Provide your answers to the following questions in a 2-page paper. Use APA Editorial Format for all citations and references used.
Due Date
Submit the completed RRL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 6.
Points
This assignment is worth 200 points.
Assignment Directions:
1. Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.
2. Download and complete the required Reading Research Literature (RRL) worksheet (Links to an external site.)Links to an external site..
3. Download or access the required article. The required article must be used.
O’Connor, M., Tanner, P. , Miller, L., Watts, K., & Musiello, T. (2017). Detecting distress: Introducing routine screening in a gynecological cancer setting. Clinical Journal of Oncology Nursing, 21(1), 79-85. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? Links to an external site.
(Links to an external site.)Links to an external site.
4. You must use the grading rubric to ensure you are meeting all grading criteria of the worksheet.
5. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad.
6. Use correct grammar, spelling, punctuation, and in-text APA formatting.
7. Submit the completed Reading Research Literature Worksheet to the Week 6 Assignment.
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By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.
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References
American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials
Quality and Safety Education for Nurses (QSEN). (2018). Quality and safety education for nurses competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/#evidence-based_practice
Question 1 Statistics for 2008 to 2009 indicated that 20.7% of children lived in poverty. What health implications can be drawn from this statistic?
Select all that apply.
1. These children run a higher risk of poor overall health status.
2. Public health clinics can provide preventive care.
3. Medicaid assistance can enable these children to receive health care.
4. Increased funding for children’s health has resulted from these statistics.
Question 2 Which criterion limits access to health care?
1. No public transportation
2. Employment opportunities
3. Transition programs for newly arrived legal residents
4. Advocacy groups for immigrants
Question 3 A patient in the Emergency Department is concerned about the cost of treatment because of no financial income. What areas would the nurse include when assessing this patient?
Select all that apply.
1. Preventive care
2. Nutritional status
3. Number of accidents
4. Shelter
5. Status of current immunizations
Question 4 While taking the health history, a Black Hispanic patient tells the nurse about having difficulty finding employment. The nurse realizes that which is a factor that causes income disparity within this segment of the population?
1. Shift to labor requiring higher technological skills
2. Increase in the real minimum wage potential
3. Increase in traditional labor skills for these groups
4. Shift of skilled jobs to unskilled labor
Question 5 The nurse notes that a larger number of foreign-born patients are being seen in the hospital. From which countries are the majority of foreign-born legal permanent residents?
Select all that apply.
1. Mexico
2. China
3. India
4. Europe
5. South America
Question 6 A patient explains how a former job has been outsourced to another country. What impact has globalization had on the economy?
1. Increased income inequality for some groups in the United States
2. Improved income for all minority groups in the United States
3. Increased membership in labor unions
4. Decreased immigration
Question 7 Legal permanent residents tend to initially settle in urban areas. What can be inferred from this?
1. Employment may be found but will probably be in lesser-paying jobs.
2. Unemployment will not be a concern.
3. Employment is easy to obtain in urban areas.
4. Income earning potential is higher.
Question 8 A foreign-born patient tells the nurse about preparing for the naturalization exam. What kinds of questions will be on this exam?
Select all that apply.
1. Questions about the Constitution
2. Parts of the US government
3. Who makes federal laws
4. The number of justices on the Supreme Court
5. Words of the US national anthem
Question 9 While shifts in the population profile are occurring, what is an important consideration to address in health care?
1. Cultural health needs of varying groups must be considered.
2. Health care needs to be streamlined for consistent care delivery.
3. More physicians need to be trained to deliver health care.
4. Health care providers need to be younger to care for an aging population.
Question 10 According to the 2010 Census, the percentage of the 65+ population of White non-Hispanics is at 13%. How will health planning needs be affected by this percentage?
1. This population will have greater demands on the health care system as it ages.
2. Planning needs for other segments of the population can be revised downwards.
3. There is no need to increase manufacture of childhood immunizations.
4. Cultural accommodations for other minority groups can be decreased.
Question 11 A patient tells the nurse that she lives in Section 8 housing. The nurse realizes that eligibility for this program is determined by:
1. Low-income guidelines
2. Family size
3. Geographic address
4. Employment history
Question 12 A patient, an immigrant from another country, is waiting to be seen in the Emergency Department. What difficulties is this patient dealing with since coming to a new country?
Select all that apply.
1. Learning a new language
2. Adapting to a new climate
3. Eating new foods
4. Fitting in with the new culture
5. Rejecting old customs in favor of new ones
Question 13 The nurse is comparing the patient population at a health care organization with the US Bureau of the Census population statistics. Which statement would the nurse use to make this comparison?
1. The percentage of US citizens who were people of color in 2010 was 36.3% of the population.
2. The percentage of Black Americans dropped considerably between 2000 and 2010.
3. People of color are the majority population within the United States.
4. People of color as a percentage of the overall US population are decreasing.
Question 14 Prior to completing an admission assessment, a foreign-born patient provides the nurse with a green card. What does this green card represent?
Select all that apply.
1. Proof of legal permanent residency
2. All rights of a US citizen with exceptions
3. Inability to vote
4. Restrictions to become a citizen
5. Automatic US citizenship
Question 15 When determining health care needs for a patient population, the health care organization analyzes the percentage of races represented within the organization with those of the US Census. What was the change in the White population between the 2000 and 2010 censuses?
1. 2.7%
2. 1.2%
3. 0.3%
4. 3.8%
Question 16 While completing demographics for a new admission, the nurse notes that there are separate categories for race and Hispanic origin.What influenced this change to occur in demographic data reporting?
1. Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.
2. The number of people identified as non-White was increasing out of proportion to the population.
3. Identifies which health plans the patient is eligible to enroll in
4. Better differentiates categories within the African-American group
Question 17 How might immigration contribute to income inequality in the United States?
1. Many immigrants’ willingness to do jobs for less money than native-born residents
2. Being the primary income earners in the family
3. Advocating for higher minimum wages
4. A willingness to join labor unions as in previous immigrant trends
Question 18 Which characteristic would the nurse assess in a family experiencing multi-generational poverty?
1. Repeated cycles of decreased educational opportunities leading to poorer income potential and poorer health outcomes
2. Members not wishing to improve their life circumstances
3. Decreased interest by lawmakers in reducing poverty circumstances
4. Increased government efforts to provide money to improve incomes
Question 19 The health care administrator is comparing the 2000 Census Bureau data with patient demographic data. Which cultural group represented 12.5% of the population in 2000?
1. Hispanic or Latino
2. Asian
3. African American
4. American Indian and Alaskan Native
Question 20 What does the nurse identify as reasons why income influences health?
Select all that apply.
1. Increases access to health care
2. Enables people to live in better neighborhoods
3. Enables people to afford better housing
4. Enables people to live in areas without environmental hazards
5. Reduces despair
Question 1 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse’s priority assessments?
A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, and level of consciousness
C) Liver function studies, pain intensity, and blood glucose level
D) Respiratory rate, pain intensity, and mental status
Question 2 A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient?
A) Blood pressure (BP): 98/50, pulse (P): 120, respirations (R): 40
B) BP: 130/88, P: 92, R: 28
C) BP: 150/90, P: 80, R: 16
D) BP: 170/98, P:110, R: 20
Question 3 A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that
A) intravenous lidocaine may be preferable to topical application
B) lidocaine must be potentiated with another anesthetic in order to achieve pain control
C) pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site
D) there is a risk of systemic absorption of the lidocaine through the patient’s traumatized skin
Question 4 A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia.Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.)
A) The drug should not be used for longer than 1 month.
B) It should be taken 1 hour to 90 minutes before going to bed
C) The drug does not cause sleepiness in the morning
D) One of the most common adverse effects of the drug is headache
E) It is available in both quick-onset and continuous-release oral forms
Question 5 A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient’s subsequent care, what nursing diagnosis should the nurse prioritize?
A) Risk for Ineffective Peripheral Tissue Perfusion related to cardiovascular effects of phenelzine
B) Risk for Constipation related to decreased gastrointestinal peristalsis
C) Risk for Infection related to immunosuppressive effects of phenelzine
D) Risk for Injury related to drug–drug interactions or drug–nutrient interactions
Question 6 Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid
A) alcohol
B) vitamin C
C) fatty foods
D) dairy product
Question 7 A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately
A) 6 hours
B) 12 hours
C) 24 hours
D) 32 hours
Question 8 A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?
A) 0.3 mEq/L
B) 0.6 mEq/L
C) 1.7 mEq/L
D) 1.2 mEq/L
Question 9 A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated?
A) A patient who received treatment for kidney failure due to an overdose of acetaminophen
B) A patient whose pulmonary embolism was treated with a heparin infusion
C) A patient with a history of angina who experienced a non-ST wave myocardial infarction
D) A patient whose stage III pressure ulcer required intravenous antibiotics and a vacuum dressing
Question 10 The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be
A) “Continue the prescribed dose. It may take several days to work.”
B) “I’ll ask the nurse practitioner if the dosage can be increased.”
C) “I’ll ask the nurse practitioner if the haloperidol can be discontinued and another drug started.”
D) “I’ll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol.”
Question 11 A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to
A) avoid the small veins in the dorsum of the hand or the wrist
B) inject the diazepam very quickly, 15 mg in 10 to15 seconds
C) administer after diluting the drug with gabapentin in intravenous solution
D) inject very slowly, no faster than 100 mg/minute
Question 12 A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient’s characteristics likely to influence possible treatment with phenytoin?
A) The patient will require oral phenytoin rather than intravenous administration
B) Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects
C) The patient’s heavy alcohol use will compete with phenytoin for binding sites and he will require a higher-than-normal dose
D) The patient’s protein deficit will likely increase the levels of the free drug in his blood
Question 13 A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of
A) seizure disorders
B) low blood pressure
C) increased intraocular pressure
D) diabetic hyperlipidemia
Question 14 A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome?
A) The patient demonstrates a significant increase in agitation after being given haloperidol
B) The patient develops muscle rigidity and a sudden, high fever
C) The patient complains of intense thirst and produces copious amounts of urine
D) The patient develops yellowed sclerae and intense pruritis (itchiness)
Question 15 A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that
A) she will report this to the physician immediately
B) the drug is not going to work for her and the medication needs to be changed
C) optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment
D) it may take up to 6 months for the drug to relieve her anxiety
Question 16 A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?
A) A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep
B) A 20-year-old woman who will take the drug about once a week
C) A 52-year-old woman who needs to fall asleep quickly and stay asleep all night
D) A 46-year-old man who receives an antidepressant and needs a sleep aid
Question 17 A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by
A) decreasing the influx of sodium into neurons.
B) increasing the levels of available glutamate.
C) simultaneously potentiating the effects of GABA and inhibiting reuptake.
D) by slowing the function of calcium channels within the neurological system.
Question 18 A patient has been hospitalized for treatment of substance abuse after being arrested and jailed for the past 24 hours. The patient is experiencing severe muscle and abdominal cramps, seizures, and acute psychosis due to abrupt withdrawal. Which of the following drug classes is the most likely cause of these severe and potentially fatal withdrawal symptoms?
A) Amphetamines
B) Sedative–hypnotic drugs
C) Benzodiazepines
D) Opioids
Question 19 Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency?
A) Reduction of severe hypertension
B) Increased level of consciousness
C) Restoration of normal sinus rhythm
D) Resolution of respiratory acidosis
Question 20 A postsurgical patient has been provided with a morphine patient-controlled analgesic (PCA) but has expressed her reluctance to use it for fear of becoming addicted. How can the nurse best respond to this patient’s concerns?
A) “You don’t need to worry. It’s actually not true that you can get addicted to the medications we use in a hospital setting.”
B) “If you do become addicted, we’ll make sure to provide you with the support and resources necessary to help you with your recovery.”
C) “It’s important that you accept that your current need to control your pain is more important than fears of becoming addicted.”
D) “It is not uncommon to develop a dependence on pain medications, but this usually takes place over a long period and is not the same as addiction.”
Question 21 A nurse is talking to an 18-year-old patient who has had a seizure disorder since she was 10 years old and is taking phenytoin (Dilantin). The nurse should suggest that she take which of the following?
A) A potassium supplement
B) An iron supplement
C) Folic acid
D) Vitamin C
Question 22 Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work?
A) Alprazolam (Xanax)
B) Buspirone (BuSpar)
C) Diazepam (Valium)
D) Lorazepam (Ativan)
Question 23 A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for
A) a diet high in fat
B) a history of current or past alcohol use
C) current nicotine use
D) a diet high in carbohydrates
Question 24 A 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that dosage, the patient will need to be carefully monitored for
A) dizziness
B) diarrhea
C) increased secretions
D) facial flushing
Question 25 A nurse will be prepared to administer naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan
A) has less strength in each dose than do individual doses of morphine
B) has a shorter half-life than morphine
C) combined with morphine, increases the physiologic action of the morphine
D) causes the respiratory rate to decrease
Question 26 A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine?
A) A client who is morbidly obese and who has a sedentary lifestyle
B) A client who has type 1 diabetes and who practices poor glycemic control
C) A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily
D) A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg
Question 27 A patient has been prescribed lithium therapy.Which of the following signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst
Question 28 A trauma patient has been receiving frequent doses of morphine in the 6 days since his accident. This pattern of analgesic administration should prompt the nurse to carefully monitor the patient’s
A) urine specific gravity
B) skin integrity
C) bowel patterns.
D) core body temperature
Question 29 A patient with mild low back pain has been advised to take acetaminophen. The nurse will inform him that excessive intake of acetaminophen may result in
A) gastrointestinal distress
B) acute renal failure
C) cognitive deficits
D) liver damage.
Question 30 A 39-year-old patient who is having trouble sleeping is beginning drug treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking
A) secobarbital (Seconal)
B) oxycodone (Percodan)
C) cimetidine (Zantac)
D) meperidine (Demerol)
1. Question: The coronary ostia are located in the:
2. Question: Which manifestations of vasoocclusive crisis are associated with sickle cell disease (SCD) in infants?
3. Question: Decreased lung compliance means that the lungs are demonstrating which characteristic?
4. Question: What is the life span of an erythrocyte (in days)?
5. Question: Infants are most susceptible to significant losses in total body water because of an infant’s:
6. Question: Causes of hyperkalemia include:
7. Question: Erythrocyte life span of less than 120 days, ineffective bone marrow response to erythropoietin, and altered iron metabolism describe the pathophysiologic characteristics of which type of anemia?
8. Question: The lung is innervated by the parasympathetic nervous system via which nerve?
9. Question: When an individual aspirates food particles, where would the nurse expect to hear decreased or absent breath sounds?
10. Question: Which T-lymphocyte phenotype is the key determinant of childhood asthma?
11. Question: What is the final stage of the infectious process?
12. Question: How is most of the oxygen in the blood transported?
13. Question: When a patient has small, vesicular lesions that last between 10 and 20 days, which sexually transmitted infection is suspected?
14. Question: An individual is more susceptible to infections of mucous membranes when he or she has a seriously low level of which immunoglobulin antibody?
15. Question: Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?
16. Question: What is the functional unit of the kidney called?
17. Question: Which of the following is classified as a megaloblastic anemia?
18. Question: What are the abnormalities in cytokines found in children with cystic fibrosis (CF)?
19. Question: The only surface inside the nephron where cells are covered with microvilli to increase the reabsorptive surface area is called the:
20. Question: Between which months of age does sudden infant death syndrome (SIDS) most often occur?
21. Question: What is the primary site for uncomplicated local gonococci infections in men?
22. Question: Which organism is a common sexually transmitted bacterial infection?
23. Question: The drug heparin acts in hemostasis by which processes?
24. Question: What is the primary cause of respiratory distress syndrome (RDS) of the newborn?
25. Question: An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect?
26. Question: Hemolytic disease of the newborn (HDN) can occur if the mother:
27. Question: Blood vessels of the kidneys are innervated by the:
28. Question: What is the most common cause of insufficient erythropoiesis in children?
29. Question: If the sinoatrial (SA) node fails, then at what rate (depolarizations per minute) can the atrioventricular (AV) node depolarize?
30. Question: Hypersensitivity is best defined as a(an):
31. Question: Which criterion is used to confirm a diagnosis of asthma in an 8-year-old child?
32. Question: How is most carbon dioxide (CO2) in the blood transported?
33. Question: When the bladder accumulates 250 to 300 ml of urine, it contracts and the internal urethral sphincter relaxes through activation of the spinal reflex arc (known as the micturition reflex).
34. Question: Which cells have phagocytic properties similar to monocytes and contract like smooth muscles cells, thereby influencing the glomerular filtration rate?
35. Question: Which statement best describes a Schilling test?
36. Question: Fetal hematopoiesis occurs in which structure?
37. Question: Which disorder results in decreased erythrocytes and platelets with changes in leukocytes and has clinical manifestations of pallor, fatigue, petechiae, purpura, bleeding, and fever?
38. Question: What is the life span of platelets (in days)?
39. Question: What is the ratio of coronary capillaries to cardiac muscle cells?
40. Question: Which type of immunity is produced by an individual after either natural exposure to the antigen or after immunization against the antigen?
41. Question: The most common site of metastasis for a patient diagnosed with prostate cancer is which location?
42. Question: During an IgE-mediated hypersensitivity reaction, which leukocyte is activated?
43. Question: In which primary immune deficiency is there a partial-to-complete absence of T-cell immunity?
44. Question: Innervation of the bladder and internal urethral sphincter is supplied by which nerves?
45. Question: What effects do exercise and body position have on renal blood flow?
46. Question: Which blood cell type is elevated at birth but decreases to adult levels during the first year of life?
47. Question: It has been determined that a tumor is in stage 2. What is the meaning of this finding?
48. Question: Research supports the premise that exercise has a probable impact on reducing the risk of which cancer?
49. Question: Where in the respiratory tract do the majority of foreign objects aspirated by children finally lodge?
50. Question: What is the most common cause of iron deficiency anemia (IDA)?
51. Question: Which type of antibody is involved in type I hypersensitivity reaction?
52. Question: Which organ is stimulated during the alarm phase of the general adaptation syndrome (GAS)?
53. Question: Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?
54. Question: What is the major concern regarding the treatment of gonococci infections?
55. Question: What part of the kidney controls renal blood flow, glomerular filtration, and renin secretion?
56. Question: Examination of the throat in a child demonstrating signs and symptoms of acute epiglottitis may contribute to which life-threatening complication?
57. Question: The function of the foramen ovale in a fetus allows what to occur?
58. Question: Which compensatory mechanism is spontaneously used by children diagnosed with tetralogy of Fallot to relieve hypoxic spells?
59. Question: Perceived stress elicits an emotional, anticipatory response that begins where?
60. Question: Which term is used to identify the movement of gas and air into and out of the lungs?
Wellness visits are an important part of pediatric primary care. During these visits, patient growth and development are assessed. As an advanced practice nurse who performs these assessments, you must be able to distinguish between normal and abnormal growth and development to recognize red flags. While some patients may not meet milestones due to differences in rates of development, abnormal development might also be a red flag of an underlying problem. In this Discussion, you examine the following case studies and consider potential developmental red flags:
A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:
You see a 30-month-old named Brian for a well-child visit. His mother reports the following development:
Jose is a 36-month-old who presents for a preschool evaluation. His father reports the following development:
To prepare:
Post an explanation of any developmental red flags that presented in the case study you selected based on the stages of normal physical, social, and cognitive development for infants, toddlers, and preschoolers. Explain how you differentiated between normal and abnormal growth and development for this patient and identify which standardized screening tools, clinical guidelines, and management strategies you might use to assess and manage this patient and why.
Instructions:
1-Create a 1,100-word timeline in which you to describe key events and individuals influencing the development of scientific nursing knowledge in chronological order. Your timeline should integrate both theory and research development within the same time frame.
-Utilize the Timeline of Scientific Knowledge in Nursing Writing Guide to complete your assignment.
– Resources: Theoretical Basis for Nursing, Ch. 1–2; Nursing Research, Ch. 1
-Provide references for all sources cited and format according to APA guidelines.
Read: (Please the word timeline needs to be APA formatting. The writing needs to be at a master level. Needs to be free of Plagiarism . I will upload the three chapters as resource for the paper. Read the chapters and all the information for the writing must be obtained from chapters from the book i upload. if any question feel free to let me know. thanks. )
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.
Patient Case Study 1:
HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.
Ht: 5’8” Wt: 89 kg
Allergies: Penicillin (rash)
The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a guide that will serve as a handout to assist a specific patient that you identify. Your guide or handout should help this patient find and evaluate a reliable mobile health, or mHealth application (app) that is already developed. This may be related to his or her disease process or diagnosis, or may be an app that can help a patient maintain or improve good health, and prevent illness.
You will develop the guide using Microsoft PowerPoint. PowerPoint is a versatile application that lets you design slideshows and handouts. For this assignment, you will be using PowerPoint to create a guide or handout that you may print and give to patients and families. You will be submitting this PowerPoint file to the Dropbox.
This assignment enables the student to meet the following Course Outcome.
CO#1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO#1)
CO#5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO#5)
Points
This assignment is worth a total of 175 points.
Due Date
The Patient Education Technology Guide to a Mobile Health Application PowerPoint assignment is due at the end of Week 2. Submit your completed assignment to the Dropbox by Sunday; 11:59 p.m. MT. You may consult the Policies, under the Course Home tab, for details regarding late assignments. Late assignments will result in loss of points. Post questions about this assignment in the Q & A discussion.
Directions
Use Microsoft PowerPoint to create slides, which will be the basis of the guide or handout. You are required to cite your source(s) as it relates to your application slide. Other citations are permitted, but this is not a requirement for the assignment.
· Title slide (first slide): Include a title slide with your name and title of the presentation.
· Scenario Slide (one slide): This slide should include a brief scenario, then identify a patient who is experiencing a specific disease process or diagnosis who would benefit from an already developed and reliable mHealth app. Or, identify a person is currently healthy and would like to maintain or improve health and prevent illness. Be sure to include the nurse’s assessment of the patient’s learning needs and readiness to learn. Be specific.
Example:
Scenario for Ms. Ellis
Jane Doe (your name here)
· Jennifer Ellis, a 62-year-old African American who has been recently diagnosed with chronic kidney disease (CKD). She has been prescribed several medications she must take every day.
· The nephrologist has stressed the importance of leading a healthy life style to slow or stop the progression of CKD.
· She is interested in ways in which she can better track her health and make healthier choices.
· She is a high school graduate and iPhone user, mostly to send text messages to family and friends.
· She is eager to learn how to use an app that can help her manager her CKD.
Prepare the following slides as if you are presenting them to the patient.
· mHealth Application Slide (one to three slides): Identify a developed and reliable mHealth app that could benefit the patient. Describe the app including its:
· Name
· Purpose
· Intended audience
· Mobile device(s) upon which it will operate
· Where to download or obtain it. Include a working link if it is to be downloaded from a website.
· And any other information you believe would be pertinent to this situation.
· Sources that are used are cited.
· Teaching Slides (one to three slides): Prepare slides that contain important points about the app that you want to teach to the patient such as: how to use the app safely and effectively including how to interpret and act on the information that is provided.
· Evaluation Slide (one to three slides): Describe how you would determine the success of the patient’s use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app or focus on specific ways that this app benefits the patient’s health and wellness.
· References (last slide): List any references for sources that were used or cited in the presentation.
Writing and Design: There should be no spelling or grammatical errors. Writing is concise and clear. Avoid words that the patient may not understand. Slides are visually appealing incorporating graphics, photographs, colors, and themes.
Review the section on Academic Integrity Policy found in the RNBSN Policies. All work must be original (in your own words) unless properly cited.
· Be creative, but realistic.
· Incorporate graphics, color, themes, or photographs to increase interest.
· Make easy to read with short bullet points and large font.
· Review directions thoroughly.
· Cite all sources within the slides with (author, year) as well as on the Reference slide.
· Proofread prior to final submission.
· Spell check for spelling and grammar errors prior to final submission.
· Abide by the Chamberlain academic integrity policy.
· Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in Canvas.
Grading Criteria
| Category | Points | % | Description |
| Scenario Slide | 40 | 23% | Scenario is clear and concise, including a disease process or diagnosis, or identify a patient with a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn. |
| mHealth Application Slide | 50 | 28% | Identify a mHealth app that could benefit the patient. Describe the app including its:
· Name · Purpose · Intended audience · Mobile device(s) upon which it will operate · Where to download or obtain it. Include a working link if it is to be downloaded from a website. · And any other information you believe would be pertinent to this situation. · Citation |
| Teaching Slides | 40 | 23% | Information on slides to be taught to patient about the mHealth app including any safety guidelines, and how to interpret and act on the information that is provided. |
| Evaluation Slide | 20 | 12% | Describe how you would determine the success of the patient’s use of the mHealth app. |
| Writing and Design | 25 | 14% | Writing contains no spelling or grammatical errors. Bullets should be used instead of long sentences or paragraphs. Reading level is appropriate for patient described. Slides are visually appealing incorporating graphics, photographs, colors and themes. Sources that are used are cited. |
| Total | 175 points | 100% | A quality assignment will meet or exceed all of the above requirements. |
Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.
Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
Discuss the effectiveness of the communication approaches present in a case study.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.Write following APA style for in-text citations, quotes, and references.
For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:
Access the Ethical Case Studies media piece linked in the Resources to review the case studies you may use for this assessment and select the case most closely related to your area of interest and use that case study to complete the assessment.
Note: The case study may not supply all of the information you may need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
Identify which case study you selected, briefly summarize the facts surrounding the case study, and identify the problem or issue in the case study that presents an ethical dilemma or challenge and describe that dilemma or challenge.
Use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) found in the Ethical Decision-Making Model media piece in the Resources to analyze the ethical issues.
Analyze the factors that contributed to the problem or issue.
Identify who is involved or affected by the problem or issue.
Describe the factors that contributed to the problem or issue and explain how they contributed.
Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.
Assess the credibility of the information source.
Assess the relevance of the information source.
Discuss the effectiveness of the communication approaches present in the case study.
Describe how the health care professional communicated with others.
Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.
Assess instances where the professional communicated effectively or ineffectively.
Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.
Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.
Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
Discuss the key lessons this case provides for health care professionals.
Apply ethical principles to a possible solution to the proposed problem or issue from the case study.
Describe the proposed solution.
Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
Discuss how likely it is the proposed solution will foster professional collaboration.
Needs to be original; no plagiarism.
The reference papers provided by Writerbay.net serve as model papers for students and are not to be submitted as it is. These papers are intended to be used for research and reference purposes only.
