library for other articles.
You may find the applicable Undergraduate Library Research Guide helpful in your search.
Assess the credibility of the information sources.
Assess the relevance of the information sources.
Analyze the problem or issue.
1. Describe the setting or context for the problems or issues.
2. Describe why the problem or issue is important to you.
3. Identify groups of people affected by the problem or issue.
Discuss potential solutions for the problem or issue.
0. Compare your opinion with other opinions you find in sources from the Capella Library.
1. Provide the pros and cons for one of the solutions you are proposing.
Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented.
0. Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.
1. Provide examples from the literature to support the points you are making.
Describe what would be necessary to implement the proposed solution.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: Assignment: Capella FPX4000 Assessment 3
Assessment 3 Example [PDF].
Additional Requirements
Length: At least 4–6 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA Template: Use the APA Style Paper Template [DOCX] as the paper format and the APA Style Paper Tutorial [DOC] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.
Organize your paper using the following structure and headings:
Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.
Note: Read the Analyze a Current Health Care Problem or Issue Scoring Guide to fully understand how your paper will be graded.
If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.
Note:Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information. Assignment: Capella FPX4000 Assessment 3

Annotated Bibliography Guidelines in Nursing
Annotated Bibliography Guidelines in Nursing
NUR 440 Final Project Milestone Three: Annotated Bibliography Guidelines and Rubric
Overview: In Milestone Two, you formulated your PICO(T) question. For Milestone Three, you will construct an annotated bibliography by using your PICO(T) to
guide your research. The annotated bibliography will assist you in gathering a detailed list of resources to use in your integrative review of the literature. An
annotated bibliography is an organized list of sources with an accompanying paragraph that describes, explains, and/or evaluates each entry in terms of quality,
authority, and relevance. The purpose of writing an annotated bibliography is to provide an overview of the research that has been published on a particular
topic.
Prompt: For this milestone, you will prepare an annotated bibliography with at least six citations. An annotation concisely paraphrases the main idea and
purpose of the selected resource. The annotation of a scholarly journal should identify the thesis (or research question, or hypothesis), the methods used, and its
discussion or conclusions. Remember that identifying the purpose is a different task than listing the resource’s contents. To be more precise, the annotation
should state why the contents are there. While constructing your annotations, be sure to include the following critical elements:Overview: In Milestone Two, you formulated your PICO(T) question. For Milestone Three, you will construct an annotated bibliography by using your PICO(T) to
guide your research. The annotated bibliography will assist you in gathering a detailed list of resources to use in your integrative review of the literature. An
? Restate argument or thesis, methods, and conclusions (1–2 sentences)
? Evaluate/critique resource (1–2 sentences)
? Make connection to PICO(T) question (1–2 sentences)
Guidelines for Submission: Your annotated bibliography must be submitted as a 4–6 page Microsoft Word document with double spacing, 12-point Times New
Roman font, one-inch margins, and six sources cited in APA format. Your chosen sources must be recent (within the last five years), peer-reviewed, scholarly
journal articles, and should appear in alphabetical order.

Assignment: Capella FP6103 Assessment 4
Assignment: Capella FP6103 Assessment 4
Write a 6–8-page professional development plan for your work as a nurse educator.
Learning never stops for the nurse educator. Lifelong learning is necessary to stay current both in the practice world and in education. Nurse educators need to have a plan for their own continued professional development that will help them maintain and advance their skills both as nurses and as educators.
The nursing profession needs nurse educators to educate more nurses, to introduce and educate about evidence-based practice changes, and more than ever, to join with our colleagues in other health care disciplines to exchange ideas and engage in interdisciplinary learning. As educators, we must continue to learn, be certified, and function at a high level to ensure continued growth for the nursing profession.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Analyze the historical evolution of nursing education.
Describe forces (social, economic, political, or institutional) that may influence the nurse educator role.
Competency 3: Analyze professionally established nurse educator competencies and models.
Describe area of focus as a nurse educator, associated educator competencies, and professional goals in relation to nurse educator philosophy.
Competency 4: Apply knowledge of legal and ethical issues relevant to higher education and nursing education.
Assess abilities to meet goals, achieve professional development, and maintain ethical practices.
Competency 5: Articulate how nurse educators serve as change agents and leaders to help advance nursing education and nursing practice.
Discuss development of a leadership role in a chosen area of nurse educator focus.
Competency 6: Develop a plan for engaging in scholarship in an established area of expertise.
Develop a scholarship plan that includes analysis of how scholarship will be carried out in the nurse educator role. Assignment: Capella FP6103 Assessment 4
Competency 7: Establish a plan for pursuing continuous improvement in the nurse educator role.
Develop specific plans for professional growth that identify any additional education, certifications, or training to be acquired.
Competency 8: Communicate in a manner that is scholarly, professional, and consistent with the expectations for a nursing education professional.
Write coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional.
Write a 6–8-page professional development plan for your career as an MSN-prepared nurse. The professional development plan should include the following:
Introduction: A brief introductory paragraph that clearly states the purpose of the paper.
Area of focus: A description of your specific area of focus in nursing education, the position that you wish to obtain, and the educator competencies that you will need as an MSN-prepared nurse.
Professional goals: A statement of your specific professional goals (a minimum of three) and discussion of their relationship to your nurse educator philosophy. Assignment: Capella FP6103 Assessment 4
Influences: A brief description of any additional forces (social, economic, political, or institutional) that may influence your nursing education role.
Analysis: An analysis of how you will carry out scholarship activities as an MSN-prepared nurse and a specific plan for scholarship based on a model.
Leadership role: A discussion of specific ways (a minimum of two) that you will develop a leadership role in your chosen area of focus.
Development plan: Specific plans for professional growth and any additional education, certifications, or training to be acquired.
Reflection: A reflection in a concluding paragraph on your abilities to meet goals and achieve your professional development plan and ethical practice.
Additional Requirements: Assignment: Capella FP6103 Assessment 4
Your assessment should meet the following requirements:
Written communication: Written communication should be free of grammar and spelling errors that distract from the content.
APA format: Use correct APA format, including running head, page numbers, and a title page. Citations and references (if used) are to be in correct APA format.
Format: Submit your assessment as a Word document.
Length: 6–8 double-spaced pages, not including the title page and references page.
Font and font size: Times New Roman or Arial, 12 point. Assignment: Capella FP6103 Assessment 4

Discuss:Methods of Patient Empowerment
Discuss:Methods of Patient Empowerment
As a nurse, you are the individual who has the ability to empower patients in the decision-making process pertaining to their health care. In addition, you are in a unique position to empower your nursing colleagues to improve job satisfaction and use performance indicator data from dashboards to effect social change.
In this week’s Learning Resources, you examined both the National Database of Nursing Quality Indicators (NDNQI) and the key role nurses play as advocates for patient rights. To assist nurses in being better prepared for this role, programs such as Patient Care Partnership provide guidance.
For this Discussion, you will analyze the use of quality improvement data and discuss how this data can help empower both patients and nurses. Review the Patient Care Partnership information presented in this week’s Learning Resources. In addition, reflect on the media presentation and the information shared by Ms. Manna on patients’ rights.
Permalink:
By Day 3
Respond to the following:
What are the best strategies the nurse can employ to empower patients and support patients’ rights to improve quality of care? (Some considerations to keep in mind may include: providing information on effectiveness, risks, and benefits of alternative treatments.)
In what ways can NDNQI data from dashboards or quality improvement data be used to support nurse empowerment in practice?
How has your institution empowered the nursing staff through the use of quality improvement data?
Provide an example of how you have personally empowered either a patient or a fellow nurse.
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 250–350 words) response. Be sure to use from the readings and include . Utilize writing practice and skills, including the use of and . Avoid quotes; to incorporate evidence into your own writing. A is required. Use the most (usually ? 5 years old).

Assignment: Clinical Judgment in Nursing
Assignment: Clinical Judgment in Nursing
Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.
Keeping that in mind, answer the following scenario:
You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:
RN with 12 years of Trauma ED experience
New RN with 6 months ED experience
RN from the Medical Surgical floor with 8 years of experience
The following patients are in the ED, which patient will you give to each of the nurses and why?
A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
A 38-year-old client with kidney stones complaining of severe pain.
A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
An 80-year-old client that has not had a bowel movement for 4 days.
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Module 2 discussion
Patient with Hyperkalemia
Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:
What interventions do expect to be ordered for Mr. Sweet? Why?
What type of acid-base disturbance does he have?
What do you think is Mr. Sweet’s Medical Diagnosis?
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation
Module 3 discussion
Case Scenario: Tuberculosis
Wilson is a 36-year-old migrant worker. He was admitted to the Hospital with a cough, unintended weight loss, and night sweats. He is staying with 6 friends in a one bedroom apartment near the strawberry field where he works. The ED physician suspects Tuberculosis (TB).
What diagnostic testing will the Provider order to confirm a diagnosis of TB?
What Isolation precautions do you expect to be put in place and why?
Describe the recommended treatment regimen for TB, including the rationale for combination drug therapy.
Identify the reason compliance to medication therapy is often a concern in the patient with TB.
What should be done for Wilson’s 6 roommates?
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Module 4 discussion
I-SBAR-R Reporting
Think of a situation from clinical when the Provider needed to be informed of a change in patient condition. Using ISBARR write what you would report to the Provider. You can use the ISBARR form for guidance.
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Module 5 discussion
Patient Teaching: Anticoagulants
Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.
Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.
Develop 3 teaching points important for Sandra to know about her medications regimen.
Teach Back is a great way to find out about patient teaching effectiveness. Watch the following video for an example of Teach Back
What questions would you ask Sandra to verify that she understand the 3 teaching points?
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Module 7 discussion
Type 1 vs. Type 2 and Patient Education
Compare and contrast risk factors, age of onset, pathophysiology and clinical manifestations of Type 1 and Type 2 Diabetes. What do you think is the most important topic that must be taught to the diabetic patient and why?
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Module 8 discussion
The Older Adult
A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.
Develop a Plan of Care for this patient that includes:
2 Nursing Diagnosis
2 goals for each Nursing Diagnosis
Interventions with rationales
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Module 10 discussion
Bariatric Surgery Patient
EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.
What client education topics are important to reinforce for this client?
How will this client’s diet be advanced?
What complications can occur after this surgery?
What is Dumping Syndrome and what are some interventions to help prevent its development?
Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
Assignment: Clinical Judgment in Nursing

Assignment: Acute Care Facility
Assignment: Acute Care Facility
Question 37 options:
An acute care facility providing continuing education credits for geriatric nursing in-services.
A baccalaureate degree nursing program including a geriatric care course into the curriculum.
A professional nursing organization provides advanced practice status as a geriatric specialist.
A long-term care facility’s nursing director is a certified geriatric nurse practitioner.
Question 38 (5 points) Question 38 Unsaved
In order to focus on the older population with the greatest risk for suicide the nurse would conduct a depression screening that targets:
Question 38 options:
African-American men.
White men.
White women.
African-American women.
Question 39 (5 points) Question 39 Unsaved
Which outcome regarding the effects of touch on the skin is not supported by current research?
Question 39 options:
Brings about sensory stimulation.
Help relieves physical and psychosocial pain.
Known to reduce anxiety and tension.
Improves skin integrity.
Question 40 (5 points) Question 40 Unsaved
The nurse is caring for a client with a newly diagnosed chronic illness. In answering the client’s questions, the nurse most accurately responds when basing the response on the fact that:
Question 40 options:
The most prevalent form of disease in older adults at this time is acute illness.
Although chronic illness lasts a long time, the condition primarily affects the client.
Chronic illness is lifelong, and coping can be influenced by perceived uncertainty.
The client’s acquisition of knowledge of the disease will guarantee successful coping.
Question 41 (5 points) Question 41 Unsaved
What research finding is the basis for care planning of the client receiving palliative care?
Question 41 options:
Palliative care is most useful when implement in the last 6 months of life.
Pain management is inadequately addressed among the terminally ill population.
Palliative care is only offered to patients whose deaths are imminent.
Resuscitation in the case of a cardiac or respiratory arrest is not implemented.
Question 42 (5 points) Question 42 Unsaved
When working with a bereaved individual, the goal of nursing interventions is to:
Question 42 options:
Assist the individual to go through the stages of grief work in the optimal order.
Assist the individual to attain a healthy adjustment to the loss experience.
Encourage the individual to talk about his or her feelings about the deceased individual.
Offer support and advice about how to successfully achieve grief work.
Question 43 (5 points) Question 43 Unsaved
Which information will the nurse manager include when discussing the major differentiation between delirium and dementia with novice nurses: Select all that apply.
Question 43 options:
The delirious client learns to make up answers to hide their confusion.
Delirium requires increased monitoring at night.
The client diagnosed with dementia generally looks frightened.
Dementia results in a steady decline in cognitive abilities.
Delirium is characterized by fluctuations in alertness.
Question 44 (5 points) Question 44 Unsaved
The nurse is facilitating a support group for older adults who have recently experienced losses in their lives. What is the basis for the nurse’s understanding of how the individual participants will display stress?
Question 44 options:
An individual’s age has the most influence on the amount of stress they will experience.
Stress tolerance is fairly consistent in both males and females.
Stress is a natural occurrence to loss and is always manifested in physical signs.
There are individual differences in how in how individuals define, perceive, and react to stress.
Question 45 (5 points) Question 45 Unsaved
The Beers list is an effective tool for healthcare professionals prescribing and/or managing the medication therapy of older adults since it identifies medications that for this population:
Question 45 options:
Are not typically covered by drug benefit plans.
Have a higher than usual risk for injury.
Are likely to be abused
Generally cause allergic reactions.
Question 46 (5 points) Question 46 Unsaved
An older client admitted to the hospital after having sustained a fall at home is diagnosed with a right hip fracture and experienced a surgical reduction of the fracture. At 2:30 AM, she awakens from sleep insisting that her daughter is in the other room and wants to see her. Attempts to reorient her to the surroundings are unsuccessful. In reviewing the client’s record, what data would be considered a primary risk factor for the delirium?
Question 46 options:
History of dementia.
Death of the client’s husband last month.
The client’s age.
History of cardiac disease.
Page 46 of 52
Question 47 (5 points) Question 47 Unsaved
Your client is cared for at home by his son and daughter-in-law, who are also responsible for the care of their four preschool-aged children. What is true of this “sandwich” generation?
Question 47 options:
The conflicts that arise from caring for both older adults and children can be very stressful.
The majority of middle-aged adults are faced with balancing the care of parents and children.
The average age of adults caring for parents is in the late 30s and early 40s.
The majority of caregivers affected by this “sandwich” generation are males.
Question 48 (5 points) Question 48 Unsaved
An African-American woman has taken on the responsibility of raising her grandchild. Which intervention will best address a need commonly identified in this specific population?
Question 48 options:
Providing her with a list of local afterschool children’s programs.
Suggesting she enroll in a local community center’s senior support group.
Scheduling her for a complete physical examination.
Encouraging her to walk 1 mile 3 days a week.
Question 49 (5 points) Question 49 Unsaved
The nurse interviewing an older adult for a nursing history recognizes that the client is experiencing symptomology inconsistent with normal aging of the urinary tract when the client reports: Select all that apply.
Question 49 options:
Finding it more difficult in the last few months to start voiding.
Having two bladder infections in the last 4 years.
Getting up once or twice each night to urinate.
Occasionally experiencing pain when urinating.
Needing to urinate every at least every two hours during the day.
Question 50 (5 points) Question 50 Unsaved
The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes expressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?
Question 50 options:
Everyone needs social interaction.
The nurse needs to ‘attend to the patient.’
hearing is believed to be the last sense to be lost.
The individual is living until they are dead.
Question 51
A 97-year-old patient is admitted to the medical unit with a productive cough and bilateral congestion and is reporting weakness. His vital signs are 106/78, 82, 24, and a temperature of 97 degrees F. (oral). When told that it is suspected that he has pneumonia, his granddaughter replies, “Grandpa is running a fever so it can’t be an infection.” The nurse’s response is based on the knowledge that:
Question 51 options:
The temperature needs to be taken tympanically.
In a 97-year-old, a temperature of 97 degrees F. is considered febrile.
A lack of fever cannot be used to rule out an infection in older adults.
Oral temperatures are always inaccurate in older adults.
Question 52
When assessing the intellectual abilities of an older adult, the nurse demonstrates an understanding of a major barrier to reliable testing of this population when:
Question 52 options:
Sharing with the client that the test can be scheduled at “whatever time is good for you.”
Providing the client with frequent rest periods.
Stating, “Just take your time and try to relax; there are no wrong answers to this test.”
Assignment: Acute Care Facility