Nursing homework help

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 120-150 WORDS

 

How does the nurse manager or leader play a role in the reengineering of health care?

Reengineering could also mean reorganization or redesigning. Reengineering in healthcare system is done to improve the quality of care delivered to the patients and family members. (Science Life, 2015) The goal of this process is to give the healthcare teams a clearer insight of what the patient and family members want, to improve the quality and safety of the patients, and raise their satisfaction level. (Science Life, 2015) Nurses are in frontline delivering services, they play a very important role in patients’ care; nursing leaders and managers have the responsibility to enhance communication to ensure a smooth transition.

Every nurse leader and manager must be able to recognize the need for a change in the unit where they work, (Edens, 2005) because the first step in the process of implementation of change is to recognize the need for a change or regrouping.

Nurse leaders coordinate the care given to the patients, by collaborating with interdisciplinary teams. They identify risk-analysis strategies and resources needed to ensure a safe and more effective care provided to the patients. Nursing managers relies on patient-centered, evidenced -based practice and performance data, to enhance the quality of care provided, which is the purpose of reengineering. (RWJF, 2009), because patient outcome is the center of reorganization.

Nurse leaders define the way care is provided, and they function as mentors and educators to the nurses. They help to inform and train nurses on the new policy and procedures of the organization

Nurse managers and leaders act as middle-person between the nurses and the organization. Nurse managers relay the concerns and needs of nurses to the organization for solution. Staff nurses could also benefit from change; therefore, nurse mangers could advocate for the nurses to ensure harmony.

 

Reference

Science Life (2015) Reorganization of UCM Patient Care Services Dept. The University of Chicago Medicine & Biological Science. Retrieved from https://sciencelife.uchospitals.edu/2015/08/20/reorganization-of-ucm-patient-care-services-dept/

 

Edens. P. S (2005) Workplace Reengineering, Reorganization, and Redesign from Nursing Management: Medscape. Retrieved from http://www.medscape.com/viewarticle/511808_2

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PICO ANALYSIS

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Assignment 1: Application – PICO Analysis of Dementia, Delirium, and Depression

A PICO analysis is used to pose a focused clinical question to which you find appropriate evidence-based answers. The PICO question should include the patient or population (P), anticipated intervention (I), comparison group or current standard (C), and outcome desired (O). In this Assignment, you develop a question related to dementia, delirium, or depression. Through your PICO analysis, you explore various resources and examine current evidence to answer the question you develop.

To prepare:

  • Select one of the following disorders as your topic: dementia, delirium, or depression.
  • Review the guidelines in the “Literature Review Matrix” document in this week’s Learning Resources.
  • Think about a research question around your issue as indicated in Part I: PICO Analysis of Research Topic.
  • Consider the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
  • Using the Walden Library and other appropriate databases, locate five articles related to your PICO question. At least one article must be a systematic review. All of the articles should be primary sources.
  • Reflect on the five articles you selected as indicated in Part III: Analysis of Literature. Consider the conceptual framework/theory, main finding, research method, strengths of study, weaknesses, and level of evidence for each article.
  • Consider how to use the summaries in Part III to create an evidence table. Use this evidence table to determine appropriate treatment options for patients who present with the disorder you selected as your topic.

To complete:

  • Formulate a question around the disorder you selected as indicated in Part I: PICO Analysis of Research Topic.
  • Identify the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
  • Summarize the five articles you selected as indicated in Part III: Analysis of Literature. Describe the conceptual framework/theory, main finding, research method, strengths of study, weaknesses, and level of evidence for each article.
  • Create an evidence table based on the article summaries in Part III. Describe appropriate treatment options for patients based on this evidence table.

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Week 8 Assignment CLC – Staff In-Service Presentation – Part 2

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This is a Collaborative Learning Community (CLC) assignment.

 

Part 2 of the presentation will focus on the pharmacologic treatment of the disease, including pharmacokinetics, pharmacodynamics, drug interactions, side effects, adverse reactions, and application of the nursing process in monitoring the drug therapy.

 

Part 2 will also include the development of a creative patient education tool for the staff to use to assist in increasing patient knowledge of medications and medication compliance.

 

The total maximum number of slides is 30 (Parts 1 and 2 combined).

Part 1 will be graded separately, so the Part 2 grade is only for the sections that you have added for Part 2.

 

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

 

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Differentiate the Major Regulatory Restrictions on NP Practice.

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Purpose

Depending on location, NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement. There are several sources of restrictions to NP practice such as state laws. Federal regulations include who may prescribe controlled substances and which substances NPs can prescribe as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges.

Directions

Use the provided template to compare and contrast the three major regulatory practice models for NPs: Supervisory, Collaborative, and Independent. This Assignment requires credible and up to date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing. For example, Florida requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. Because Florida does not allow any controlled substances to be prescribed by NPs, the DEA will not issue a license to prescribe these medications. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state you are practicing in to prescribe these medications.

Assignment Template

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary
  • utilize spelling and grammar check to minimize errors

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.)
  • be well ordered, logical, and unified, as well as original and insightful
  • display superior content, organization, style, and mechanics
  • use APA 6th Edition format for organization, style, and crediting sources. Refer to the APA Progression Ladder.

USE THE ATTACHED RUBRIC AND TEMPLATE TO COMPLETE THE ASSIGNMENT. FOR ONE STATE YOU MUST INCLUDE ALABAMA. RESOURCES MUST BE NO OLDER THAN 3 YEARS!!!!!!!

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MN553 Unit 4 Practice Quiz Latest 2017

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Question

Question 1 1 / 1 point

Digoxin levels need to be monitored closely when the following medication is started:

Question options:

Loratadine

Diphenhydramine

Ipratropium

Albuterol

Question 2 1 / 1 point

When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:

Question options:

They need to get any live vaccines before starting the medication.

Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.

Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush.

They can triple the dose number of inhalations of medication during colds to prevent

needing systemic steroids.

Question 3 1 / 1 point

Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:

Question options:

More effective than first-generation antihistamines

Less sedating than the first-generation antihistamines

Prescription products, therefore are covered by insurance

Able to be taken with central nervous system (CNS) sedatives, such as alcohol

Question 4 1 / 1 point

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry?

Question options:

High-dose colchicine

Low-dose colchicine

High-dose aspirin

Acetaminophen with codeine

Question 5 1 / 1 point

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Question options:

Metformin, a biguanide to prevent diabetes

Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease

Naproxen, an NSAID to treat joint pain

Furosemide, a diuretic to treat fluid retention

Question 6 1 / 1 point

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Question options:

Black tarry stools

Vomiting

Tremors

Tinnitus

Question 7 1 / 1 point

Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified as asthma symptoms that occur:

Question options:

Daily

Daily and limit physical activity

Less than twice a week

More than twice a week and less than once a day

Question 8 1 / 1 point

Patients with a COPD exacerbation may require:

Question options:

Doubling of inhaled corticosteroid dose

Systemic corticosteroid burst

Continuous inhaled beta-2-agonists

Leukotriene therapy

Question 9 1 / 1 point

Asthma exacerbations at home are managed by the patient by:

Question options:

Increasing frequency of beta-2-agonists and contacting their provider

Doubling inhaled corticosteroid doses

Increasing frequency of beta-2-agonists

Starting montelukast (Singulair)

Question 10 1 / 1 point

The most common bacterial pathogen in community-acquired pneumonia is:

Question options:

Haemophilus influenzae

Staphylococcus aureus

Mycoplasma pneumoniae

Streptococcus pneumonia

Question 11 1 / 1 point

The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be:

Question options:

Levofloxacin

Amoxicillin

Ciprofloxacin

Cephalexin

Question 12 1 / 1 point

Wing-Sing is a 4-year-old patient who has suspected bacterial pneumonia. He has a temperature of 102°F, oxygen saturation level of 95%, and is taking fluids adequately. What would be appropriate initial treatment for his pneumonia?

Question options:

Ceftriaxone

Azithromycin

Cephalexin

Levofloxacin

Question 13 1 / 1 point

Instructions for a patient who is starting nicotine replacement therapy include:

Question options:

Smoke less than 10 cigarettes a day when starting nicotine replacement.

Nicotine replacement will help with the withdrawal cravings associated with quitting tobacco.

Nicotine replacement can be used indefinitely.

Nicotine replacement therapy is generally safe for all patients.

Question 14 1 / 1 point

If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:

Question options:

Bupropion (Zyban) is started 1 to 2 weeks before the quit date.

Nicotine replacement products should not be used with bupropion.

If they smoke when taking bupropion they may have increased anxiety and insomnia.

Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy.

Question 15 1 / 1 point

The most appropriate smoking cessation prescription for pregnant women is:

Question options:

A nicotine replacement patch at the lowest dose available

Bupropion (Zyban)

Varenicline (Chantix)

Nonpharmacologic measures

Question 16 1 / 1 point

Drug resistant tuberculosis (TB) is defined as TB that is resistant to:

Question options:

Fluoroquinolones

Rifampin and isoniazid

Amoxicillin

Ceftriaxone

Question 17 1 / 1 point

Kaleb has extensively resistant tuberculosis (TB). Treatment for extensively resistant TB would include:

Question options:

INH, rifampin, pyrazinamide, and ethambutol for at least 12 months

INH, ethambutol, kanamycin, and rifampin

Treatment with at least two drugs to which the TB is susceptible

Levofloxacin

Question 18 1 / 1 point

Ezekiel is a 9-year-old patient who lives in a household with a family member newly diagnosed with tuberculosis (TB). To prevent Ezekiel from developing TB he should be treated with:

Question options:

6 months of Isoniazid (INH) and rifampin

2 months of INH, rifampin, pyrazinamide, and ethambutol, followed by 4 months of INH

9 months of INH

12 months of INH

Question 19 1 / 1 point

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:

Question options:

Azithromycin

Amoxicillin

Ceftriaxone

Trimethoprim/sulfamethoxazole

Question 20 1 / 1 point

Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for sinusitis in an adult who has a child in daycare is:

Question options:

Azithromycin 500 mg q day for 5 days

Amoxicillin-clavulanate 500 mg bid for 7 days

Ciprofloxacin 500 mg bid for 5 days

Cephalexin 500 mg qid for 5 days

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Nursing homework help

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In the 8th Edition it is Chapter11–Public Health and the Role of Government in Health Care

 

 

Answer the following questions on Public Health Services:

 

  1. The Public Health Service originated in 1798 as the Marine Hospital Service. Identify two (2) motivating factors that prompted that development.
  2. Why, in the 1960s, were the health-related programs of Medicare, Medicaid, and Neighborhood Health Centers assigned to non-health federal agencies instead of the Public Health Service?  Please provide two (2) examples.
  3. Public health efforts and those of private medicine complement each other and together serve the spectrum of health service needs of American society. Why, then, has their relationship been sometimes contentious and have they not consistently worked together proactively to improve the health status of Americans?  Please provide two (2) examples.
  4. Contrast the population-based orientation of public health with the individual-centered focus of private health practitioners.  Provide two (2) examples.
  5. Deaths in the United States that result from preventable causes total approximately 40% of all deaths each year.  Deaths result from tobacco use, poor dietary habits and sedentary lifestyles.  What additional two (2) actions should/could the U.S. health care system use to combat the factors that contribute to preventable deaths or incentivize more healthy living lifestyles among the most at-risk populations?

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Discussion: Diagnosing and Managing Common Endocrine and Musculoskeletal Conditions

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Endocrine and musculoskeletal conditions, especially when left untreated, can have a significant impact on women’s health. Many of these conditions present unique challenges for women, making risk assessments and routine screenings an important part of primary care. As an advanced practice nurse, you must identify signs and symptoms of these conditions and educate at-risk patients so they can also monitor themselves. For this Discussion, consider how you would diagnose, treat, and educate the patients in the following three case studies:

Case Study 1

A 33-year-old Caucasian female presents with concerns about a four-month history of diffuse musculoskeletal pain and stiffness associated with fatigue and dry eyes. The pain varies with the weather and is worse in the morning. Her menstrual periods are irregular and she has frequent dyspareunia. Physical exam is remarkable for pain at different points all over the body, including neck, back, chest, elbows, hips, buttocks, and knees

Case Study 2

A 28-year-old Latina obese female presents to the clinic with increasing body hair and irregular menses. She now has coarse body hair on her chest and upper back. Her menstrual periods used to be fairly regular, but now she can skip three or four months before her next menstrual cycle. She has never been pregnant. She has one male sex partner.

Case Study 3

A 28-year-old Caucasian female comes to clinic concerned about three episodes of urinary incontinence associated with difficulty walking. The first two episodes resolved spontaneously after a couple of days without residuals, but this current episode has lasted a week. Today she began to have some blurred vision. Physical exam is remarkable for mild edema of the optic disc and difficulty with heel-to-toe walking. Deep tendon reflexes are 2+ and there is no extremity weakness.

To prepare:

Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.

Review and select one of the three provided case studies. Analyze the patient information.

Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.

Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

By Day 3

 

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder.

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Comprehensive Case Study

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Week 6: Comprehensive Case Study on COPD, Heart Failure, Hypertension, and Diabetes Mellitus

Review the following case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separating your responses by question number. Include an introduction and a conclusion. Submit your answers using APA format, well-written sentences, and detailed explanations. Your analysis must be scientifically sound, necessary, and sufficient.

You must also include a bibliography of at least 3 sources (with at least one non Internet source). Your textbook may not be included as a source for this assignment. Refer to the rubric for more information on how your assignment will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)         Points: 300

 

Case Study

M.K. is a 45-year-old female, measuring 5’5” and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetes mellitus along with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus.

 

The following are lab findings that are pertinent to this case:

Vitals
BP 158/98 mm Hg
CBC
Hematocrit 57%
Glycosylated hemoglobin (HbA1c) 7.3 %
Arterial Blood Gas Assessment
PaCO₂ 52 mm Hg
PaO₂ 48 mm Hg
Lipid Panel
Cholesterol 242 mg/dL
HDL 32 mg/dL
LDL 173 mg/dL
Triglycerides 1000 mg/dL

 

  1. What clinical findings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis?  
  2. Which type of heart failure would you suspect with M.K.? Explain the pathogenesis of how this type of heart failure develops.  
  3. According to the B.P. value, what stage of hypertension is M. K. experiencing? Explain the rationale for her current medications for her hypertension. Also, discuss the impact of this disease in the U.S. population.  
  4. According to the lipid panel, what other condition is M.K. at risk for? According to this case study, what other medications should be given and why? What additional findings correlate for both hypertension and Type II diabetes mellitus?  
  5. Interpret the lab value for HbA1c and explain the rationale for this value in relation to normal/abnormal body function?  

 

Resources

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Research Critiques and PICOT Statement Final Draft

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Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

use the PICOT statement in the Topic 1 assignment. add 2 more relevant research articles on the specific PICOT topic.

 

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

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.

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Week 4 Assignments

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Mark 8:29 Worksheet

Name:

Course:

Date:

Instructor:

 

Please address each question below with complete sentences and clear, specific explanation. The total word count of your writing should be between 750-1,250 words.

1.      Select one teaching of Jesus from one of the following Bible verses: Matthew 5:21-24, Matthew 5:43-48, Matthew 6:19-24, Matthew 7:15-23, Luke 15:1-32, John 13:1-17 & 34-35, John 15:1-11. Answer the following questions:

a.       What was Jesus’ point in the teaching?

 

b.      What sort of relevance does this teaching have for other worldviews?

 

c.       What does this teaching reveal about Jesus?

 

2.      Identify at least one claim that Jesus made about His nature and/or the purpose of His ministry (such as Mark 2:1-12, Matt 9:9-13, Luke 7:18-23, John 5:16-18, John 10:25-38, John 14:5-11). What is the significance of this claim?

 

 

3.      How would you personally answer Jesus’ question, “But who do you say that I am?” Describe your own beliefs about Jesus.

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