Nursing

Assessment of Cardiac Status
Assessment of Cardiac Status
This week’s graded discussion topic relates to the following Course Outcomes (COs)
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. During morning rounds, the off-going nurse shares with you during bedside report that the patient has been experiencing increased discomfort in her back throughout the night and has required frequent help with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is voicing little relief and states that you might want to mention that to the doctor when he rounds later this morning. With the patient appearing to be in no visible distress, you proceed on to the next patient’s room for report.
Approximately 1 hour later, you return to Ms. Jackson’s room with her morning pills and find her slumped over the bedside stand in tears. The patient states, “I don’t know what is wrong, I don’t feel right. My back hurts and I’m just so tired. What is wrong with me?” The patient refuses to take her medications at this time stating that she is starting to feel sick to her stomach.
Just then the nursing assistant comes into the patient’s room to record Ms. Jackson’s vital signs, you take this opportunity to quickly research the patient’s medication record to determine if she has a medication ordered for nausea. Upon return, the nursing assistant hands you the following vital signs: T 37, R 18, and BP 132/54, but states she couldn’t get the patient’s pulse because “it is all over the place.”
Please address the following questions related to the scenario.
What do you suspect is the cause of the patient’s symptoms?
Describe the course of action that you will take to confirm this suspicion and prevent further decline.
What further assessments, lab values, and tests will likely be ordered for this patient and how often? If testing is to be completed more than once, please explain the rationale for doing so.
While you are caring for this patient, how will you ensure that the needs of your other patients are being met?
Week 5 discussion
Assessment of Respiratory Status
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
CO4 Identify teaching/learning needs from the health history of an individual. (PO 2)
Please review the video above as it will provide you with an opportunity to immerse yourself in the role of a nurse addressing tobacco use during routine patient care. Click to review a transcript (Links to an external site.)Links to an external site. of this recording.
While viewing, reflect on what you have learned about tobacco use and the role that nurses and other interdisciplinary team members play in helping to assist tobacco users with quitting. While viewing, it is also important to keep in mind that tobacco users move through stages of change in the process of quitting. They move from pre-contemplation to contemplation, contemplation to preparation; preparation to abstinence; abstinence to maintenance. Every stage requires a different strategy by a nurse.
After watching the video, and reflecting on the information presented, address each of the following questions.
What are the common symptoms associated with an exacerbation of COPD?
What assessment techniques will you use to assess Mary?
Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking.
Find a resource in your community that could assist Mary. Start by searching the Internet for your local health department’s website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
What will you do to follow-up on Mary’s smoking cessation process?
Week 6 discussion
Assessment of the Abdomen and Genitourinary System
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
Amira is a 27-year-old Syrian refugee who has been residing in a local homeless shelter since her arrival here in the United States 4 weeks ago. She was brought into the emergency room this morning via squad after being found by a shelter employee sitting in a pool of blood on the bathroom floor crying and holding her abdomen. Due to her limited English speaking abilities, she is unable to provide specific details as to her complaints but the shelter employee states that she has recently stopped eating and has not looked well for the past couple of days.
Based on the limited information provided, please answer the following questions.
How will you prioritize your care of Amira, what assessments will you complete, and in what order? Please provide rationale for choosing this order.
Are there any cultural beliefs/practices that must be taken into consideration when planning her care?
Considering her symptoms of abdominal pain and bleeding, is it possible that her status as a homeless refugee is a causative or contributing factor to her illness? Please provide rationale for your response.
Week 7 discussion
Assessment of the Musculoskeletal System and Pain
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg.
Past medical history includes: myocardial infarction (MI) x 2, peripheral vascular disease (PVD) with bilateral iliac stents, non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative joint disease.
Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin.
After reviewing the above scenario please answer the following questions.
Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response.
Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery?
Should surgery to repair his right femur be required; what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?
Assessment of Cardiac Status

Evidence-Based Practice Implementation
Evidence-Based Practice Implementation
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Many social workers attempt to implement an evidence-based practice that seems to be strongly supported by research, only to become frustrated or confused when their efforts do not yield the same positive results as the research. This discrepancy can occur because they failed to recognize the differences between conditions in their practice environment and the conditions of the study. Moreover, they may have failed to consider and adequately plan for issues that arise during implementation.
To prepare for this Assignment, using the resources for evidence-based practices (listed below)
· Promising Practices Network. (n. d.). Programs that work. Retrieved October 8, 2013, from
· Promising Practices Network. (n. d.). Research in brief. Retrieved November 12, 2013, from
· Substance Abuse and Mental Health Services Administration. (2012). A road map to implementing evidence-based programs. Retrieved from
· The Campbell Collaboration. (n. d.). Retrieved October 8, 2013, from
Identify an evidence-based practice that may be applicable to your field of practice (Healthcare Social Worker/Mental Health Social Worker). Review two research articles demonstrating the effectiveness of the evidence-based practice. Note any similarities or differences between the conditions in which the evidence-based practice was implemented in the study and the conditions in which you plan to implement it.
Assignment
Submit a 4- to 5-page paper that analyzes the implementation of the evidence-based practice in your field of practice (Healthcare Social Worker/Mental Health Social Worker) to determine if you can expect similar results to the research. The paper should include the following:
· A description of the evidence-based practice that you selected including:
o The population for which the evidence-based practice is intended
o The problems for which the evidence-based practice is intended to address
o A summary of the evidence from the research articles that demonstrate the evidence-based practice’s effectiveness
· An explanation of any differences between the conditions of the study and the conditions on your practice. Explain the potential impact these differences could have on successful implementation.
· A description of the steps that would be required to implement the evidence-based practice including:
o Any factors that would support each step and how you would leverage them
o Any factors that would limit or hinder each step and how you would mitigate them
· A conclusion that includes:
o Anticipated results of the implementation in your practice setting
o An explanation of whether they will be similar or different from the research results from the articles

Assignment: Hospital policy and procedures.
Assignment: Hospital policy and procedures.
NUR3826 Ethical and Legal Aspects of Nursing
Quiz 1
Question 1
External sources for determining standards of care include:
Answers:
Hospital policy and procedure manuals.
Professional journals and nursing texts.
The individual nurse’s experience and education.
The individual nurse’s job description.
Question 2
The statute of limitations for a lawsuit:
Answers:
Defines events that will not be allowed to be discussed at trial.
Defines the period of time in which a lawsuit may be filed.
Is suspended for minors in all states until they become 18 years of age.
Limits the number of plaintiffs and defendants in any given lawsuit.
Question 3
The single most critical factor in determining whether a particular nurse acted with reasonable care in a given situation is:
Answers:
The number of years the nurse has practiced as a professional.
The experience the nurse has in a particular clinical setting.
The ability of the nurse to perform according to his or her job description.
How the nurse’s conduct compared to the conduct of other nurses with similar backgrounds and experience.
Question 4
Which of the following persons would best qualify as an expert in a nursing malpractice case filed because of failure of a post-anesthesia care unit nurse to recognize the early signs and symptoms of respiratory arrest?
Answers:
The director of nursing at the hospital, who holds an MSN in Nursing Administration.
The director of clinical pharmacy, who holds a doctoral degree in clinical pharmacology.
A critical care nurse, who holds a BSN in nursing and certification from the American Association of Critical Care Nurses (AACN).
A staff nurse, who works on the general medical floor and has recently earned a BSN degree.
Question 5
Match the definition to the term provided:
Question
Match
Moral Stress
Moral distress
Moral Uncertainty
Moral Dilemma
All Answer Choices
A.
Questioning the right course of action.
B.
Negative painful state of psychological imbalance which occurs when moral decisions cannot be implemented due to real or perceived constraints.
C.
Occurs when two ethical principles compete.
D.
Conflicting but morally justifiable course of action.
Question 6
The defendant in a lawsuit is the party:
Answers:
Bringing the lawsuit against another.
Who was injured by the nurse or health care provider.
Who is answering a complaint brought against him or her.
Who is the health care institution in the case.
Question 7
The health care team is involved in a situation in which there are two equally undesirable options. One of these options must be chosen and applied to the situation. What term describes this situation?
Answers:
Ethical challenge
Ethical dilemma
Ethical paradox
Ethical contradiction
Question 8
Ordering Question: There are various ethical decision-making models used by nurses when making ethical decisions. The easiest model nurses use at the bedside is the MORAL Model. Place the steps of this model in order:
Answers
Massage the dilemma
Outline the options
Resolve the dilemma
Act by applying the chosen option
Evaluate the entire process
Question 9
The plaintiff in a lawsuit is the party:
Answers:
Bringing the lawsuit against another.
Who is answering the complaint brought against him or her.
Who stands in the place of the injured party.
Who is the health care institution in the case.
Question 10
When nurses assist patients to understand their own value system and make choices consistent with those values, the approach to advocacy is said to be the
Answers:
Rights protection model.
Autonomy model.
Values-based decision model.
Patient advocate model.
Question 11
Anthony and Bob are neighbors. One day, Anthony suddenly attacks Bob with a knife, wounding him severely. Bob is hospitalized for an extended period of time and eventually loses function of his right arm. Anthony is arrested and charged with battery and assault. The classification or type of law that would determine the case against Anthony is:
Answers:
Civil law.
Constitutional law.
Criminal law.
Private law.
Question 12
Ethics as a discipline differs from law in which way?
Answers:
Ethics is external, while law is internal.
Ethics focuses on the individual, rather than society as a whole.
Ethics applies to conduct and actions rather than motive and attitude.
Ethics relies heavily on judicial enforcement.
Question 13
A nurse brings suit against the hospital after being terminated for excessive absenteeism. Who is the defendant in this lawsuit?
Answers:
The nurse bringing the suit
The nurse’s attorney
The hospital
The hospital’s attorney
Question 14
To more fully provide ethical nursing care, nurses should:
Answers:
Explore the values and beliefs of the physicians with whom they work.
Explore their own values and beliefs.
Seek others’ input rather than relying on their own ethical determinations.
Request that all dilemmas be presented to the Hospital Ethics Committee for solution.
Question 15
Ethical dilemmas most often involve:
Answers:
Patients’ right to die.
Patients’ right to privacy.
Nurses’ violation of the Code of Ethics.
Conflicts in basic human rights.
Question 16
When a nurse manager assists an employee in deciding about the employee’s future career and possible options available to him or her, the manager is most likely following the ethical principle of:
Answers:
Justice
Fidelity
Autonomy
Paternalism
Question 17
When a professional nurse does not adhere to therapeutic jurisprudence in his or her decision making when caring for their patients and results in harm to a patient, what type of law would be enforced?
Answers:
Constitutional law.
Tort law.
Contract law.
Patent law.
Question 18
Which group or person has authority to write statutory law such as nurse practice acts?
Answers:
State legislatures
State boards of nursing
State governors
State nursing associations
Question 19
Ethical theories that derive norms and rules from the duties human beings owe to each other fall under the broad classification of:
Answers:
Teleological theories.
Deontological theories.
Utilitarian theories.
Situational ethics.
Question 20
Internal sources for determining standards of care include:
Answers:
Hospital policy and procedure manuals.
Professional journals and nursing texts.
Previous and relevant court cases.
State standards of care as defined by the state board of nursing.

Case Study: Rural Health Clinic.
Case Study: Rural Health Clinic.
Week 5 discussion
Discussion Questions
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, go to the Discussion Area and post a response to one question in the Discussion Area by the due date assigned. You may respond to your classmates’ posts for either question.
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
As a family nurse practitioner you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes in complaining of having a difficulty concentrating in school. On exam you also note that the patient is very thin and frail in appearance and is asking you for diet pills.
What are some initial areas for concern? What screening tools can help lead you closer to your diagnosis?
Describe 1 health promotion strategy you can discuss with the patient.
Be sure to address the following in your plan of care: pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referral/s.
Your work should integrate course resources (text/s) as well as a minimum of two (2) other evidence-based guidelines and/or articles published within 3-5 years.
Week 6 discussion
This week’s content discussed common psychiatric disorders in the Adult and Older Adult client. Often times a secondary diagnosis is masked due to their psychiatric disorder. Review the following case study and answer the following questions.
Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.
Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).
What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
What additional testing should you consider if any?
What are treatment options to consider with this patient?
Week 7 discussion
Assignment 1: Discussion
This week’s content addressed common techniques and testing that can be prescribed by the Nurse Practitioner. Review ONE of the following videos and post for the class what you have learned this week:
Watch the following video on suturing
Suture Skills Course – Learn Best Suture Techniques
Watch the following video on EKG rhythms
Skillstat
Submission Details:
Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
Week 8 discussion
Complete The Growth and Development APEA module. Pick one of the following topics that were reviewed: Newborn assessment, Nutrition, Child, Adolescent, or Immunization. Please choose on that has not been previously covered by a peer.
What is an area that you may have forgotten?
Explain the specific growth and development concept in detail and describe strategies that you will undertake to assist in retaining that information?
Submission Details:
Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
Week 9 discussion
This week’s content will focus on health literacy which is a common barrier towards achieving optimal health care. Please review the following information from the Agency for Healthcare Research and Quality website https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/index.html Evaluate these tools to discover ways that will help reduce the barriers that hinder healthcare literacy
What are your initial thoughts after reviewing the AHRQ website?
What are some strategies you can incorporate in everyday practice to assist with health literacy?
Week 10 discussion
Evidence-Based Clinical Intervention
By the due date assigned, submit your Evidence-Based Clinical Intervention to the Discussion Area.
Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:
The medical problem/diagnosis/disease.
Typical presenting signs and symptoms including:
Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
Concomitant disease states associated with the diagnosis
The pathophysiology of the problem.
Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
The expected outcomes of the intervention.
Algorithms if available.
A typical clinical note in SOAP format.
Respond to at least two of your classmates’ Evidence-Based Clinical Interventions using the lessons and vocabulary found in the reading. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Walden NURS6550 Week 2 Assignment: Hernandez Family Assessment
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. Walden NURS6550 Week 2 Assignment: Hernandez Family Assessment
By Day 7
Submit your Assignment.
Submission and Grading Information. Walden NURS6550 Week 2 Assignment: Hernandez Family Assessment
Walden nurs6052 Quiz – Week 2 September 2019
Question 1 Which of the following statements is true of narrative reviews? (Select all that apply.) A. Narrative reviews engage a highly structured and rigorous approach to reviewing research evidence. B. Narrative reviews provide a general background discussion of a particular issue. C. Narrative reviews require a rigorous, systematic approach to searching the databases for evidence. D. Narrative reviews generally review literature that support the author’s point of view on an issue or topic. E. Narrative reviews are a type of primary research. 5 points Question 2 In qualitative studies, results are reported using words or themes. True False 5 points Question 3 What type of literature may a systematic review include to be considered Level 1 evidence on the Melnyk & Fineout-Overholt levels of evidence hierarchy? A. Phenomenology studies B. Grounded theory studies C. Descriptive studies D. Cohort studies E. Controlled trials without randomization F. Randomized controlled trials 5 points Question 4 In quantitative studies, results are reported using words or themes. True False 5 points Question 5 Randomized controlled trials are which type of research? A. Quantitative research B. Qualitative research C. Mixed-methods research D. Systematic review E. Literature review F. Cohort study 5 points Question 6 Order the following types of research evidence reviews in order of rigor from most rigorous to least rigorous: Systematic review with meta-analysis Integrative review Systematic review without meta-analysis Narrative review 5 points Question 7 You are forming a team to do a systematic review of the literature about interventions to treat post-traumatic stress disorder (PTSD). Which of the following would be your first step? A. Critically appraise the literature identified. B. Conduct an exhaustive search of multiple databases to identify the literature. C. Identify an explicit, reproducible methodology. D. Create a clearly stated set of objectives with predefined eligibility criteria for study inclusion. E. Create a dissemination plan for your systematic review. 5 points Question 8 A key characteristic of a systematic review is that it contains a meta-analysis. True False 5 points Question 9 What type of study is described in the following excerpt? An interprofessional team wants to test a new intervention to see whether it will improve central-line associated bloodstream infection (CLABSI) rates. Subjects were randomized into either the intervention or the control group by pulling a slip of paper with either a one or a two written on it from a manila envelope (those pulling ones were randomized to the intervention group; those pulling twos were randomized to the control group). When the study began, the intervention group received the intervention and the control group received equal attention. Data was collected and analyzed using the Statistical Package for the Social Sciences (SPSS). Descriptive statistics were used to report the data. What type of research article is this? A. Quantitative research B. Qualitative research C. Systematic reviews D. Literature reviews E. Mixed methods F. Program evaluation 5 points Question 10 When trying to determine what type of research study is described in an article, which two sections of the article will give you the best information to make that determination? A. Abstract and conclusion B. Methods and limitations C. Methods and results D. Introduction and results E. Abstract and discussion F. Literature review and data analysis 5 points Question 11 Which of the following types of research can be categorized as primary research? Select all that apply. A. Cohort study B. Literature review C. Grounded theory study D. Randomized controlled trial E. Systematic review F. Controlled trial without randomization 5 points Question 12 What type of information would help you identify a research study as qualitative? (Select all that apply.) A. Data is collected using such approaches as interviews, focus groups, and open-ended questions on surveys. B. Data is collected using Likert scales on surveys. C. Results are reported using numbers and statistics. D. Results are reported using themes and words. E. Data is collected using surveys with fill-in-the-blank questions. F. Results are reported using a mixture of numbers and themes. 5 points Question 13 Both literature reviews and systematic reviews are types of research evidence reviews. True False 5 points Question 14 The methods used in conducting a systematic review are specific and rigorous. True False 5 points Question 15 What types of information would help you identify a research study as quantitative? (Select all that apply.) A. Data is collected using such approaches as interviews, focus groups, and open-ended questions on surveys. B. Data is collected using Likert scales on surveys. C. Results are reported using numbers and statistics. D. Results are reported using themes and words. 5 points Question 16 What kind of study is described in the following excerpt? Researchers are interested in studying the impact of living in a family where a child has been diagnosed with cancer. They collaborate with the oncology department at a large children’s hospital to identify and receive consent from families that have a child with a cancer diagnosis. Participants are consented and data is collected and triangulated using one-on-one interviews, focus groups, and surveys. Data is analyzed for thematic analysis. A. Quantitative research B. Qualitative research C. Mixed-methods research D. Systematic reviews E. Literature reviews F. Cohort studies 5 points Question 17 Mixed-methods studies are a combination of which two methodologies? A. Quantitative research methodologies and literature reviews B. Quantitative and qualitative research methodologies C. Qualitative research methodologies and systematic reviews D. Literature reviews and qualitative research methodologies E. Quasi-experimental and program evaluation 5 points Question 18 Which of the following is a type of quantitative research study? A. Phenomenology B. Case study C. Randomized controlled trial D. Ethnography E. Participative action research F. Ground theory 5 points Question 19 In a systematic review with a meta-analysis, researchers combine the results of each of the individual studies to create a larger sample size (and therefore greater power), then re-run the statistics to capture the true magnitude of the effect. The single-effect measure calculated and reported when the results from all the studies are combined is called what? A. Summary statistic B. Power analysis C. Confidence Interval D. Chi square E. Pearson’s co-efficient 5 points Question 20 What type of study is described in the following excerpt? Surveys to evaluate nurse satisfaction, medical errors, depression and anxiety, and demographics were given to 5,432 nurses from hospitals of various sizes and geographic locations; some had nurses working 8-hour shifts and 12-hour shifts. Nurses were asked to complete the survey. Upon completion of the survey, nurses were invited to participate in video conference focus groups and one-on-one interviews with a research assistant by video conferencing. Survey results were reported using descriptive statistics, and themes were identified and reported from the data collected in the focus groups and one-on-one interviews. A. Quantitative research B. Qualitative research C. Quasi-experimental research D. Mixed-methods research E. Systematic reviews

Assignment: Flood Mitigation Efforts
Assignment: Flood Mitigation Efforts
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You are the emergency manager of your local community and have been issued the task of calling local, state, and federal officials to meet regarding recovery planning and mitigation efforts for flooding within the community. You would like individuals within your department to help you organize and conduct the meeting, so you call them into your office to discuss how you would like the officials to be approached regarding the meeting and what items will be discussed during the meeting.
For this assignment, you will create a PowerPoint presentation that will cover the following topics related to recovery operations and mitigation strategies within your community:
methods that will be used to gather stakeholders together for this collaboration process;
necessary steps that will be needed in order to provide relocation services for flooding victims;
how business continuity will occur for 7-10 days after the event,15-30 days after the event, and 45 days after the event;
and individuals who will be instrumental in working alongside community members regarding the Geographical Information System (GIS), which, as you recall, can be used in mapping and visualizing the vulnerabilities within your community.
Your PowerPoint presentation should consist of at least 10 slides, not including your title slide and references slides.
Use the Note Section to do in depth
***Go by the powerpoint guide (Attached)
You should use at least two sources, one of which can be your textbook. Be sure that your sources are cited and referenced properly using APA formatting.
Text book: Kapucu, N., & Özerdem, A. (2013). Managing emergencies and crises. Burlington, MA: Jones & Bartlett Learning.
Journal Entry
Thinking about your local community, how prepared is your community regarding disaster events that may impact the area? What are some of the local, state, and federal resources that may be necessary to use (call upon) after a disaster event has taken place?
Community: Killeen, Texas
Your journal entry must be at least 200 words. No references or citations are necessary.
Need original and unplagiarized work, please do not accept if cannot return quality work. Please read assignment fully
***Attached is Week III Study guide that will help you with the assignments

Discussion: Examining Endocrine, Metabolic, and Hematologic Disorders
Discussion: Examining Endocrine, Metabolic, and Hematologic Disorders
In the United States, 256 million adults age 20 years or older have diabetes (American Diabetes Association, 2011) If not properly treated and managed, these millions of diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness Proper treatment and management is the key for diabetic patients, and as the advanced practice nurse providing care for these patients, it is your responsibility to facilitate this process Patient education is critical, as is working with patients to establish a regular pattern for daily activities such as eating and taking medications When developing care plans for patients, you must keep the projected outcomes of treatment in mind, as well as patient preferences and other factors that might impact adherence to treatment and management plans In this Discussion, you draw from your Practicum Experience and consider factors that impact the education and treatment of patients with diabetes
For this Discussion, consider the following three case studies of patients presenting with endocrine, metabolic, and hematological disorders
Case Study 1
An 82-year-old female presents to the office complaining of fatigue, dizziness, weakness, and increasing dyspnea on exertion She has a past medical history of atrial fibrillation, hypertension, and hyperlipidemia Medications include warfarin 2 milligrams po daily, lisinopril 10 milligrams po daily, and simvastatin 10 milligrams po daily There are no known drug allergies The physical exam reveals a 5’2” older female Her weight is 128 pounds, blood pressure is 144/80, heart rate is 98, temperature is 98 degrees Fahrenheit, and O2 saturation is 98% Further examination reveals the following:
Eyes: + pallor conjunctiva
Cardiac: irregular rhythm No S3 S4 or M NO JVD
Lungs: CTA w/o rales, wheezes, or rhonchi
Abdomen: soft, BS +, + epigastric tenderness No organomegaly, rebound, or guarding
Rectal: no stool in rectal vault
Case Study 2
A 78-year-old female presents to the emergency room after a fall 3 days ago She recently had a right above-the-knee amputation and was leaning over to pick something up when she fell She did not want to come to the hospital, but she is having difficulty managing at home because of the pain in her left leg where she fell Her patient medical history reveals RAKA, peripheral vascular disease, Type 2 diabetes, and stage 3 chronic kidney disease Current medications include quinapril 20 milligrams PO daily, Lantus 30 units at bedtime, and Humalog to scale before meals There are no known drug allergies The physical exam is negative and x-rays reveal no acute injuries Laboratory studies reveal a normal white blood cell count: Hgb of 8 and HCT 24 The MCV is normal
Case Study 3
VG is a 47 year old African American male with type 2 diabetes diagnosed two years ago He is for a follow up and complaining of increased tingling to the lower extremities PMH: obesity, dyslipidemia, HTN He quit smoking smoking two years ago Denies any alcohol use SH: lives with alone in a subsidized housing He is a veteran and relies on food stamps and welfare Works occasionally MEDS: he lost his medications and hasn’t taken any in about a week His chart indicates his is on Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD, PE: 5’9, BP: 160/100 RBG: 415
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Assignment: Aspects of Nursing
Assignment: Ethical Aspects of Nursing
Quiz 3
Question 1
Delegation has been a concept used in nursing:
Answers:
Since the 1990s.
Since the early 1970s.
Since the mid-1950s.
Throughout all of nursing’s history.
Question 2
Collective bargaining is defined and protected by the:
Answers:
Civil Rights Act of 1991.
National Labor Relations Act and its amendments.
Equal Pay Act of 1963.
National Practitioner Data Bank.
Question 3
Risk management is a process that attempts to identify potential hazards and:
Answers:
Compensate previous injuries.
Eliminate them before anyone is harmed.
Discipline staff who have been involved in previous incidents.
Supercede the need to file incident reports.
Question 4
When the nurse manager transfers full responsibility for the performance of a task without transferring the accountability for the ultimate outcome, the task has been:
Answers:
Regulated.
Supervised.
Delegated.
Retained.
Question 5
The doctrine of respondeat superior:
Answers:
Makes the hospital liable for independent contractor.
Prevents the hospital from being liable for actions of its employees.
Makes it more likely that the hospital will be liable for actions of its employees.
Makes the hospital responsible for liability against invited guests.
Question 6
When a nurse is employed as a private-duty nurse, which of the following legal doctrines cannot apply to the nurse’s conduct?
Answers:
Correct
The doctrine of respondeat superior.
Personal liability.
Res ipsa loquitur.
Negligent cause of action.
Question 7
Persons who are qualified under the Americans with Disabilities Act include:
Answers:
Persons who have gender identity disorders and sexual behavior disorders.
Persons who are bisexual and homosexual.
Persons who are currently using illegal drugs.
Persons who are recovering or rehabilitated alcoholics.
Question 8
When nursing students perform skills customarily performed by RNs, the standard of care that applies to their actions is:
Answers:
A diminished standard of care, because the nursing student has not yet passed the state board examination.
A student’s standard of care, specially carved out for student nurses.
A higher standard of care, because the student is more completely supervised than are practicing RNs.
The same standard as for the RN.
Question 9
In passing the Americans with Disabilities Act of 1990, Congress attempted to combine the two legal concepts of:
Answers:
Disability and the right to work.
Disability and equality.
Disability and autonomy.
Disability and fairness.
Question 10
Reasonable accommodation means that the employer must provide the qualified employee with:
Answers:
Employment regardless of the disability.
Needed and reasonable modifications in the workplace.
A part-time schedule if the qualified worker is unable to work on a full-time basis.
Employment opportunities not given to persons without disabilities.
Question 11
One of the means used today to ensure that nurses floated to other areas of the hospital are qualified to work in those units is:
Answers:
Correct
Cross-training staff to various units.
Employing extra staff for all units.
Orienting staff to only one unit and then keeping them on that unit.
Transferring patients to units with better staffing patterns.
Question 12
Since unlicensed personnel are not licensed by the state in their own right, they may perform delegated tasks because:
Answers:
They practice on the license of the professional delegating the task.
They are sanctioned by the American Hospital Association as an exception to the requirement for licensure.
They work under the auspices and licensure of the institution, not the professional nurse.
They are sanctioned by the state nurse practice act as an exception to the requirement for licensure.
Question 13
A nurse, while under a general employment contract with a hospital, is subject to the right to direct and control the details of his or her work by a second entity. Such a nurse would be said to be acting as a (an):
Answers:
Dual servant.
Borrowed servant.
Independent contractor.
Agent of the principal.
Question 14
The nurse’s responsibility and accountability for appropriate delegation of tasks is found in the:
Answers:
ANA Code for Nurses.
ANA Nursing Scope and Standards of Practice.
State nurse practice acts and rules and regulations as promulgated by the state boards of nursing.
All of the above.
Question 15
When one delegates tasks to another, accountability for that task:
Answers:
Is transferred to the person performing the task.
Is retained by the person who transfers the task.
Is held jointly by the person transferring the task and the person performing the task.
Can be imputed to either the person performing the task or the person transferring performance of the task.
Question 16
Advanced Practice Nurses (APNs) in hospital settings are more likely to be sued for malpractice than staff nurses because:
Answers:
They work with more seriously ill patients, who may develop more complications during the course of treatment.
They enjoy higher salaries and thus are better litigation targets.
They assume greater legal liability by virtue of their specialty credentials.
They are perceived as having greater autonomy in the work setting.
Question 17
A nurse practicing in a long term care facility, delegates the task of ambulating Mr. Gonzales, to two aides. Mr. Gonzales is an elderly gentleman who has a history of transient ischemic attacks (TIAs). While he appears to be able to ambulate without assistance, two aides are to walk with him to ensure that he does not experience another TIA and falls. One of the most important aspects when delegating this task, given Mr. Gonzales’ history, is to ensure that:
Answers:
Mr. Gonzales is comfortable with having aides walk with him.
Mr. Gonzales understands the need for assistance.
The aides understand the importance of walking with Mr. Gonzales.
The aides ambulate Mr. Gonzalez at least once during the day.
Question 18
The legal guide to the practice of registered nursing is:
Answers:
ANA Code of Ethics
Nightingale Pledge
State Nurse Practice Act
Nurse’s Bill of Rights
Question 19
The doctrine of personal liability is a rule that:
Answers:
Protects nurses against liability for malpractice.
Holds everyone responsible for his or her own negligent conduct.
Makes some persons responsible for the actions of others.
Ensures that no one has liability in certain legal actions.
Question 20
The Americans with Disabilities Act covers:
Answers:
Only physical impairment.
Only mental impairment.
Either physical or mental impairment.
Neither physical or mental impairment.
Assignment: Aspects of Nursing

Capella FP6011 Assessment 2
Assignment: Capella FP6011 Assessment 2
Develop a population health improvement plan, based on your evaluation of the best available demographic, environmental, and epidemiological data, that focuses on your diagnosis of a widespread population health issue.
Part of effectively engaging in evidence-based practice is the ability to synthesize raw health data with research studies and other relevant information in the literature. This will enable you to develop sound interventions, initiatives, and outcomes to address health concerns that you find in data during the course of your practice.
In this assessment, you have an opportunity to evaluate community demographic, environmental, and epidemiological data to diagnose a widespread population health issue, which will be the focus of a health improvement plan that you develop.
: Assignment: Capella FP6011 Assessment 2
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 2: Apply evidence-based practice to design interventions to improve population health.
Evaluate community demographic, epidemiological, and environmental data to diagnose widespread population health issues.
Develop an ethical health improvement plan to address a population health issue within a community.
Competency 3: Evaluate outcomes of evidence-based interventions.
Propose criteria for evaluating population health improvement plan outcomes.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
Justify the value and relevance of evidence used as the basis of a population health improvement plan.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
Develop a strategy for communicating with colleagues and members of the community in an ethical, culturally sensitive, and inclusive way.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
Preparation: Assignment: Capella FP6011 Assessment 2
Your organization is undertaking a population health improvement initiative focused on one of the pervasive and chronic health concerns in the local community. Examples of health improvement initiatives include nationwide concerns, such as type 2 diabetes, HIV, obesity, and Zika. However, your organization has asked you to determine which widespread health concern should be addressed in a population health improvement plan for the community in which you practice and has entrusted you with gathering and evaluating the relevant data.
Requirements: Assignment: Capella FP6011 Assessment 2
Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.
Data Evaluation
Evaluate community demographic, epidemiological, and environmental data.
Identify the relevant data.
Describe the major community health concerns suggested by the data.
Explain how environmental factors affect the health of community residents.
Health Improvement Plan
Develop an ethical health improvement plan that effectively addresses the population health concern that you identified in your evaluation of the relevant data.
Base your plan on the best available evidence from a minimum of 3–5 current scholarly or professional sources.
Apply correct APA formatting to all in-text citations and references.
Attach a reference list to your plan.
Ensure that your plan meets the cultural and environmental needs of your community and will likely lead to some improvement in the community’s health related to this concern.
Consider the environmental realities and challenges that exist in the community.
Address potential barriers or misunderstandings related to the various cultures prevalent in the community.
Justify the value and relevance of the evidence you used as the basis of your plan.
Explain why the evidence is valuable and relevant to the community health concern you are addressing.
Explain why each piece of evidence is appropriate and informs the goal of improving the health of the community. Assignment: Capella FP6011 Assessment 2
Propose relevant and measurable criteria for evaluating the outcomes of your plan.
Explain why your proposed criteria are appropriate and useful measures of success.
Explain how you will communicate with colleagues and members of the community, in an ethical, culturally sensitive, and inclusive way, with regard to the development and implementation of your plan.
Develop a clear communications strategy mindful of the cultural and ethical expectations of colleagues and community members regarding data privacy.
Ensure that your strategy enables you to make complex medical terms and concepts understandable to members of the community, regardless of language, disabilities, or level of education. Assignment: Capella FP6011 Assessment 2

Assignment: Case Study Of Urinalysis
Assignment: Case Study Of Urinalysis
Module 2 quiz
Question 1 A client’s urinalysis results show a protein level of 1.8 mg/dL. Which action by the nurse is best?
Question 2 Which question best assists the nurse in assessing a client with acute diarrhea?
Question 3 Which client statement indicates a good understanding regarding antibiotic therapy for recurrent urinary tract infections?
Question 4 A client with severe bacterial cystitis is prescribed cefadroxil (Duricef) and phenazopyridine (Pyridium). What statement by the client indicates an accurate understanding of these medications?
Question 5 A client just experienced an episode of reflux with regurgitation. What assessment by the nurse is the priority?
Question 6 The nurse is caring for a client who has just returned from abdominal surgery. When auscultating the client’s abdomen, the nurse does not hear any bowel sounds. Which is the nurse’s best action?
Question 7 A client scheduled for intravenous urography informs the nurse of the following allergies. Which one does the nurse report to the health care provider immediately?
Question 8 The female client’s urinalysis shows all the following results. Which does the nurse document as abnormal?
Question 9 The nurse is caring for a client with an umbilical hernia who reports increased abdominal pain, nausea, and vomiting. The nurse notes high-pitched bowel sounds. Which conclusion does the nurse draw from these assessment findings?
Question 10 The client is scheduled for a colonoscopy. Which statement indicates that the client needs additional teaching about the procedure?
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