Nursing

Assignment: Patient Diagnosed with Dementia
Assignment: Patient Diagnosed with Dementia
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?
Question 28 options:
Closed awareness.
Suspected awareness.
Mutual pretense.
Mutual pretense.
Question 29 (5 points) Question 29 Unsaved
When an older adult client is diagnosed with restless leg syndrome (RLS), the nurse is confident that client education on the condition’s contributing factors has been effective when the client states:
Question 29 options:
“A warm bath at night instead of in the morning is my new routine.”
“Eating a banana at breakfast assures me the potassium I need.”
“I’ve cut way back on my caffeinated coffee, teas and sodas.”
“I elevate my legs on a pillow so as to improve circulation.”
Question 30 (5 points) Question 30 Unsaved
State Death with Dignity Laws require that the terminally ill client be:
Question 30 options:
Educated regarding treatment alternatives.
Over the age of 55.
Be supported in their decision by immediate family members.
Eligible for federal support services.
Question 31 (5 points) Question 31 Unsaved
Serious and well controlled research studies on aging have been available:
Question 31 options:
Only in the past 50 years
Since the turn of the 20th century
Following the Great Depression
Since the year 2000
Question 32 (5 points) Question 32 Unsaved
Which activity would a couple in the reorientation phase of their retirement engage in?
Question 32 options:
Establishing a new budget that will allow them to travel to see the grandchildren.
Reading magazines devoted to making decisions about retirement plans.
Looking for ways to ‘fill up the days.’
Volunteering at the local animal shelter.
Question 33 (5 points) Question 33 Unsaved
What factor is an important contribution to polypharmacy in older adults?
Question 33 options:
Inadequate communication among medical care providers.
Implementation of Medicare Part D prescription drug benefit.
Use of generic medications.
Increasing popularity of dietary and herbal supplements.
Question 34 (5 points) Question 34 Unsaved
Which is the most likely reason that Type 2 diabetes mellitus is often difficult to diagnose in older adults?
Question 34 options:
Presenting symptoms occur very quickly.
The disease rarely occurs in older adults.
The classic symptoms may not be present in older adults.
There are no recognizable symptoms; it is a “silent killer.”
Question 35 (5 points) Question 35 Unsaved
An older client in a long-term care facility is receiving an annual physical and is ordered laboratory tests that include a complete blood count, serum electrolytes, and thyroid tests. When the client’s son questions why these tests are being ordered by saying, “Dad is 85 and supposed to be sleepy,” the nurse’s response is based on an understanding that:
Question 35 options:
The healthcare provider ordering the tests needs to explain the rationale to the son.
When conducted annually, all of the tests are helpful in promoting maximum health for older adults in the long-term care setting.
The tests are useful, but only if clinically indicated.
The complete blood count and serum electrolytes are useful screening tests, but the usefulness of the thyroid test should be questioned.
Question 36 (5 points) Question 36 Unsaved
Which reaction to the loss of a spouse or long-term partner is a unique example of older adult male bereavement?
Question 36 options:
Withdrawing from friends and family.
Remarrying within months of the loss.
Focusing on ‘doing’ rather than ‘feeling.’
Experiencing moderate to severe depression.
Question 37 (5 points) Question 37 Unsaved
It is imperative that nursing take a leadership role in providing effective health care across the lifespan and in various health care settings. Which intervention will have the greatest impact on achieving positive outcomes concerning that issue?
Assignment: Patient Diagnosed with Dementia

Assignment: Legal Aspects of Nursing
Assignment: 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.

Assignment: Spiritual Modes of Healing
Assignment: Spiritual Modes of Healing
1. True or False: Energy Systems in the body are used by both conventional and integrative medicine. ?
2. Select the most effective method that nurses can use to gain power over their practice.
?
3. An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is:
4. What is the purpose of spiritual modes of healing? Enhance comfort and produce an inner peace
?
5. True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the Department of Health.
?
6. Which best describes The Leapfrog Group and its recommendations?
?
7. A client’s blood pressure of 180/110 mmHg is an example of which of the following?
8. With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching? ?
9. What is the definition of the ethical principle of nonmaleficence?
10. These characteristics are difficult to identify, but have an even more profound effect on an individual’s cultural identity.
11. Which of the following is a key element to effective education of nursing students?
12. Which of the following would NOT be considered an invasion of privacy:
13. Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine?
?
19. Which characteristic is required in a person to be able to resolve difficult crises?
20. Where would a nurse look to find their scope of practice as defined by state law?
21. Identify an important aspect of the role of forensic psychiatric nurses Identify changes in
22.
The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor?
A) Each hospital establishes its own policy regarding spirituality.?B) The American Association of Colleges of Nursing mandates a policy related to spirituality in health care?C) The Joint Commission has a standard of patient care with inclusion of spirituality.?D) Spirituality remains at the discretion of the chaplain or pastoral care.
23.
What is the first step in the delegation process?
A) Allowing the person to observe the RN performing the task before making the assignment?B) Determining the skill level of the person to whom the task is to be delegated?C) Obtaining permission from the client for another care provider to help with the care?D) Instructing the person to whom the task is delegated about the assignment
24.
,.
A) The client’s perceptions and beliefs about the disease process and the modalities of treatment?B) The distance the client lives from the primary health-care facility?C) The age difference between the client and the nurse?D) What type of insurance coverage the client has
25.
Identify a secured setting for the practice of forensic nursing.
A) Crime scenes?B) Women’s shelters?C) Emergency rooms?D) Correctional institutions
26.
What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data?
A) A failure to determine the impact nurses have on outcomes?B) The inability to identify what the nursing staff actually does?C) The establishment of appropriate reimbursement for nursing activities?D) A decrease in the number of nursing diagnoses
27.
A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.
A) Sets up a time and place for a one-on-one meeting with the staff nurse?B) Arranges for the transfer of the staff nurse to the night shift?C) Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleagues?D) Notes that the vocal staff nurse is not intelligent enough to understand the situation, and disregards her comments as worthless
28.
When do most health-care expenditures occur in a person’s life?
A) As old age sets in due to the development of multiple chronic illnesses?B) During the last 6 months of life?C) During childhood due to the large number of broken bones and traumatic injuries?D) During and shortly after being born
29.
Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medical-surgical unit from the outpatient clinic?
A) Completing the admission vital signs and assessment on a 44-year-old woman who just returned from the post anesthesia care unit after nephrectomy?B) Obtaining a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion?C) Changing the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries?D) Assisting a 72-year-old man 1 day post–cerebrovascular accident with dysphagia to eat lunch
30.
What is the primary goal of the nurse navigator role?
A) Lower the risk factors that cause poor or adverse client outcomes?B) Elimination of the barriers to care to make moving through the treatment maze easier?C) Starting a business by combining nursing experience and knowledge with business knowledge?D) Provide health care for inmates in correctional facilities such as juvenile centers, jails, and prisons
31.
True or False: It is estimated that 98,000 people die per year due to adverse events & medical errors in hospitals.
A) False?B) True
32.
Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.
A) Aggressive?B) Assertive?C) Dishonest?D) Submissive
33.
Which nursing intervention is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of Spiritual Distress?
A) Explain the nurse’s religious beliefs and values immediately when requested to do so by the client.?B) Contact an appropriate spiritual leader or community for conduct of spiritual rituals sought by the client.?C) Express a willingness to assist and cooperate with religious practices that are not detrimental to the client’s health in the treatment setting.?D) Communicate acceptance of the client’s spiritual needs and acknowledge their importance.
34.
When does the encoding process of communication take place?
A) The message is sent in a way that causes confusion in the receiver.?B) The receiver thinks about the information, understands it, and forms an idea based on the message.?C) The sender sends the message.?D) The receiver responds to the message and gives feedback.
35.
Who is called the “father of modern medicine”?
A) Hippocrates?B) Emperor Darius?C) Cyrus the Great?D) William Harvey
36.
Identify the task that may be delegated to an LPN (LVN) if all of the clients are stable.
A) Developing the nursing diagnosis for a newly admitted client?B) Turning a client with a CVA every 2 hours?C) Teaching a new diabetic patient how to administer insulin injections?D) Adding potassium to an intravenous (IV) bag of D6W that was already hanging
37.
A patient is anxious about a procedure. Knowing the patient loves the beach, the nurse instructs them to close their eyes and picture the ocean, sand, and rays of the sun. Which of the following practices is the nurse implementing?
A) Transcendental Meditation?B) Guided Imagery?C) Therapeutic Talking?D) Visualization
38.
Identify the primary change that increased the need for many more certified RN-coders and certified RN-auditors.
A) The development of new oversight procedures for Medicare and Medicaid?B) The switch to the new ICD-10 coding system?C) The new regulations that came into effect with the Affordable Care Act?D) The closing of many college programs that teach or offer degrees in health-care coding
39.
Identify the four concepts that are common in most nursing theories.
A) Client, health, environment, nursing?B) Hospital, nursing home, clinic, physician’s office?C) Nurse, physician, client, other providers?D) Care, adaptation, system, cure
40.
Which of the following demonstrates the planning phase of the nursing process?
A) The nurse specifies short and long term outcomes for the client?B) The nurse determines whether or not the client’s short term outcomes were met?C) The nurse performs a physical exam and collects a health history?D) The nurse identifies that the client is at risk for pressure ulcers
41.
What is the best way to increase the motivation to learn in the elderly population?
A) Use negative reinforcements when an elderly person does not change behavior appropriately?B) Link positive reinforcement to changes in behavior.?C) Ignore their life experiences so that the learning is not contaminated by misinformation from the past.?D) Use the power disparity between the teacher and the client to reinforce basic principles
42.
Why is it important for nurses in general practice to have an awareness of forensic knowledge?
A) They may one day wish to become certified in forensic nursing?B) Forensic knowledge is a part of nursing curricula and is necessary for passing the National Council Licensure Examination?C) Nurses are often in positions to report crimes or preserve evidence.?D) With the increasing involvement of nurses in malpractice suits, forensic knowledge will help them win their cases
43.
Why is term healing preferred to medicine when referring to alternative and complementary modalities?
A) Clients might associate alternative treatments with hospital care.?B) Nurses have had a strong influence in naming this modality.?C) The treatments are based on holistic philosophies that go beyond treatment or cure of the physiological dimensions of care.?D) Medicine implies that only physicians can carry out the treatment
44.
An example of civility in the classroom consists of keeping cell phones on silent and using proper cell phone etiquette?
A) False?B) True
45.
What primary skills are required of the nurse to provide cultural competent care?
A) All of the above?B) Sensitivity?C) Understanding?D) Communication
46.
Both nursing models and theories help explain and direct nursing actions.
A) True?B) False
47.
Which of the following statements is most accurate about the vast majority of the elderly?
A) They make up the single largest expenditure for the federal government budget?B) They are relatively healthy and most manage their chronic conditions at home?C) They all have chronic diseases and are in assisted-care facilities.?D) They have high levels of depression and are usually in bad spirits.
48.
Although the assessment techniques used for different individuals may be identical, the nurse needs to know the basic biological and physical variations among ethnic groups.
A) True?B) False
49.
The client’s short term outcome was to sit up in a chair at bedside for 30 minutes. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this?
A) Evaluation?B) Assessment?C) Planning?D) Diagnosis
Assignment: Spiritual Modes of Healing
Assignment: Spiritual Modes of Healing
Assignment: Spiritual Modes of Healing

Singapore Airlines Case Study
Singapore Airlines Case Study
Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).
Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.
Review “Singapore Airlines Case Study.”
Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.
Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.
Prepare this assignment according to the APA 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.
Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).
Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.
Permalink:
Review “Singapore Airlines Case Study.”
Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.
Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.
Prepare this assignment according to the APA 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.

Discussion: Cultural and Spiritual Competence
Discussion: Cultural and Spiritual Competence
Respond to the following:
Question 1: What implications does culture have for the care of Ms Gandhi? Describe the spiritual concerns you’ve identified
Question 2: What cultural factors do you believe may contribute to Ms Gandhi’s overall health? How would you address her physical needs in a culturally competent way? How would you address her spiritual needs? What would be different if Ms Gandhi was a Muslim? Or if she was male rather than female?
Question 3: Given the limited time allotted, how would you prioritize this visit? What would you address first, second, etc?
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

Healing and Autonomy Assignment
Healing and Autonomy Assignment
In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.
Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.
In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
In 400-450 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. You are required to submit this assignment to LopesWrite.
Rubric:
1. Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%
2. Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%
3. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 30%
4. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
5. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
6. Writer is clearly in command of standard, written, academic English. 5%
7. All format elements are correct. 5%
8. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%
There are three different parts to this paper:
· Part one deals with Mike’s decision-making capabilities.
· Part two deals with how to think issues related to sickness and health.
· Part three deals with a spiritual assessment.
Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics(2005).
Read “End of Life and Sanctity of Life,” by Reichman, from American Medical Association Journal of Ethics, formerly Virtual Mentor (2005).

Capella FP5004 Assessment 1
Assignment: Capella FP5004 Assessment 1
Draft a proposal of 4–5 pages for the development of an interprofessional team to address a problem in delivering safe, high-quality health care.
Read each portion of the assessment carefully and see if the suggested resources can help you complete it.
Effective interprofessional collaboration is an essential strategy for health care leaders in delivering safe, high-quality health care and reducing costs. The ability to establish effective professional relationships among internal and external resources is the foundation of collaboration (Lawson, 2004).
This assessment provides an opportunity to consider the practical value and implementation of a collaborative strategy in your professional practice or area of interest.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Explain the concepts, principles, and characteristics of effective health care leadership.
Analyze the factors contributing to a problematic health care issue.
Competency 2: Explain the role of health care leaders in facilitating interprofessional collaboration.
Explain the need for interprofessional collaboration to improve the quality and safety of health care in specific instances.
Assess the effectiveness of a particular leadership approach in building and maintaining interprofessional collaborative relationships.
Develop a collaborative plan for improving the quality and safety of health care in specific instances.
Determine the leader’s role in implementing collaborative health care improvement projects.
Competency 4: Determine the influence of the practitioner-scholar role on professional practice and leadership development. Assignment: Capella FP5004 Assessment 1
Determine how the practitioner-scholar model might be applied in resolving a particular health care issue.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Develop a strategy for communicating the progress of interprofessional teams to organizational leaders.
Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.
Assignment: Capella FP5004 Assessment 1:Reference
Lawson, H. (2004). The logic of collaboration in education and the human services. Journal of Interprofessional Care, 18(3), 225–237.
Preparation
Health care leaders often find that resolving a problem in delivering safe, high-quality health care requires the combined effort of a number of agencies, departments, and individuals.
For this assessment, identify a quality-related situation or problem relevant to your professional practice or area of interest that requires the collaborative effort of several departments and individuals to resolve. You will assume the role of team leader and draft a proposal for the organization’s executive leadership that outlines why this interprofessional team is necessary, who should take part in the collaboration, how the team will function, and how progress will be reported.
A project proposal should identify the situation or problem, identify the causes or contributing factors, present a plan of action, provide details about the plan, and provide reasons why the plan should be undertaken.
Note: Remember, you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of your proposal for this assessment. However, be mindful of the turnaround time for receiving feedback if you plan on using this free service.
Proposal Requirements: Assignment: Capella FP5004 Assessment 1
Write a proposal for assembling an interprofessional team. As you begin drafting your proposal, consider your goal and the needs of the leaders whose decisions will be based on the information you provide.
Note: The requirements outlined below correspond to the grading criteria in the Interprofessional Collaboration scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. You are provided an example proposal that illustrates what proficient-level work for this assessment looks like.
Proposal Format and APA Style
Use the simplified Project Proposal Template, linked in the Resources, to draft your proposal. You may organize the content of your proposal in a format used in your organization. An abstract is not required.
Your proposal should be 4–6 double-spaced pages in length, not including the title page and reference page.
Apply correct APA formatting to all in-text citations and references.
Use Times New Roman, 12-point font.
Writing: Assignment: Capella FP5004 Assessment 1
Be concise, but thorough. Your readers need sufficient and accurate information on which to base their decisions, and do not have time to sift through information that is not pertinent.
Express your main points, arguments, and conclusions coherently.
Use correct grammar and mechanics.
Be sure to support your claims, arguments, and conclusions with credible evidence from 3–5 current, scholarly or professional sources.
Proofread your writing.
Plan Content
Analyze the factors that have contributed to the problem. ( Hint: Examine the reasons for ineffective communication, not just the communication itself. Reasons may include staff burnout, workload, staffing shortfalls, attitudes, assumptions, and so on.)
Consider whether certain combinations of factors might be contributing to the problem.
Explain why an interprofessional team is needed to address the problem and achieve expected project outcomes.
Determine who should be on the team. Identify the disciplines or areas team members should come from and any specific job titles prospective team members should hold.
Describe the knowledge and expertise each discipline has to offer in resolving the situation. In addition, consider the level of creativity and problem-solving skills that are needed.
Assess the effectiveness of a particular leadership approach in building and maintaining interprofessional collaborative relationships. Consider how effective that approach is in:
Encouraging participation by all team members.
Engaging reluctant or resistant team members.
Maintaining a respectful platform for members to voice their ideas.
Develop a strategy for communicating progress by the team to executive leadership.
Determine which approach to communicating with leaders will be most effective and efficient.
Determine whether you will have regular meetings and generate status reports.
Develop a collaborative plan for resolving the problem.
Identify the ethical or political issues that are relevant factors in your proposed solution.
Identify the social, cultural, or economic factors that are relevant to your proposed solution.
Explain how you would address the ethical, political, social, cultural, or economic factors you have identified as relevant to your plan.
Describe your role as a leader in implementing the proposed solution.
Determine how the practitioner-scholarmodel might be applied in resolving the problem.
Consider how theory, research, and the published work in the field, in conjunction with your own experience and professional knowledge, might be used to develop strategies to analyze and resolve the problem.
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.
Capella FP5004 assessment 2
Write an executive report of 4–5 pages that analyzes the role of diversity in an underperforming community program, unit, or department, and outline a plan for providing ongoing training on cultural awareness, inclusion, and sensitivity to current employees.
Be sure you read all of the requirements for this assessment and review the suggested resources to see if they may be useful in completing the assessment.
This assessment provides an opportunity to determine how you can help advance your professional field by developing a strategy for managing diversity that recognizes the synergy achieved by having a diverse and inclusive workforce.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Explain the concepts, principles, and characteristics of effective health care leadership.
Determine the influence of effective leadership on the development of a diverse and culturally competent workforce.
Competency 3: Analyze standards of professional ethics and the principles of diversity and inclusion as applied by health care leaders in real-world situations.
Outline a plan to recruit, hire, and retain a diverse workforce.
Outline a plan for providing employee training on cultural awareness and sensitivity.
Explain the benefits of a diverse and culturally competent workforce to a health care organization and the community it serves.
Competency 4: Determine the influence of the practitioner-scholar role on professional practice and leadership development.
Explain how the academic and research skills one develops as a practitioner-scholar can be of service in one’s role as a health care leader.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.
Preparation
Use the following case study as the basis of this assessment.
Imagine you are the manager of a new health care facility satellite office or community outreach center located in a diverse neighborhood. The parent organization opened the facility to address the underserved health care needs of the culturally diverse residents who were not using the services offered at the main facility. The first month of operation saw a very high volume of patients, but since then, the numbers have dropped off drastically. Executive leadership wants to understand why this has happened and what you plan to do about it.
After careful examination of all aspects of the facility, and talking with some of the neighborhood residents, you have determined that the residents do not feel comfortable coming to the facility because the staff does not represent the diversity of the neighborhood. Staff members were hired for their skill, but their diversity was not considered. Now, you must report to executive leadership what you have learned and how you intend to manage diversity.
Note: Remember, you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of your proposal for this assessment. However, be mindful of the turnaround time for receiving feedback if you plan on using this free service.
Report Requirements
Write an executive report on the need for a diverse, culturally competent staff, including your plans to address that need.
Note: The requirements outlined below correspond to the grading criteria in the Managing Diversity scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. You are provided an example report, to illustrate what proficient-level work for this assessment looks like.
Report Format and APA Style
Use the Executive Report Template, linked in the Resources, to draft your report. You may also organize the content of your report in a format used in your organization. An abstract is not required.
Your report should be 4–5 double-spaced pages in length, not including the title page and reference page.
Apply correct APA formatting to all in-text citations and references.
Use Times New Roman, 12-point font.
Writing
As you begin composing your report, consider the purpose of the report, the appropriate tone and style, and the expectations of the executive leaders who will be reading it.
Be clear and concise in your reporting.
Express your main points, arguments, and conclusions coherently.
Use correct grammar and mechanics.
Be sure to support your claims and arguments with credible evidence from 3–5 current, scholarly or professional sources.
Proofread your writing.
Report Content
Outline a plan to recruit, hire, and retain a more diverse workforce. Note: Your outline should be a high-level overview of a plan, not a detailed plan. Other courses in your program will go into human resource practices and diversity in depth. In drafting your plan, consider the following questions:
How does a leader develop a diverse workforce?
Where will you look for more diverse employees? Will you post job ads?
What will the interviewing and hiring process look like? Who will do the interviewing? Who will make the final decisions?
What kind of incentives will you offer diverse employees to retain them? What do you need to know about the culture and values of diverse employees before developing a retention plan?
How will you address issues related to diversity that result in conflict?
Outline a plan for the ongoing training and professional development of existing staff in cultural awareness and sensitivity. Consider how your plan can:
Improve communications and interpersonal skills.
Help overcome bias and resistance to change.
Explain the benefits, to both the organization and the community it serves, of having a diverse and culturally competent workforce.
Explain the relationship between health care organizations and communities.
Explain the role that diversity plays in providing culturally competent care and access for the under-served in a community.
Determine the influence of effective leadership on the development of a diverse and culturally competent workforce.
Explain the importance of cultural competence for leaders in an organization.
Explain how the academic and research skills you develop as a practitioner-scholar can serve you in your role as an effective health care leader.
Explain how those skills might contribute to your credibility and effectiveness as a leader.
Explain how those skills might prepare you to lead a diverse workforce.
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.

Graduate Level Essay and Journal
Graduate Level Essay and Journal
Have you or someone you have known ever been in a situation where there was a major disaster declaration? If not, imagine that you were involved in one. Give an example of a federal grant program made available in that situation and how it assisted with the recovery process. Do you feel the resources were timely and adequate? Why, or why not?
Your journal entry must be at least 200 words. No references or citations are necessary.
Unit I Essay
Consider the laws that have been passed after major disasters and the programs that have been initiated to improve emergency management by reviewing the following documents.
Review the following documents by clicking the links provided. Federal Emergency Management Agency. (n.d.). Sandy Recovery Improvement Act of 2013. Retrieved from https://www.fema.gov/sandy-recovery-improvement-act-2013
Kennell, P. M., Nassi, S. P., & Westerfield, R. R. (2016). Four years after Sandy, storm resiliency lags. Risk Management, 63(8), 4–6. (Attached)
Then, write an essay that addresses the following questions.
• Identify and discuss the strengths and weaknesses of the public and private sectors that collaborated during the preparedness and response phases to the affected states.
• Based on the Sandy Recovery Improvement Act of 2013, identify and discuss some of the legislative actions to improve emergency preparedness and response.
• In your opinion, did the changes identified in the Sandy Recovery Improvement Act of 2013 do enough to ensure stronger preparation and response efforts in the event of a similar disaster in the future?
Your submission should be a minimum of three pages, not including the title and reference pages. Your essay should contain an introduction and be well organized, with clear evidence of critical thinking. All sources used should be properly cited. Your paper and all sources used should be formatted in APA style.

Discuss: Different Leadership Styles
Discuss: Different Leadership Styles
Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:
Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.
Permalink:
Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:
Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.
Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:
Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

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