Nursing

Discuss: Hernandez Family Assessment
Discuss: Hernandez Family Assessment
Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues. As you examine the Hernandez Family: Sessions 1-6videos in this week’s Learning Resources, consider how you might assess and treat the client family.
Learning Objectives
Students will:
Assess client families presenting for psychotherapy
To prepare:
Review this week’s Learning Resources and reflect on the insights they provide on family assessment.
View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.
Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.
The Assignment
Address in a comprehensive client assessment of the Hernandez family the following:
Demographic information
Presenting problem
History or present illness
Past psychiatric history
Medical history
Substance use history
Developmental history
Family psychiatric history
Psychosocial history
History of abuse and/or trauma
Review of systems
Physical assessment
Mental status exam
Differential diagnosis
Case formulation
Treatment plan
Note:Any item you are unable to address from the video should be marked “needs to be added to” as you would in an actual comprehensive client assessment
Review this week’s Learning Resources and reflect on the insights they provide on family assessment.
View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.
Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.
The Assignment
Address in a comprehensive client assessment of the Hernandez family the following:
By Day 7
Submit your Assignment.
Submission and Grading Information

Discuss: Communicable Disease Chain
Discuss: Communicable Disease Chain
Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.
Communicable Disease Selection
Choose one communicable disease from the following list:
Chickenpox
Tuberculosis
Influenza
Mononucleosis
Hepatitis B
HIV
Ebola
Measles
Polio
Influenza
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Epidemiology Paper Requirements
Address the following:
Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
Describe the determinants of health and explain how those factors contribute to the development of this disease.
Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?
Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.
A minimum of three peer-reviewed or professional references is required.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Please refer to the directions in the Student Success Center.

Discussion: Examining Chest X-Rays
Discussion: Examining Chest X-Rays
Week 5 discussion
Chest x-rays are an invaluable diagnostic tool as they can help identify common respiratory disorders such as pneumonia, pleural effusion, and tumors, as well as cardiovascular disorders such as an enlarged heart and heart failure. As an advanced practice nurse, it is important that you are able to differentiate a normal x-ray from an abnormal x-ray in order to identify these disorders. The ability to articulate the results of a chest x-ray with the physician, radiologist, and patient is an essential skill when facilitating care in a clinical setting. In this Discussion, you practice your interprofessional collaboration skills as you interpret chest x-rays and exchange feedback with your colleagues.
Consider the three patient case studies and x-rays
Note: By Day 1 of this week, your Instructor will assign you to post on one of these patient case studies and x-rays:
Case Study 1
35-year-old Asian male presents to your clinic complaining of productive cough for two weeks. Stated he has had mild intermittent fever with myalgia, malaise and occasional nausea.
SH: works as a law clerk
PE: NP noted low grade fever (99 degrees), with very mild wheezing and scattered rhonchi.
An x-ray film is presented which shows a cloudy lung that appears slightly distended.
Case Study 2
This is a 44-year-old Caucasian male being seen at your clinics with complaints of complaints of cough for 4 days and worsening. Stated he has had high grade fever. States he feels weak and has been in bed most of the last two days. Complains of exertional dyspnea, followed by dyspnea at rest, non-productive cough and pleuritic chest pain
MEDS: Zovirax, Diflucan, magic mouth wash, Zofran, mycostatin, filgrastin
PMH: HTN, Hep C, HIV/AIDS, thrush
SH: Past IV Drug abuse; lives in a group home;
PE: VS: Ht: 5’7, Wt: 150#, BMI 23,
Anorexic male, febrile, tachypneic, tachycardic, with rales and rhonchi. You note decreased in breath sounds, dullness, and egophony
An x-ray film is presented which shows petechial markings on the lungs and which are cloudy in appearance.
Case Study 3
A 50 year old Caucasian female presents to the clinic with complaints of cough for almost 2 weeks. Positive productive green sputum with associated chills, sweating, and fever up to 101.5. She manages a daycare and states that many of the children have had upper respiratory symptoms in the last two weeks. PMH: DM diagnosed 7 years ago, controlled on medications.
MEDS: Glyburide 10mg qd
PE: She looks ill with continuous coughing and chills.
BP 100/80, T: 102, HR: 110; O2Sat 97% on RA.
Lungs: +Crackles, increased fremitus
Labs: CBC 17,000 cells/mm3 , blood sugar is 120
An x-ray film is presented which shows cloudiness on the lungs and which also shows some scarring on the lungs.

Presentation: Nursing Theories in Current Nursing Practice
This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have 2-4 slides per theory:
· Describe the theory
· 3 examples of how the theory applies to current practice
· 3 Positive patient outcomes resulting from utilizing the theory
· 3 Benefits to nursing satisfaction when utilizing the theory
· Two barriers to using the theory in practice and at least one method for overcoming each barrier
The PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides.
I would make a checklist for each module to see if you have addressed each point. There is a lot of information and it is easy to forget a section. Please let me know if you have any questions. Please go in the same order as the modules and make sure you have your theory and theorist listed. Please have a title slide that lets your reader know what section you are addressing on that slide. You will have at least one citation per slide for this assignment.
Module 1: Research and Nightingale
Module 2: Peplau, Henderson, and Orem
Module 3: Johnson, Orlando, and the 1950-60’s
Module 4: King & Rogers
Module 5: Roy, Neuman, and the 1970’s
Module 6: Leininger, Newman, and Watson
Module 7: Parse, Erickson, and Tomlin & Swain
Module 8: Theories of the 1980’s and 1990’s
Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice. FA Davis.
As the quarter is coming to a close, reflect back on the concepts and learning experiences which have occurred, and answer the following:
What did you learn from this course that you did not already know?
How will you apply what you learned to your patient care?
Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations. Presentation: Nursing Theories in Current Nursing Practice

Assignment: Inventory for Gerontological Patients
Assignment: Inventory for Gerontological Patients
Question 16 options:
Wear a wide-brimmed hat when outdoors.
Pad feet with socks when wearing shoes.
Clean the skin with a moisturizing soap.
Bathe in tepid water.
Always wear gloves in the winter.
Question 17 (5 points) Question 17 Unsaved
What is true about instruments to assess for depression in older adults?
Question 17 options:
Older adults tend to score inaccurately low (indicating less depression) than younger adults on the Zung Self-Rating Depression Scale.
The shortened Geriatric Depression Scale does not contain a question to evaluate suicide potential.
The Beck Depression Inventory is designed for gerontological patients.
The Geriatric Depression Scale is administered by a health care provider in an interview with the older adult.
Question 18 (5 points) Question 18 Unsaved
The family member of a patient asks if vitamin C will prevent aging. In formulating an appropriate response, the nurse considers the:
Question 18 options:
Free radical theory.
Immunity theory.
Clinker theory.
Continuity theory.
Question 19 (5 points) Question 19 Unsaved
Which housing arrangement would best address the family who wants to provide housing for an older family member who has a large degree of physical and cognitive independence and a desire to be closely involved with the family?
Question 19 options:
Dedicating the spare bedroom in the home to the family member
A house at a senior retirement community.
A “granny” apartment in a separate part of the house.
Private room at a residential care facility.
Question 20 (5 points) Question 20 Unsaved
An older resident of a long-term care facility diagnosed with dementia has in the last 48 hours become more confused than usual and while usually requiring help with toileting has been incontinent of urine. The client’s healthcare provider orders a complete blood count and serum electrolytes. When the lab tests are all within normal limits the nurse initially:
Question 20 options:
Attributes the changes in the resident’s functioning to advancing dementia.
Suggests that the resident be placed on broad-spectrum antibiotics to prevent infections.
Speaks with the healthcare provider regarding the changes in the client’s function and the possibility of obtaiing a urine culture.
Changes the plan of care to include bladder training and implement a 24-hour calorie count.
Question 21 (5 points) Question 21 Unsaved
An 81-year-old patient is being discharged from the hospital to home. She is on seven different medications, which are to be taken at four different times during the day. What would be most useful in helping this patient manage her medications? The nurse makes the greatest impact on the safe management of an 81-year-old client’s medication administration when included in discharge education is:
Question 21 options:
The package inserts from all of the medications for the client to read.
A pillbox with compartments for each day and each of the doses.
A written list of all the client’s medications and administration routine.
A suggestion that the client’s daughter administer the medications.
Question 22 (5 points) Question 22 Unsaved
A 78-year-old is admitted to the long-term care facility after a hospitalization for pneumonia. The client has a history of a right cerebrovascular accident and dysphagia. When preparing the room for this patient, what equipment is most important in the care of this patient?
Question 22 options:
A room located within sight of the nursing station
An adjustable height bed that goes low to the floor
A suction machine
Oxygen at bedside
Question 23 (5 points) Question 23 Unsaved
The nurse is managing the care of an older client experiencing the symptoms of heat fatigue. Which intervention will the nurse implement to help resolve the condition? Select all that apply.
Question 23 options:
Helping the client assume a comfortable resting position.
Monitoring the client’s intake of electrolyte replacement fluids.
Withholding the client’s prescribed antidiuretic medication.
Documenting that the client’s skin remains pale, moist and cool.
Keeping the environmental humidity low and temperature cool.
Question 24 (5 points) Question 24 Unsaved
Based on recent studies, which statement regarding touch and touch zones is most accurate?
Question 24 options:
Persons age 66 to 100 are the most often touched.
Newly graduated nurses tend to touch clients less often than do nursing students.
When performing peri-care the nurse is working within the zone of intimacy.
The comfort of touch depends on place, situation, social status, and age.
Question 25 (5 points) Question 25 Unsaved
Based on current demographic data, which statement identifies a predictive trend regarding the health care needs of society?
Question 25 options:
There will be an increasing need for health programs for older males.
More nursing services will be required to serve the needs of the population 85 years of age and older.
Fewer nurses will be needed to care for the older, especially in long-term care facilities.
North Dakota is likely to experience the greatest need for gerontological nurses.
Question 26 (5 points) Question 26 Unsaved
Which intervention to manage wandering in clients in a long-term care facility should be implemented? Select all that apply.
Question 26 options:
Camouflaging doorways.
Close observation to identify the person’s individual patterns.
Engaging the person in social interactions.
Using physical restraints to prevent wandering to maintain safety.
Providing enclosed pathways for walking.
Question 27 (5 points) Question 27 Unsaved
When using the Fulmer SPICES assessment tool the nurse expects to ask:
Question 27 options:
“Do you think that you sleep well?”
“Are you ever incontinent of urine?”
“When was the last time you fell?”
“Who helps you when you can’t do something by yourself?”
Question 28 (5 points) Question 28 Unsaved
A woman is terminally ill. Although it has never been discussed in the family nor stated outright by her physician, she suspects that she will die because of her illness. Upon which concept will the nurse base therapeutic intervention on?

Assignment: Callista Roy’s Definition of Nursing
Assignment: Callista Roy’s Definition of Nursing
This lengthy assessment tool provides a thorough overview of a client’s culture.
A) Minority Model?B) Purnell’s Model?C) Non-English Model?D) Bio-Cultural Model
51.
True or False: By law, supplements are regulated be the Food and Drug Administration (FDA)
A) False?B) True
52.
Which of the following describes Callista Roy’s definition of nursing as indicated in her nursing model?
A) Multistep process that helps the client adapt and reach the highest level of functioning?B) Assistance in self-care activities to help the client achieve health?C) Dynamic process that identifies and meets the client’s health-care needs?D) Identifies boundary disruption and helps clients in activities to restore stability.
53.
An ethical code does which of the following?
A) dictates decisions?B) provides a framework for decision-making?C) sets firm rules?D) provides a group of legally binding values
54.
To which individual can the charge nurse delegate the task of completing the history and physical assessment for a newly admitted client?
A) LPN?B) CNA, level II?C) CNA, level III?D) RN
55.
A client sustained a complete C2 spinal cord injury after a motor vehicle crash. He is unable to move bilateral upper and lower extremities. He requires total nursing care including assistance eating, turning, and voiding. Which of the following describes the level of care the nurse provides according to Orem’s self-care model?
A) Partially compensated care?B) Supportive developmental care?C) Self-care?D) Wholly compensated care
56.
Function in nursing informatics focuses on which of the following?
A) A well-articulated theoretical basis to guide the gathering of data?B) Areas of research that lead to new knowledge?C) The levels of special interest, including technology and concepts of nursing theory?D) How the management and processing of information helps nurses enter, organize, or retrieve information
57.
Identify the best method for a nurse to acknowledge a client’s autonomy
A) Incorporate the ethical principle of paternalism into all client care activities?B) Follow only the instructions of the client’s family?C) Use the ethical principle of best interest when making decisions about the client’s care needs?D) Know and understand the state’s laws that address living wills
58.
Select the most appropriate client for the RN to assign to the CNA/UAP (unlicensed assistive personnel).
A) A client with a percutaneous endoscopic gastrostomy tube who is receiving continuous tube feedings?B) A client with difficulty walking and requires assistance to the bathroom?C) A client with difficulty swallowing food and fluids?D) A client with a colostomy who requires irrigations
59.
What is best described as the concepts, ideals, behaviors, and significant themes that give meaning to a person’s life?
A) Laws?B) Values?C) Morals?D) Ethics
60.
Which of the following is known as a healing practice that uses the human energy system?
A) Visualization?B) Therapeutic Touch?C) Hypnosis?D) Guided Imagery
61.
The analysis that tracks events leading to error, identifies faulty systems and processes, and develops a plan to prevent further error in a blame-free environment is called:
A) Quality Improvement?B) Root Cause Analysis?C) Case Management?D) Leapfrog
62.
Nurses who learn about another person’s culture is enough to guarantee the nurse will have cultural awareness.
A) False?B) True
63.
Using errors as learning opportunities is a key element in building which of the following?
A) Magnet hospital?B) Shared decision-making environment?C) system of improvements and quality care?D) Just culture organization
64.
Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates they are appropriate and successful.
A) True?B) False
65.
Which of the following is considered the best preferred strategy to dealing with conflict?
A) Choose your battles?B) Confront the conflict?C) Postpone the conflict?D) Ignore the conflict
66.
Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?
A) “The RN who delegates is also responsible for education about the task to be performed.”?B) “When nurses delegate, they are delegating nursing.”?C) “Assessing clients is a task of the RN.”?D) “The tasks delegated should have expected and predictable outcomes.”
67.
Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
A) “I am the manager and we will do it my way.”?B) “You have made some good points, but I have another suggestion.”?C) “I’m sorry, but your suggestion was useless to solving the problem.”?D) “I really don’t care; do it the way you think is best.”
68.
A physician writes a DNR order for a competent client. Which individual may give permission for this order?
A) The client’s next of kin?B) The client?C) The client’s spouse?D) The client’s only child
69.
A client asks what the Affordable Care Act is. What best explains this act?
A) “The law requires that most of the assets be absorbed.”?B) “The law is only for those on Medicare Part D.”?C) “The law has been written for those seniors who are under Medicaid.”?D) “The law has been written for those of all ages for a positive outcome.”
70.
Clients may develop this when they view that the nurse is an authority figure or expert in health-care matters.
A) Passive Obedience?B) Active Obedience?C) Health Care Aversion?D) Communication Synergy
71.
Which is the principle upon which Nightingale’s spirituality was based?
A) Scientific rationalism?B) A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality?C) Adherence to a set of rules of behavior, the participation in prescribed rituals, prayer, and the study of sacred texts?D) The beliefs of her Unitarian and Anglican parents
72.
Client Satisfaction is not another way to measure quality of care.
A) False?B) True
73.
What is one disadvantage to the electronic health care system that health care workers are concerned about?
A) Computer glitches?B) Inexpensive computer systems?C) Improved communication?D) May be used by multiple users at one time
74.
Which is not part of the role of the forensic correctional nurse?
A) Provide health screenings?B) Respond to emergency situations?C) Prescribe medications?D) Develop health-care plans
75.
The nurse identifies a problem list for the client. Which of the following phases of the nursing process is this a part of?
A) Assessment?B) Diagnosis?C) Evaluation ?D) Planning
76.
What is the federally funded national health insurance program in the United States for people older than 65 years?
A) Medicare?B) Exclusive Provider Organization?C) Long-term care insurance?D) Medicaid
77.
T.S is a 75 year old man who sustained a left hip fracture after a fall. He is normally independent and lives at home with his wife who suffers from dementia. He currently requires a heavy assist of 2 to pivot transfer to a chair. He is not currently ambulating more than a few steps with a walker. His goal is to go back home to help care for his wife. Which of the following is the most appropriate hospital discharge plan for T.S.?
A) Rehabilitation Center?B) Long-term care facility?C) Home with homecare?D) Assisted living
78.
What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?
A) Death of a client may indicate that the care they were providing was insufficient?B) Their education has focused them on keeping clients alive and promoting health.?C) They have an internal conflict in coping with their own fears of death.?D) They become very emotional when clients they are caring for die.
79.
What is the most effective method nurses can use to gain power over nursing practice?
A) Confront hospital administrators about inadequate staffing?B) Leave the nursing profession when better jobs are available?C) Join professional organizations in large numbers?D) Use union tactics to increase salaries
80.
The establishment of a professional organization is one of the most important defining characteristics of a profession.
A) False?B) True
81.
Why is heritage consistency important to cultural groups?
A) It allows them to advance within the larger culture?B) It allows them to retain many of their cultural elements?C) It allows them to fit in with the larger culture?D) All of the above
82.
Identify the term used when a person lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality.
A) Religion?B) Spirituality?C) Truth?D) Meditation
83.
True or False: Total quality improvement is based upon the organization with the higher-quality service that will capture a greater share of the market than competitors with lower-quality services.
A) False?B) True
84.
Which of the following is not a reason the State Board of Nursing may revoke a nursing license?
A) Conviction of a serious crime?B) Ethical conduct in the practice of nursing?C) Use of illegal drugs while providing client care?D) Failure to renew a nursing license while still practicing nursing
85.
What would be a characteristic of the ideal electronic health care record?
A) The system is unique to the institution it resides in.?B) It reflects only the past medical history.?C) The system reflects the lifelong, continuous record of all care the client has received.?D) It depicts the current health status, but does not provide the medical history
86.
The type of reimbursement system that pays a fixed-rate based on diagnosis (or DRG) is called what:
A) Capitated Payment System?B) Managed Care Organization?C) Preferred Provider Organization?D) Prospective Payment System
87.
Which of the following organizations provides nursing with a code of ethics?
A) Institute of Medicine?B) Department of Health?C) Board of Nursing ?D) American Nurses Association
88.
Which of the following reasons is not a reason for the increasing use of alternative and complementary healing practices?
A) Desire for greater control over one’s health?B) Traditions passed on from parents?C) Belief in the effectiveness of alternative therapies?D) Dissatisfaction with conventional health care
89.
Identify the primary driving force behind the development and use of telehealth or telemedicine.
A) Easy access to computers?B) Consumer concerns about access to health care?C) Increase sophistication of physicians’ computers skills?D) Large segments of the population located in congested urban areas
97.
This federally funded program is known for financing a large portion of maternal and child care for the poor.
A) Medicaid?B) Medicare?C) Preferred Provider Organization (PPO)?D) Exclusive Provider Organization (EPO)
98.
What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project?
A) Focus nursing education on competencies to reduce the number of medical errors?B) Increase the number of students in nursing programs?C) Shift nursing education to a more medical model due to increased client acuity?D) Decrease the number of associate degree nursing programs
100.
What advantage does the electronic health record system have over traditional paper systems?
A) More portable?B) Fewer privacy issues?C) Unbreakable?D) Reduces redundancy
Assignment: Callista Roy’s Definition of Nursing
Assignment: Callista Roy’s Definition of Nursing

BASELINE CHARACTERISTICS AND HOMOGENEITY
BASELINE CHARACTERISTICS AND HOMOGENEITY
TABLE 2
BASELINE CHARACTERISTICS AND HOMOGENEITY OF THE TREATMENT AND CONTROL GROUPS
Intervention (n = 21)Control (n = 20)CharacteristicMean ± SD Mean ± SD t or ?2 a
Anthropometric Age (years)65.95 ± 8.5966.35 ± 7.940.154 Height (cm)152.33 ± 6.53150.57 ± 6.010.896 Weight (kg)57.90 ± 10.8554.66 ± 9.481.016 BMI (kg/m2)24.17 ± 3.1423.38 ± 3.320.782Lifestyle Years since menopause20.21 ± 10.4417.5 ± 11.050.767 Calcium-rich food intake (times/week)27.3 ± 11.423.8 ± 8.81.110 Vitamin D-rich food intake (times/week)2.4 ± 2.53.1 ± 3.10.705Intervention (n = 21) Control (n = 20) Characteristic n % n % t or ?2 a History of fracture8385251.026 Regular exercise (?3 times/week)4194200.006 Non-drinker (alcohol)2095201000.024 Non-smoker21100201000.024Bone statusb Normal (T ? ?1.0)6294201.995 Osteopenia (?1.0 > T > ?2.5)8381260 Osteoporosis (T ? ?2.5)733420Intervention (n = 21) Control (n = 20) Characteristic Mean ± SD Mean ± SD t or ?2 a BMD Lumbar 2–40.83 ± 0.120.85 ± 0.200.526 Femur neck0.67 ± 0.150.67 ± 0.130.055Bone biomarkers Serum osteocalcin (ng/ml)13.97 ± 4.9015.85 ± 5.641.135 Serum calcium (mg/dl)9.47 ± 0.409.54 ± 0.590.405 Serum phosphorus (mg/dl)3.68 ± 0.443.70 ± 0.500.165 Serum alkaline phosphatase (IU/L)68.43 ± 21.5266.70 ± 13.240.308 Serum 25-OH-Vitamin D (ng/ml)14.03 ± 4.3412.38 ± 4.651.177 Urine deoxypyridinoline (nM/mM creatinine)5.70 ± 1.705.95 ± 1.120.555
image
a All group differences p > 0.05.
b Defined from T-score of femur neck site based on World Health Organization criteria.
Note. SD, standard deviation; BMD, bone mineral density (g/cm2).
Oh, E. G., Yoo, J. Y., Lee, J. E., Hyun, S. S., Ko, I. S., & Chu, S. H. (2014). Effects of a three-month therapeutic lifestyle modification program to improve bone health in postmenopausal Korean women in a rural community: A randomized controlled trial. Research in Nursing & Health, 37(4), p. 297.
Permalink:
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Study Questions
1. What demographic variables were described in this study?
2. Which variable was measured at the ordinal level? Provide a rationale for your answer.
3. What level of measurement is the data for history of fracture? Provide a rationale for your answer.
4. What statistics were calculated to describe history of fracture? Were these appropriate? Provide a rationale for your answer.
5. Could a mean be calculated on the history of fracture data? Provide a rationale for your answer.
6. What statistics were calculated to describe the regular exercise (?3 times per week) for the intervention and control groups? Calculate the frequency and percentage of the total sample who exercised regularly. Round your answer to the nearest tenth of a percent.
101
7. What statistics were calculated to describe age in this study? Were these appropriate? Provide a rationale for your answer.
8. Were the intervention and control groups significantly different for age? Provide a rationale for your answer.
9. What was the mode for bone status for the total sample (N = 41)? Determine the frequency and percentage for the bone status mode for the sample. Round your answer to the nearest whole percent. Why is this clinically important?
10. Based on the bone status of the study participants, discuss the clinical importance of this study. Document your response.
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Answers to Study Questions
1. Demographic variables described in the study were age, height, weight, body mass index (BMI), lifestyle (years since menopause, calcium-rich food intake, vitamin D-rich food intake), history of fracture, regular exercise, alcohol consumption, and smoking. You might have identified the bone status, bone mineral density (BMD), and bone biomarkers but these are dependent variables for this study (Grove et al., 2013).

Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience
DQ1 Clinical Reasoning: Assessing Your Skill
This activity gives you the opportunity to become familiar with the Digital Clinical Experience (DCE) and interact with Tina Jones. You will be using her and other avatars throughout the course to refine your ability to conduct a comprehensive health history and physical examination, and develop your clinical reasoning skills.
You must complete your Digital Clinical Experience (DCE) Orientation in Shadow Health before you begin this or any assignment in Shadow Health.
Respond to the following:
Question 1: Discuss clinical reasoning and describe the process through which a clinician’s clinical reasoning develops over time. How does the APN use this clinical reasoning to develop a hypothesis and establish a working diagnosis?
Question 2: Discuss what have you learned about yourself during your interaction with Tina. What have you learned about your skill level? What do you see as your goals for this course?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
DQ2 Clinical Reasoning: Mental Health
For this discussion, you will use the scenario of Ms. Ruiz, covered in the module notes, to answer your questions.
Respond to the following:
Question 1: What questions should you ask Ms. Ruiz? What are your concerns for her? What kind of services would you need to establish for her follow-up care? What other members of the healthcare team would you work with in establishing a plan of care? Identify interventions, including health promotion activities that you would recommend. How would you treat her “sleep” issue?
Question 2: What impact may Ms. Ruiz’s social situation and culture have on this scenario?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
Module 2 discussion
DQ1 Clinical Reasoning: Skin Lesions
For this discussion, you will use the scenario of Mrs. Wright, found in the module notes, to answer the questions. This discussion provides an opportunity for you to explore the skin and lesions of the skin.
Respond to the following:
Question 1: What should your level of concern be for lesions that occur in this area of the face? How should you address this issue and what should be your priority for this patient, who has shingles on her face?
Question 2: What other questions are pertinent in determining how to treat this patient? What should your treatment plan be? What other members of the healthcare team would you work with in establishing a plan of care?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
DQ2 Clinical Reasoning: Head and Neck
For this discussion, you will use the scenario of Ms. Blackfoot, found in the module notes, to answer the questions. This discussion provides an opportunity for you to explore the head and neck.
Respond to the following:
Question 1: What other questions regarding Ms. Blackfoot’s health history should you ask or be concerned about? What other systems should you include in your examination?
Question 2: What would be your presumptive initial diagnosis? Discuss the clinical reasoning that led you to this conclusion. What other diagnosis should you include in your differential diagnosis? What other members of the healthcare team would you work with in establishing a plan of care?
Question 3: Discuss the cultural implications of this woman’s diagnosis. What things should you be cognizant of when engaging in a conversation with the patient concerning her diagnosis and treatment?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
Module 3 discussion
DQ1 Clinical Reasoning: Heart and Lungs
Respond to the following:
Question 1: What would be part of your work up for this patient? Based on his immigrant status, what would concern you regarding the etiology of the disease process? What are the co-morbidities that would be concerning for this diagnosis in an immigrant patient of Mexican descent?
Question 2: What is the role of the APN in treating a Hispanic patient with heart failure? What other members of the healthcare team would you work with in establishing a plan of care for Mr. Rodriguez? How do you provide culturally competent care for this patient? What barriers are there for this patient in receiving the care that is needed? What are the social determinants of health in this population?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
DQ2 Clinical Reasoning: Coronary Heart Disease
Respond to the following:
Question 1: Mr. Foster, the DCE patient, is a Caucasian male. How does race affect the risk factors for coronary heart disease (CHD)? Given the diagnosis of CHD, what would you expect to uncover when you perform an examination of Mr. Foster’s peripheral vascular system and why? What other members of the healthcare team would you work with in establishing a plan of care for Mr. Foster?
Question 2: Consider how a woman may present with coronary heart disease (CHD). How might symptoms, diagnosis, and disease trajectory differ between men and women?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
Module 4 discussion
DQ1 Clinical Reasoning: The Abdomen
Respond to the following:
Question 1: What questions are necessary to ask during the work up of Ms. Patterson? Explain your rationale for asking these questions.
Question 2: What tests should you include once you have a working diagnosis of Acute Pancreatitis? Provide a rationale for these tests. What other members of the healthcare team would you work with in establishing a plan of care for Ms. Patterson?
Question 3: After all testing is complete, Ms. Patterson is found to have blockage of the ducts. Discuss the interventions necessary for management of the blockage.
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
DQ2 Clinical Reasoning: The Breast and GU System
Respond to the following:
Question 1: What would be your first concern for this patient? Provide a rationale for this answer. Describe the steps you would take when working up the breast mass. Discuss what other areas you would seek further information from Ms. Berger.
Question 2: Discuss the types of counseling you would consider given the possible outcomes. Provide a rationale for this answer. Identify other members of the healthcare team you would involve in developing a plan of care for Ms. Berger.
Question 3: Describe the risk factors for breast cancer. Discuss health promotion activities you would advocate for your female patients related to the breast and genitourinary (GU) system.
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
Module 5 discussion
DQ1 Clinical Reasoning: Male Genitourinary System
Respond to the following:
Question 1: What other questions should you ask of Mr. Lange that are pertinent to this issue? What should be included in a physical exam of a 60 year-old male for this specific exam?
Question 2: What is the recommended work up for a patient you suspect has benign prostate hypertrophy (BPH)? What complications can develop from bladder outlet obstruction due to BPH?
Question 3: Briefly describe three (3) treatment options for Mr. Lange. What other members of the healthcare team would you work with in establishing a plan of care for Mr. Lange? Additionally, please include health promotion activities that would be culturally appropriate for him and provide a rationale for your choices.
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
DQ2 Clinical Reasoning: Musculoskeletal System
Respond to the following:
Question 1: Based on the information provided in the case study, what would you consider to be the essential questions to ask Ms. Lee?
Question 2: Based upon your evaluation, you feel that Ms. Lee may have rheumatoid arthritis. If that were the case, what would your examination reveal? List the tests that should be included in Ms. Lee’s work up.
Question 3: What treatment recommendations would you suggest for Ms. Lee if she is diagnosed with rheumatoid arthritis? Please include health promotion activities that would be culturally appropriate for her and provide a rationale for your choices. What kind of practitioner would you recommend as a primary care provider for Ms. Lee?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
Module 6 discussion
DQ1 Clinical Reasoning: Neurological System
Respond to the following:
Question 1: What other questions would you ask Ms. Barthel? What specific exams would you perform on Ms. Barthel?
Question 2: You believe Ms. Barthel has multiple sclerosis (MS). Discuss what you know about the diagnosis of this disease. What tests and specialist(s) would you recommend her seeing?
Question 3: Describe your concerns about Ms. Barthel’s health and safety. What kinds of health promotion activities would you suggest for Ms. Barthel?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
DQ2 Clinical Reasoning: Putting it All Together
Respond to the following:
Question 1: What would you do prior to conducting a comprehensive assessment? What things would you organize and what would be your first priority?
Question 2: What have you learned about health assessment and physical assessment during the course of this semester? What were your “aha” moments?
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Submission Instructions
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 15% of your final course grade.
Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience
Assignment: Digital Clinical Experience

Importance Of Caring To Nursing
Importance Of Caring To Nursing
Based on selected form of artistic expression, this assignment may require you to submit two different files, one for the artistic expression and a paper. Please submit both files at the same time.
Permalink:
Requirements
Criteria for Content
Take a moment to reflect on how you demonstrate caring in your current professional practice.
Create an artistic representation of your perception on caring in nursing. The artistic expression can be a drawing, sculpture, collage, poem, short story, or dance.
Videos are to be 1 to 3 minutes in length.
Poems and short stories should not exceed one-page, double-spaced wording.
Drawings, pictures, or collages should be formatted on an 8 x 10 document.
Sculptures submitted as a jpg.
In a one- to two-page written paper, address the following.
The importance of caring to nursing practice and the profession
A personal definition of caring; include principles of holistic care
Definitions of caring found in nursing literature that support your perspective on caring
An explanation of the artistic expression you chose and how it represents caring
Summary of key concept presented in the paper
This assignment is worth 10% of your overall grade.
Based on selected form of artistic expression, this assignment may require you to submit two different files, one for the artistic expression and a paper. Please submit both files at the same time.
Requirements
Criteria for Content
Take a moment to reflect on how you demonstrate caring in your current professional practice.
Create an artistic representation of your perception on caring in nursing. The artistic expression can be a drawing, sculpture, collage, poem, short story, or dance.
Videos are to be 1 to 3 minutes in length.
Poems and short stories should not exceed one-page, double-spaced wording.
Drawings, pictures, or collages should be formatted on an 8 x 10 document.
Sculptures submitted as a jpg.
In a one- to two-page written paper, address the following.
The importance of caring to nursing practice and the profession
A personal definition of caring; include principles of holistic care
Definitions of caring found in nursing literature that support your perspective on caring
An explanation of the artistic expression you chose and how it represents caring
Summary of key concept presented in the paper

Assignment: Explore the National Institute of Nursing Research (NINR)
Explore the National Institute of Nursing Research (NINR) website:www.ninr.nih.gov/ Review their publication Bringing science to life: NINR strategic plan (2011, p. 7) to identify the current priorities for nursing research. Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? What effect do the nursing research priorities have on nursing researchers?
What criteria must be met in order to consider a practice, evidence-based? Provide examples. Explain the role quality plays in evidence-based practice?
Based on the information you’ve learned to this point, write a research proposal that relates to the topics you chose for a previous assignment. Be sure to include the following information in your proposal:
Hypothesis
Theory
Design model
Method
Anticipated results
Potential Dissemination Avenues
The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textboook. Assignment: Explore the National Institute of Nursing Research (NINR)
The Division of Extramural Science Programs (DESP) serves NINR’s extramural research community and NINR by overseeing policy and management for grants and contracts to support NINR research and training. DESP also performs other specialized functions for the Institute, such as overseeing a nationwide Research Centers program.
DESP OFFICES
Office of Extramural Programs (OEP)
OEP manages the funding activities of NINR that occur outside of NIH, in research institutions across the country and around the world.
Office of End-of-Life and Palliative Care Research (OEPCR)
OEPCR manages the funding activities of NINR in end-of-life and palliative care research including support of EOLPC activities across the NIH and extramural community.
Office of Extramural Research Administration (OERA)
OERA provides leadership and advice to the Senior Executive for Science Programs on implementing and coordinating extramural research, training and career development grant program operations and policies.