NUR3045 Module 1 Quiz Chapter 4 2017

Question 1 Besides being important public health issues and motivating people to action, what purpose do the Healthy People 2020 objectives serve?

1. Measure the impact of prevention activities

2. Provide monetary worth to the nation

3. Replace other tools

4. Identify people needing secondary health services

Question 2 A group of health care providers are attempting to define health. What can occur during this discussion?

1. Terms and meanings may be challenged.
2. Categories of health will be listed.
3. Ambiguity will be resolved.
4. Achieves a full acceptance by all parties

Question 3 Which is an obligation of a person who is assuming the sick role?

1. Seek help and following it to promote recovery.
2. Stay away from others to prevent them from becoming ill.
3. Follow health orders without question.
4. Appear to be sick.

Question 4 According to Suchman, what does assuming the sick role mean to a person?

Select all that apply.

1. Seeks help and shares the problem with family and friends
2. Goes under the control of a physician who plans a treatment of care
3. Seeks scientific confirmation that something is wrong
4. Becomes aware that something is wrong and responds emotionally

Question 5 Within the Healthy People 2020 document, what characteristics contribute to health disparity in the United States?

Select all that apply.

1. Race
2. Religion
3. Gender
4. Age
5. Unemployment/underemployment

Question 6 Which actions or behaviors exemplify health maintenance?

Select all that apply.

1. Having an annual physical with a healthcare provider
2. Complying with immunization schedules
3. Eating balanced meals
4. Regular exercise
5. Having health insurance

Question 7 A patient says, “The doctors say I’m healthy, but I still don’t feel well.” What can the nurse infer from this statement about the patient’s definition of health?

Select all that apply.

1. The patient equates being healthy with feeling well.
2. The patient’s definition of health includes more than the absence of physical symptoms.
3. Since the patient does not feel well, disease must be present.
4. The patient believes that a disease is still present.
5. The patient is experiencing pain.

Question 8 Which phases would a person experience during an illness trajectory?

1. Symptoms, diagnosis, treatment, rehabilitation
2. Symptoms, diagnosis, rehabilitation, treatment
3. Rehabilitation, treatment, recovery, symptoms
4. Diagnosis, treatment, symptoms, rehabilitation

Question 9 Why would health care providers refer to Healthy People 2020 when providing patient care?

1. It provides a plan to continue to improve the health of everyone in the United States.
2. It supports policies which provide monetary incentives to states who reach the benchmark goals.
3. It serves as a monitoring system that evaluates the health of all citizens.
4. It is mandated legislation that will result in a healthier population by 2020.

Question 10 While hospitalized, a patient enters the stage of patient status. What behavior will the nurse observe in this patient?

1. The person shifts into the role as it is determined by society.
2. The illness is now socially recognized and identified.
3. Symptoms are being experienced, leading to a diagnosis.
4. The patient does all that can be done to recover from his or her illness.

Question 11 How would the definition of health differ between a beginning nursing student and a graduate nursing student?

Select all that apply.

1. Health for the graduate nurse is more technical.
2. Health for the graduate student is more abstract.
3. Health becomes more tangible for the graduate nurse.
4. Health for the beginning nurse is a complex integration of parts.
5. Health becomes easier to define for the graduate nurse.

Question 12 Which statement exemplifies Rosenstock’s belief about health as an elusive concept?

Seeking medical care evolves in distinct stages.

Question 13 The nurse determines that a patient is in the onset stage of an illness. What did the nurse observe in the patient?

1. The first symptoms of a given problem are experienced.
2. There is a gradual resumption of normal roles and activities.
3. The sick role becomes that of being a patient.
4. The disease is identified and socially sanctioned.

Question 14 What would be the result of ambivalence during the dependent-patient role stage?

1. Create barriers that interfere with the treatment and willingness to comply.
2. Warrant further confirmation sought from family and friends about what is happening.
3. Have the person become aware that something is wrong.
4. Cause additional burdens to family and friends of the person at this time.

Question 15 Which statement exemplifies how a nursing student views health?

1. Entered the health care profession with a culturally based concept of health
2. Forces patients to accept the medical definitions of health
3. Accepts the prevailing definition of health and applies it to individual patients
4. Must share the patient’s views of health and illness

Question 16 While reviewing the Healthy People 2020 document, the nurse identifies what as being the main objectives of the program?

Select all that apply.

1. Address the relationship between health status and biology, behavior, services, social factors, and policies.
2. Emphasize an ecological approach to disease prevention and health promotion.
3. Ensuring all Americans have health insurance
4. Eliminating childhood diseases
5. Ensuring all Americans have one physical each year

Question 17 Why would the nurse review health status determinants when assessing a patient?

Select all that apply.

1. Learn the patient’s lifestyle.
2. Understand the patient’s environment.
3. Identify how to measure progress.
4. Ability to motivate action
5. Identify ways to reduce health care costs.

Question 18 A patient comes to a health care provider concerned about a family history of diabetes. The provider addresses the patient’s concerns and suggests interventions to diminish the patient’s chances of developing the disease. What is this action considered?

1. Perceived benefits

2. Demographic variables

3. Perceived seriousness

4. Sociopsychological variables

Question 19 Which illness trajectory would be seen in a person with cancer?

1. presenting symptoms, followed by treatment and recovery.

2. acute illness, unstable status, deterioration, and recovery.

3. diagnosis, treatment, unstable status, death.

4. presenting symptoms, followed by diagnosis and treatment

Question 20 After learning about a health problem, a patient is reluctant to take action. Which barriers could be influencing this patient’s decision about taking action?

Select all that apply.

1. Cost

2. Availability

3. Time

4. Social class

5. Use of Jargon

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Nursing homework help

Complete Exercises 6, 8, and 9 in Statistics for Nursing Research: A Workbook for Evidence-Based Practice, and submit as directed by the instructor.

Use MS Word to complete “Questions to be Graded: Exercise 27” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate.

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Pathophysiology

This link has the homework assignment in it.

https://tamuct.instructure.com/courses/1078/files/63605/download?verifier=A8JIEdoSm2C01RNaxW9cZYsaiSLWwOzMgf8kTcIs&wrap=1.

These are some additional guidelines that will help answer the questions as well.

 

Subject Knowledge and Accuracy

  • Normal physiological principles, processes, and mechanisms are explained at the molecular, cellular, and organ levels.
  • Physiological processes and mechanisms relating to the pathology are clearly explained.
  • Answers focus on substantive ideas that are supported by relevant facts and examples.
  • Explanations are clear and incorporate appropriate vocabulary.
  • Thoughtful and convincing responses clearly demonstrate depth of subject knowledge.
  • Information is derived from good quality, credible sources.
  • All questions are answered completely.
  • All content is current and accurate.

Bibliography / Citations / Writing

  • Two (2) or more sources used for the assignment (your textbook can be one of the sources).
  • All material that is not considered “common knowledge” is cited.
  • All quotations and/or paraphrasing are cited according to APA format.
  • The full reference for each citation is found in the bibliography.
  • References are listed alphabetically at end of assignment in the bibliography.
  • Bibliography and citations follow APA format.
  • Writing is free of grammatical errors.
  • Sentences are complete, clear, and concise.
  • Spelling is correct.

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Explain how Medicaid is financed.

1. Explain how Medicaid is financed.

2. Discuss the role of the federal and state governments on the operation and design of Medicaid programs.

3. Discuss the impact of the Patient Protection and Affordable Care Act on the eligibility and coverage of Medicaid.

Write a 3- to 5-page paper, typed and double spaced, with 12 pt. Times New Roman font and 1-inch page margins. Use headers throughout the paper

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Class 7 Unit 4 Topic 1

Purpose: Comment the Discussion (Class 507 Unit 4 Topic 1 Comment 1 M)

Sabine

 

Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

To Comment:

Health Care Policies That Use Cost Shifting

Cost shifting is a term which is used in the world of healthcare payments, Medicaid, insurance and Medicare reimbursements. Cost shifting occurs when hospitals and other healthcare providers charges an insured patient more than what it charges an uninsured one for the same service or procedure. Cost shifting is used both in private and public hospitals that apply health insurance policies especially Medicaid and Medicare (In Culyer, 2014).

Benefits of Cost Shifting

The benefits of cost shifting are that through cost shifting hospitals make up for the lower unit costs on Medicare and Medicaid patients. Some uncompensated care is financed by the private insurance through cost shifting like the hospitals are able to make up for the losses they might have incurred in treating uninsured patients through charging the insured patients higher (Norton, 2011).

Affordable Care Act Decreases Cost Shifting Within Hospitals

Affordable care act enables the centers for Medicare and Medicaid services to tie payment to quality standards, investing in patient safety and also offering new incentives for providers to deliver coordinated and high quality care. Through this practice cost shifting will be minimized since the hospitals which practice it will not get a chance to charge more than the quality of service they give (Li & University of Nebraska Medical Center, 2014).

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Discussion Question

Today’s workforce is diverse and has multiple conflicting priorities. As a nurse leader, you would like to see your hospital implement an outreach program that will benefit needy members of the community. What are some methodologies of communication you would use to develop a shared vision with your stakeholders? How would you apply strategic management to make your visions for the outreach program become reality?

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DQ#1

Throughout this course, you have viewed the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

 

  1.  Propose one example of a Nursing Intervention related to the disaster from each of the following levels: Primary Prevention, Secondary Prevention, and Tertiary Prevention. Provide innovative examples that have not been discussed by a previous student.
  2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
  3. With what people or agencies would you work in facilitating the proposed interventions and why?

 

Link to the “Diary of Medical Mission Trip” videos:

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs427v_nrs427v.php

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Nursing homework help

The United States health care system is lacking in many areas when it is compared to other countries. There are many areas that we can improve where health care is concerned. Even though our health system is not the best our cost for health care continues to rise. Where is our money going? A survey from the Harvard School of Public Health revealed that 55% of American adults barely gave the US health care a passing grade, more than 11% gave the quality of care a fair rating, and 47% felt that the hospital care failed to provide the care that they deserved. Reading this was awful to say the least. How can we fall behind in quality of care in the hospital setting when our goal is to have the best outcome for our patients? Many studies show how there are multiple errors due to lack of communication and misuse of equipment that leads to accidents and even death of the patient. Health care providers need to talk to each other and respect one another and always remember that the patient should be their priority. The way we can achieve this is by holding everyone accountable for the care that’s being provided. Reporting poor quality of care will also help open the eyes of those who choose to work blindly.

In regards to the high price of health care The Affordable Care Act was established to help. It gives people that cannot afford insurance or are not offered insurance at their jobs a discounted rate. 20 million Americans have received coverage under this act that was initiated May 1, 2014, (The commonwealth fund, 2016)). Many individuals work hard to earn enough money to support their families and provide food and clothes for them. They don’t have enough money to spare on health insurance just in case. Health care insurance is not cheap to buy even purchasing a HMO costs an average family $700-$900 a month, that’s just the monthly fee and does not take into consideration the copays and cost of medication that goes along with treatments. We have the biggest and best that the world has to offer when it comes to science and medicine we should be able to provide care to all not just a select few that can afford it.

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Research Proposal

Overview/Description: 
The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the required template and not to exceed 15 pages (excluding title page/references/appendices).

Criteria:
Introduction

  • Background and Significance of Problem
  • Statement of the Problem and Purpose of the Study

Literature Review

  • Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

  • Overview and Guiding Propositions(s) Described in Theory
  • Application of Theory to Your Study’s/Project’s Focus

Methodology

  • Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
  • Sampling Strategy
  • Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.
  • Extraneous Variables (and plan for how controlled).
  • Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
  • Description of the Intervention
  • Data Collection Procedures
  • Data Analysis Plans
    • Describe plan for data analysis for demographic variables (descriptive statistical tests).
    • Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

  • Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study
Implications for Practice
References
Appendices

  • Informed Consent Letter
    • Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

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Weekly reflection

Write a 500-word summary of what you learned this week. Reflect on the following questions:

 

  • What ideas, readings, discussions, or activities stood out to you? Why?
  • What had the greatest effect on you?
  • What were you surprised about?
  • What can you use in your daily life?

    Format your paper consistent with APA guidelines

 

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