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ADMINISTRATIVE AND CLINICAL USE OF THE EHR|2025

February 15, 2025/in Nursing Questions /by Besttutor

1. Plan of care, evaluation, subjective data, and objective data are all parts of

A. a telephone encounter.

B. documentation.

C. the progress note.

D. a clinic visit.

 

2. Mr. Smith has an appointment with Dr. Johnson at 9:00 A.M. for his annual wellness exam. Mrs. Adams calls the clinic first thing in the morning due to fever, chills, and cough for 3 days and is given an appointment at 9:00 A.M. with Dr. Johnson as well. This is an example of

A. overlap.

B. accommodating.

C. jamming.

D. double-booking.

 

3. A provider performs _______ to signify that everything in the note is correct.

A. technological signature

B. digital signature

C. annotation

D. autograph

 

4. Dan has made an appointment for review of his medication, as he recently relocated to the area with his family. Before his appointment, he has been asked to fill out and bring _______ form.

A. disclosure

B. health history

C. review of systems

D. consent

 

5. Incident reports are reviewed by the staff to aid in

A. policies.

B. prevention.

C. change.

D. procedures.

 

6. Which of the following is an appropriate way to reduce no-show appointments?

A. Ensure the patient writes down their appointment.

B. Perform reminder calls one to two days preceding the appointment.

C. There are no good ways to reduce no-shows.

D. Schedule all appointments within seven days of the appointment day.

 

7. A patient notes that they smoke a half a pack of cigarettes per day and drink a six pack of beer every night. Where would this be documented in the chart?

A. Medical history

B. Social history

C. Chief complaint

D. Problem list

 

8. Which of the following is not considered an integrated device?

A. Telephone

B. Signature pad

C. Scanners

D. Camera

 

9. _______ allows for disclosure of protected health information (PHI) through phone, fax, or email without specific patient authorization.

A. Confidentiality

B. HIPAA Security Rule

C. HIPAA Privacy Rule

D. Clinic policies and procedures

 

10. _______ is the most important responsibility of all members of the medical office.

A. Communication

B. Accountability

C. Documentation

D. Punctuality

 

11. All of the following require an incident report to be filed except

A. if the wrong patient is contacted for an appointment reminder.

B. if the employee suffers a needle stick.

C. if the wrong medication is administered to the patient.

D. if the patient falls in the hallway.

 

12. The process of a data code being unreadable until its destination is reach is called

A. cryptic.

B. jumble.

C. decryption.

D. encryption.

 

13. The _______ is a centralized location for a summary of a patient’s acute and chronic conditions.

A. chief complaint

B. medical history

C. disease list

D. problem list

 

14. Which of the following are not guidelines for proper telephone etiquette?

A. Answer by the third ring is possible

B. Answer with a pleasant greeting

C. Speak slowly and clearly

D. Keep a straight, professional face

 

15. Myrtle uses a cane to ambulate. She came to the clinic for an appointment, but before making it inside the building she tripped and fell on the curb. What type of document needs to be created?

A. Incident report

B. Fall report

C. Accident report

D. Injury report

 

16. Through the use of _______ a patient may view open appointments or schedule their own appointment.

A. patient access

B. patient flow

C. patient gateway

D. patient portal

 

17. Cindy has a hand-written fax number from a patient’s parent to fax a note to the school for use of a medication while at school. Cindy is unable to read all of the fax numbers. What should she do?

A. Avoid sending the note since the correct number wasn’t given

B. Call the patient to confirm the number

C. Send to the closest number

D. Ask other office staff

 

18. What’s the default landing page in SCMO when entering a patient encounter?

A. Allergies

B. Chief complaint

C. Vital signs

D. Progress note

 

19. _______ is a rundown of organ systems that can be used to pinpoint certain concerns or unusual findings.

End of exam

A. Review of systems

B. Report of symptoms

C. Report of systems

D. Review of symptoms

 

20. “It feels like an ice pick in my head” and “I’m coughing up a lung” are considered

A. chief complaints.

B. reason for visit.

C. presenting symptom.

D. medical concerns.

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Case Study: Mr. M.|2025

February 15, 2025/in Nursing Questions /by Besttutor

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

  1. Temperature: 37.1 degrees C
  2. BP 123/78 HR 93 RR 22 Pox 99%
  3. Denies pain
  4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

  1. WBC: 19.2 (1,000/uL)
  2. Lymphocytes 6700 (cells/uL)
  3. CT Head shows no changes since previous scan
  4. Urinalysis positive for moderate amount of leukocytes and cloudy
  5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mr. M.
  2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
  3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
  4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
  5. Discuss what interventions can be put into place to support Mr. M. and his family.
  6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

RUBRIC

Attempt Start Date: 23-Sep-2019 at 12:00:00 AM

Due Date: 29-Sep-2019 at 11:59:59 PM

Maximum Points: 120.0

Case Study: Mr. M.

No of Criteria: 11 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Clinical Manifestations of Mr. M.10.0Clinical manifestations are omitted.Clinical manifestations are partially presented. There are major omissions and inaccuracies.Clinical manifestations are summarized. An overview of the general symptoms is presented. Some findings are incomplete.Subjective and objective clinical manifestations are described. Overall, the clinical manifestations are accurate and reflect observed and perceived signs and symptoms.Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms.Diagnoses and Secondary Diagnoses10.0A discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is omitted; or, medical diagnoses presented are inaccurate.A partial discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. There are major inaccuracies. Rationale and evidence for the diagnoses are lacking.A general discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. There are some inaccuracies. A summary provides some rationale and evidence to explain why the diagnoses are relevant.A discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. General rationale and relevant data are used to explain why the diagnoses should be considered. There are minor inaccuracies.A detailed discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. Strong rationale and reliable data are used to explain why the diagnoses are relevant and should be considered.Explanation of Expected Abnormalities During Nursing Assessment15.0A discussion of what abnormalities a nurse would expect to find during a nursing assessment is omitted; or, the expected findings are not relevant for the patient or his health status.An incomplete summary of some abnormalities a nurse would expect to find during a nursing assessment is presented. There are inaccuracies. No rationale or evidence is provided for support.

A general discussion on the abnormalities a nurse would expect to find during a nursing assessment is presented. There are minor inaccuracies. Some rationale or evidence is provided for support.A discussion of abnormalities a nurse would expect to find during a nursing assessment is presented. General rationale and evidence are provided for support.A thorough discussion of abnormalities a nurse would expect to find during a nursing assessment is presented. Strong rationale and evidence are provided for support.Effects of Health Status on Physical, Psychological, and Emotional Aspects of Patient and Family15.0The effects of the health status on the physical, psychological, and emotional aspects of the patent, and the impact the health status has on the family, are omitted.The effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, are partially summarized. The effects presented are questionable, and support for the discussion is not provided.The effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, are summarized. Overall, the described effects on the patient and impact to the family are relevant. Some support for the discussion is provided.A discussion of the effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, is presented. Support for the discussion is provided.A thorough discussion of the effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, is presented. Strong support for the discussion is provided.Interventions for Support15.0Interventions that can be put into place to support Mr. M. and his family are omitted.Some interventions that can be put into place to support Mr. M. and his family are partially presented. More information is required.Some interventions that can be put into place to support Mr. M. and his family are summarized. There are minor inaccuracies.Key interventions that can be put into place to support Mr. M. and his family are discussed. Some detail is needed for clarity.All relevant interventions that can be put into place to support Mr. M. and his family are thoroughly discussed.Actual or Potential Problems Based on Condition15.0Fewer than three actual or potential problems faced by the patient are presented. The problems posed are not relevant to his condition.Three actual or potential problems faced by the patient are partially presented. It is unclear how some of the posed problems are relevant to his condition. There are inaccuracies.At least four actual or potential problems faced by the patient are summarized. The posed problems are generally relevant to his condition. There are minor inaccuracies. Some information or rationale is needed.Four or more actual or potential problems faced by the patient are discussed. The posed problems are relevant to his condition. Rationale provided generally supports the discussion.Four or more actual or potential problems faced by the patient are thoroughly discussed. The posed problems are clearly related to his condition. Strong rationale is provided and supports the discussion.

Organization, Effectiveness, and Format20.0

Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

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Keith Rischer RN answers to assessment & reasoning respiratory system|2025

February 15, 2025/in Nursing Questions /by Besttutor

Assessment & Reasoning

Respiratory System

 

 

John Franklin, 35 years old

 

Suggested Respiratory Nursing Assessment Skills to Be Demonstrated: • Inspection: Client positioning – tripod, position of comfort; (face) nasal flaring, pursed lips, color of face, lips;

(posterior)level of scapula – rise evenly, use of accessory muscles anterior/posterior, sternal/intercostal

retractions. Quality and pattern of respirations.

• Palpation: (posterior) down the back sequentially checking for tenderness/pain, warmth, crepitus & fremitus (best with ball of hand), chest wall expansion(symmetry) – thumbs over spine and fingers spread like butterfly

wings-pneumonia, pneumothorax. Assess for masses, bulges, muscle tone

• Percussion: Across and down back for resonance vs hyperresonance (pneumothorax), dullness (pneumonia). Avoid percussing over bone.

• Auscultation: Posterior – down the back sequentially from C7 (lung apex) to T10; anterior – above clavicles to sixth rib (xiphoid); flanks from axillae to 8th rib. Ladder type sequence moving right to left for comparison.

Listen for full inspirations and expiration.

• Palpation, percussion and auscultation follow same pattern and avoids scapula and spine (posterior) and mammary tissue (anteriorly) – assess as close to chest wall as possible. Compare left to right for aeration =

Make Learning Active! • Role play or go through the interview/body assessment process – student to student or as a group.

• Review the case study as an application exercise in small groups or together as a class.

• Depending on your program some of this content in the case study may not have been taught. Do not let that prevent you from utilizing this case study! Instead use it to promote learning by having students

identify what they do not yet know and provide guidance to where they can find the information in the

textbook or on the internet to address knowledge gaps. This is educational best practice and another way

to scaffold knowledge!

 

 

 

 

 

 

© 2019 Keith Rischer/www.KeithRN.com

Present Problem: John Franklin is a 35-year-old African American male who has a history of hypertension and asthma who smokes ½ ppd since the age of eighteen. He began to feel more short of breath after supper today and began to have a persistent non-

productive cough. He ran out of his albuterol inhaler two months ago and has audible expiratory wheezing when he

comes to the triage window of the emergency department (ED).

John is promptly brought to a room in the ED and you are the nurse responsible for his care.

 

What data from the present problem are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential)

RELEVANT Data from Present Problem: Clinical Significance:

 

 

 

 

 

 

 

 

 

What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds?

(Which medication treats which condition? Draw lines to connect.)

PMH: Home Meds: Pharm. Class: Mechanism of Action (own words):

Asthma

Hypertension

Albuterol inhaler 2 puffs

every 4 hours PRN

wheezing

 

Furosemide 20 mg PO daily

 

 

 

 

 

 

Patient Care Begins:

 

What vital signs are abnormal? What is the reason (pathophysiology) for these findings? (Reduction of Risk Potential/Health Promotion and Maintenance)

Abnormal VS: Clinical Significance:

 

 

 

 

 

 

 

 

 

 

Current VS: P-Q-R-S-T Pain Assessment: T: 99.1 F-37.3 C (oral) Provoking/Palliative: Denies pain

P: 110 (regular) Quality:

R: 24 (regular) Region/Radiation:

BP: 188/110 Severity:

O2 sat: 91% RA Timing:

You place John on a cardiac monitor, continuous oximetry

and quickly collect the following assessment data:

 

 

 

© 2019 Keith Rischer/www.KeithRN.com

 

What assessment findings are abnormal? What is the reason (pathophysiology) for these findings? (Reduction of Risk Potential/Health Promotion & Maintenance)

RELEVANT Assessment Data: Clinical Significance:

 

 

 

 

 

 

 

 

 

Put it All Together and Think Like a Nurse!

1. Interpreting relevant clinical data, what is the primary problem? What body system(s) will you assess most thoroughly based on the primary/priority concern?

What’s the

problem?

What’s causing the problem?

(explain pathophysiology in OWN words)

PRIORITY Body

System to Assess:

 

 

2. Which specific nursing assessments for this body system are most important? Validate successful completion of each nursing assessment on a manikin (if available) identified with peer or faculty initials.

PRIORITY Nursing Assessments: Rationale: Validate Student

Performance:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Assessment:

GENERAL: Appears anxious, body tense, brows furrowed RESP: Coarse inspiratory and expiratory wheezing with prolonged expiratory phase, labored breathing,

diminished aeration in bases, subcostal retractions present

CARDIAC: Skin warm and dry, no edema, heart sounds strong, regular with no abnormal beats/murmurs, pulses 3+ throughout, brisk cap refill

NEURO: Alert & oriented to person, place, time, and situation (x4) GI: Abdomen pink, flat, soft/nontender/symmetrical, bowel sounds audible per auscultation in all

four quadrants

GU: Voiding without pain/difficulty, reports urine clear/yellow

INTEGUMENTARY: Cool, moist forehead, skin integrity intact, skin turgor elastic, no tenting present

 

 

© 2019 Keith Rischer/www.KeithRN.com

3. What is the current nursing priority and plan of care?

Nursing PRIORITY:

PRIORITY Nursing Interventions: Rationale: Expected Outcome:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. State the rationale and expected outcomes for the medical plan of care. Medical Management: Rationale: Expected Outcome:

 

 

 

 

 

 

 

 

 

Radiology Reports: What diagnostic results are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential/Physiologic Adaptation)

Radiology: Chest X-Ray

Results: Clinical Significance:

No infiltrates noted, silhouette of

heart is slightly enlarged

 

 

 

 

Lab Results: Complete Blood Count (CBC)

WBC HGB PLTs % Neuts Bands

Current: 10.5 14.5 295 78 0

 

RELEVANT Lab(s): Clinical Significance:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© 2019 Keith Rischer/www.KeithRN.com

Basic Metabolic Panel (BMP)

Na K Gluc. Creat.

Current: 140 3.2 185 1.3

RELEVANT Lab(s): Clinical Significance:

 

 

 

 

 

 

 

 

 

 

 

Evaluation: Thirty minutes later…

 

 

 

 

 

 

1. What data is RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential/Health Promotion and Maintenance)

RELEVANT VS Data: Clinical Significance: TREND: Improve/Worsening/Stable:

 

 

 

 

 

 

Current VS: Most Recent: Current PQRST: T: 99.1 F-37.3 C (oral) T: 99.1 F-37.3 C (oral) Provoking/Palliative: P: 96 (regular) P: 110 (regular) Quality: Denies R: 20 (regular) R: 24 (regular) Region/Radiation: BP: 146/90 BP: 188/110 Severity: O2 sat: 95% RA O2 sat: 91% RA Timing:

Current Assessment:

GENERAL

APPEARANCE:

Resting comfortably, appears in no acute distress

RESP: Breath sounds have mild expiratory wheezing with equal aeration bilaterally, able to

speak in full sentences with no SOB

CARDIAC: Pink, warm & dry, no edema, heart sounds regular with no abnormal beats, pulses

strong, equal with palpation at radial/pedal/post-tibial landmarks

NEURO: Alert & oriented to person, place, time, and situation (x4), less anxious

GI: Abdomen pink, flat, soft/nontender/symmetrical, bowel sounds audible per

auscultation in all four quadrants

GU: Voiding without difficulty, urine clear/yellow

SKIN: Skin integrity intact, skin integrity intact, skin turgor elastic, no tenting present

John has received two albuterol/ipratropium nebulizers and IV

methylprednisolone. You collect the following clinical data to reassess his

status.

 

 

© 2019 Keith Rischer/www.KeithRN.com

RELEVANT Assessment

Data:

Clinical Significance: TREND: Improve/Worsening/Stable:

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Has the status improved or not as expected to this point? Does your nursing priority or plan of care need to be modified after this evaluation assessment? (Management of Care, Physiological Adaptation)

Evaluation of Current Status: Modifications to Current Plan of Care:

 

 

 

 

 

 

 

 

 

 

 

 

2. What did you learn that you can apply to future patients you care for? Reflect on your current strengths and

weaknesses this case study identified. What is your plan to make any weakness a future strength?

What Did You Learn? What did you do well with this case study?

 

 

 

 

 

 

 

 

What could have been done better? What is your plan to make any weakness a future

strength?

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. RELEVANT Data from Present ProblemRow1:
  2. Clinical SignificanceRow1:
  3. PMH:
  4. Home Meds:
  5. Asthma Hypertension:
  6. Pharm ClassAlbuterol inhaler 2 puffs every 4 hours PRN wheezing Furosemide 20 mg PO daily:
  7. Mechanism of Action own wordsAlbuterol inhaler 2 puffs every 4 hours PRN wheezing Furosemide 20 mg PO daily:
  8. Current VS:
  9. PQRST Pain Assessment:
  10. P 110 regular:
  11. Denies painQuality:
  12. R 24 regular:
  13. Denies painRegionRadiation:
  14. BP 188110:
  15. Denies painSeverity:
  16. O2 sat 91 RA:
  17. Denies painTiming:
  18. Abnormal VSRow1:
  19. Clinical SignificanceRow1_2:
  20. Current Assessment:
  21. GENERAL:
  22. Appears anxious body tense brows furrowed:
  23. RESP:
  24. CARDIAC:
  25. NEURO:
  26. Alert oriented to person place time and situation x4:
  27. GI:
  28. GU:
  29. Voiding without paindifficulty reports urine clearyellow:
  30. RELEVANT Assessment DataRow1:
  31. Clinical SignificanceRow1_3:
  32. Whats the problemRow1:
  33. Whats causing the problem explain pathophysiology in OWN wordsRow1:
  34. PRIORITY Body System to AssessRow1:
  35. PRIORITY Nursing AssessmentsRow1:
  36. RationaleRow1:
  37. Validate Student PerformanceRow1:
  38. Nursing PRIORITY:
  39. PRIORITY Nursing InterventionsRow1:
  40. RationaleRow1_2:
  41. Expected OutcomeRow1:
  42. Medical ManagementRow1:
  43. RationaleRow1_3:
  44. Expected OutcomeRow1_2:
  45. Results:
  46. Clinical SignificanceNo infiltrates noted silhouette of heart is slightly enlarged:
  47. Complete Blood Count CBCRow1:
  48. Current:
  49. RELEVANT LabsRow1:
  50. Clinical SignificanceRow1_4:
  51. Basic Metabolic Panel BMPRow1:
  52. Creat:
  53. Current_2:
  54. 13:
  55. RELEVANT LabsRow1_2:
  56. Clinical SignificanceRow1_5:
  57. Current VS_2:
  58. Most Recent:
  59. Current PQRST:
  60. T 991 F373 C oral:
  61. ProvokingPalliative:
  62. P 96 regular:
  63. P 110 regular_2:
  64. Quality:
  65. R 20 regular:
  66. R 24 regular_2:
  67. DeniesRegionRadiation:
  68. BP 14690:
  69. BP 188110_2:
  70. DeniesSeverity:
  71. O2 sat 95 RA:
  72. O2 sat 91 RA_2:
  73. DeniesTiming:
  74. Current Assessment_2:
  75. Resting comfortably appears in no acute distress:
  76. RESP_2:
  77. CARDIAC_2:
  78. NEURO_2:
  79. GI_2:
  80. GU_2:
  81. Voiding without difficulty urine clearyellow:
  82. SKIN:
  83. RELEVANT VS DataRow1:
  84. Clinical SignificanceRow1_6:
  85. TREND ImproveWorseningStableRow1:
  86. RELEVANT Assessment DataRow1_2:
  87. Clinical SignificanceRow1_7:
  88. TREND ImproveWorseningStableRow1_2:
  89. Evaluation of Current StatusRow1:
  90. Modifications to Current Plan of CareRow1:
  91. What Did You LearnRow1:
  92. What did you do well with this case studyRow1:
  93. What could have been done betterRow1:
  94. What is your plan to make any weakness a future strengthRow1:

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Comment Thomas|2025

February 15, 2025/in Nursing Questions /by Besttutor

Identify two GCU Library scholarly databases that will help you find the best research articles to support your EBP proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.

 

The GCU library databases are a lot of different things to use to make your writing easier. The GCU database is better than google search because it is focused on our topics and what we need to learn and not just everything on the internet. One of the main things that will help when writing your papers and to help support your EBP proposal is ask the librarian. This can help you when you get stuck and can’t figure out the next step. Also if you can’t figure out how to navigate the library the ask the librarian database is something that will help support your EBP. The other database that will help support your EBP proposal is CINAHL. This database has access to thousands of articles from other healthcare professionals and other people in the field that understand what nurses go through. Using this will help to support your EBP because you can read other people’s thoughts that have been in the same place other nurses have. These two things are the most helpful for me but the GCU library has many databases that are better than google because the results we get from GCU are from people that understand what nurses go through.

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Does Psychotherapy Have a Biological Basis?|2025

February 15, 2025/in Nursing Questions /by Besttutor
TO DO A REPLY COMMENT TO EACH POST. TWO REFERENCE PER COMMENT.
Post 1

Mental health processes and disorders originate from mechanisms within the brain. There has been the question within the psychiatric field as to whether plastic changes in the brain that can occur with the use of  pharmacological interventions for mental health disorders could also occur with the use of psychotherapy. Psychotherapy is extremely beneficial in treating several mental health issues (Laureate Education, 2016).There is compounding evidence that psychotherapy does have a biological basis and can have a positive impact in brain recovery from the stress response. According to Wheeler (2014), psychotherapy mediates the reintegration and connection of neural networks that have become maladaptively linked due to adverse life events facilitating healing of the brain. Psychotherapy has been found to be an effective treatment method for a variety of mental health disorders such as anxiety, major depression, and post-traumatic stress disorder. According to Fournier (2014), activity in regions associated with negative emotion, emotion regulation, fear, and reward are associated with respones to psychotherapy, and psychotherapy appears to alter the functioning of these regions.

While proven to be an effective treatment modality for mental health disorders, there are factors such as culture, religion, and socioeconomic background that can affect the client and their perspective on the use of psychotherapy. Psychotherapy within itself can bring conflicting emotions for the client and the clinician must be aware of how religion, culture, and socioeconomics can alter how the client perceives psychotherapy and its efficacy in their treatment. According to Wheeler (2014), the powerful influence of culture permeates all dimensions of out life in a way that is often unconscious. For example, if a client comes from a culture where emotions are not to be discusssed or if one discusses there past traumas or fears then the client could be resistant to the role of psychotherapy in their treatment plan. The clinician must be aware of the importance of culture in medical or psychological treatments. Religion also plays an instrumental role in how psychotherapy will be perceived by a client. Many clients may come from a religious background where one only speaks of negative emotions with someone from their clergy or a religious figure. According to Kim, Chen & Brachfeld (2018), religion and spirituality are important issues to consider and address in psychotherapy. Communication could become stagnant if the clinician is not aware of the role religion plays in the psychotherapy framework. Socioeconomic background can also be a variable in one‘s perspective of the value of psychotherapy. Certain traumatic events that a person can suffer throughout their lifetime can be directly correlated to socioeconomic standing. For example, poverty can be associated with depression, anxiety, substance abuse, and mood disorders. Patients from this type of background can experience barriers in both seeking and receiving mental health services. According to Bernal et al. (2017), vulnerable populations such as those low in social status face additional barriers to mental health treatment and experience unique barriers to receiving optimal care.

References

Bernal, D.R., Herbst, R.B., Lewis, B.L., & Feibelman, J. (2017). Ethical care for vulnerable populations receiving psychotropic treatment. Ethics & Behavior, 27(7), 582-598. doi:10.1080/10508422.2016.1224187

Fournier, J.C., & Price, R.B. (2014). Psychotherapy and neuroimaging. Psychotherapy: New Evidence and New Approaches, 12(3), 290-298. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207360

Kim, E.E., Chen, E.C., & Brachfeld, C. (2018). Patients’ experience of spirituality and change in individual psychotherapy at a Christian counseling clinic: A grounded theory analysis. Spirituality in Clinical Practice, doi:10.1037/scp0000176

Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

POST 2

Psychotherapy is just as controversial as mental health as a whole is. Some believe it is helpful, others believe it is a waste of time. One question still remains unanswered for many, can talking about feelings help change behavior and therefore sure whatever condition a person is suffering from? I believe psychotherapy has a biological basis. Lyrakos, Spinaris, and Spyropoulos (2017) clearly stated as results of a research that “the use of psychotherapy plays a significant role in achieving optimal health outcomes of psychiatric patients” (p. s753). Pairing psychopharmacology with psychotherapy can make a positive impact towards recovery compared to treatment with just psychopharmacology.

Many different reasons can influence the belief that psychotherapy might or might not work. For example, Adams et al. (2017) concluded in an article that “findings suggest that patients’ attachment characteristics play a role in their views and choices regarding treatments” (p. 194). Other factors that can impact the belief that therapy is a waste of time are culture, religion, and socioeconomic status. A person’s upbringing can be one to avoid talking about feelings with a stranger, or even with a loved one. Religion can also play a role in not receiving this type of treatment as faith in a spiritual belief might be the perceived as the cure to an ailment. Economical status and education level can also negatively impact the decision to avoid this type of treatment as the importance of it might not be completely comprehended or there are no means to afford the treatment. In another study that correlates the importance of psychotherapy, data showed “that children/adolescents with not only behavioral and emotional disorders, but also affective (mood) disorders had a higher chance for nondrug psychiatric/psychotherapeutic treatment compared to children with other psychiatric disorders” (Abbas et al., 2017, p. 442).

References

Lyrakos, G., Spinaris, V., & Spyropoulos, I. (2017). The introduction of psychotherapy in

psychiatric outpatients as part of the treatment in the last four years in a Greek

hospital. European Neuropsychopharmacology, 27(4).

Adams, G. C., McWilliams, L. A., Wrath, A. J., Adams, S., & Souza, D. D. (2017).

Relationships between patients’ attachment characteristics and views and use of

psychiatric treatment. Psychiatry Research, 256:194-201.

Abbas, S., Ihle, P., Adler, J., Engel, S., Günster, C., Holtmann, M., & …Schubert, I. (2017).

Predictors of non-drug psychiatric/psychotherapeutic treatment in children and

adolescents with mental or behavioral disorders. European Child & Adolescent

            Psychiatry, 26(4).

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Nursing homework help|2025

February 15, 2025/in Nursing Questions /by Besttutor

Discuss why you have decided to complete your BSN at this time, and the concerns you have about completing your baccalaureate degree. Based on the readings in the course materials, what strategies can you implement to be a successful student?

The reason that I have decided to continue my education was that it was always part of the plan. I just recently graduated from an ADN program at the end of 2018 and passed the dreaded NCLEX. The next step was to decided on which RN to BSN school and format to go with and obviously I went with GCU. The reason that BSN was always part of the plan is because I do not want to be limited in job prospects in the future.  Graduating with  a baccalaureate degree from university has been something that I have always wanted to do for the sense of accomplishment.

The concerns that I have for completing the program are the unknown. This is my first online class so I don’t know exactly what to expect, you don’t know what you don’t know. Another concern that I have is the load and or time management aspect of it all. Dealing with completing assignments and starting as a new grad nurse.

In the course materials section their is a blog post by Philip Murphy in which he list out 7 habits for being a student nurse. I believe that to be successful in any program or on an even broader setting for completeing any goals these are tools for success. I also think that one has to make these tools their own take ownership. A little experimentation to apply the concepts in the post to your specific life will yield greater results than just following some generic tips. I will personally probably end up using several different strategies in a some sort of combination but will adjust and modify them until they fit my personal life.

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Discharge teaching on Tina Jones|2025

February 15, 2025/in Nursing Questions /by Besttutor

Evidence-based discharge teaching is critical in promoting health and impacting readmissions. You will address Tina Jones’ diagnoses; asthma, dehydration, and wound infection, providing education that will support adherence and prevent readmission.  Provide clear guidance for wound care, infection control, medications, diet, blood sugar monitoring, activity, and follow-up that will optimize her health.

Discharge teaching on Tina Jones on the following:

Diabetics

Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion using current EBP in a patient centered manner demonstrating caring behaviors with use of therapeutic communication.

ASTHMA

Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion using current EBP in a patient centered manner demonstrating caring behaviors with use of therapeutic communication.

DEHYDRATION

Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion

nursing current EBP in a patient centered manner demonstrating caring behaviors with use of therapeutic communication

INFECTION

Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion using current EBP in a patientcentered manner demonstrating caring behaviors with use of therapeutic communication.

WOUND CARE

Thorough instruction on asepsis, wound care and equipment using current EBP in a patient-centered manner demonstrating caring behaviors with use of therapeutic communication

MEDICATION

Thorough instruction on medications, including indication, dosing, adverse effects, adherence, and administration using EBP in a patient-centered manner demonstrating caring behaviors with use of therapeutic communication.

ACTIVITY

Thorough instruction on activity, including bathing, equipment, and safety using EBP in a patientcentered manner demonstrating caring behaviors with use of therapeutic communication

DIET

Thorough instruction on proper diet for diabetes management, including counting carbohydrates, hypo- and hyperglycemia, and lifestyle changes using EBP in a patient-centered manner demonstrating caring behaviors with use of therapeutic communication

FOLLOW UP

Thorough instruction on instructions on follow-up plan, including appointments and warning signs of potential problems using EBP in a patient-centered manner demonstrating caring behaviors with use of therapeutic communication.

No errors in APA, Spelling, and Punctuation. Provides two or more references.

3-4 pages

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Misleading Graphs|2025

February 15, 2025/in Nursing Questions /by Besttutor

Discussion:

Unit 2 Discussion – Misleading Graphs

Can inaccurate graphs bias the interpretation of data? Graphs provide a visual representation of data meant to provide information. Here are three graphs that may present data inaccurately or misleadingly.  Choose one graph for this discussion and answer the questions based on your chosen graph.

Graph 1 was used to display changes in the Unemployment Rate for over 12 months.

Assignment 2 Bar 1.jpg

Graph 2 was used to display pizza topping preferences based on a survey of people living in the United Kingdom.

Assignment 2 Pie.jpg

Graph 3 was used to display the number of complaints reported for six different airlines per the US Department of Transportation in February 2013.

Assignment 2 Bar 2-1.jpg

Instructions

For this discussion, you are to choose one graph and complete these steps based on the graph you chose:

Steps

  • State the graph you chose.
  • Discuss how you interpreted the graph when you first saw it.
    • What did it tell you about the data represented?
    • Did you find it confusing?
  • Now, study the graph. Use your understanding of the topics Graphs, Pie Charts, and Bar Charts to interpret what is being presented.
  • Compare your first impression with your second, more informed interpretation and answer the following:
    • Is the information presented in a biased way (that is, is it misleading?)
    • What information is being misinterpreted here? How?
    • What type of graph was used, and was it used correctly?
    • How could you correct the graph so that it more accurately represents the data?
  • Discuss why someone might intentionally use a graph to mislead?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

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Week 2 Assignment|2025

February 15, 2025/in Nursing Questions /by Besttutor

Week 2 Assignment: Essay – Painting Analysis & Reflection

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 4
  • Minimum of 3 scholarly sources (in addition to the textbook)

Instructions
As part of the discussion this week, you made a brief exploration of a work of art to understand its subject, meaning, and intent. In this assignment, you will explore an artwork in more depth to consider the context in which it was created. Choose any painting, and address the following:

  • Explain the artistic movement associated with the work of art.
  • Describe the style of the artist (How is the artist unique within the movement?)
  • Examine in some depth the influences that shaped the work. Address at least 2 of the following:
    • Stylistic influences
    • Subject/content influences
    • Cross-disciplinary influences such as literature, philosophy, music, science, technology, etc.
    • Historical influences
    • Political influences
  • Reflect on your learning.
    • How did your research enhance your appreciation of the artwork?
    • How does understanding the context of a work help in interpreting it?

Include the following in your paper:

  • Name of the painting
  • Name of the artist
  • Date created
  • Image of the painting

Writing Requirements (APA format)

  • Length: 1.5-2 pages (not including title page, references page, image, or caption for artwork)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 3 scholarly sources)

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Critical reasoning week 3|2025

February 15, 2025/in Nursing Questions /by Besttutor

This is a graded discussion: 25 points possible due Jul 27 at 1:59am

Week 3 Discussion: Evaluating Sources 12 12

 

Required Resources Read/review the following resources for this activity:

Introduction “Everyone is entitled to their own opinions – but not their own facts.” (Daniel Patrick Moynihan, cited in Vanity Fair, 2010, para. 2)

We form opinions – and make our judgments – based on facts we observe and values we hold. Our judgments are also influenced by the opinions of others. In the section “An Expert on Hate in America” in Chapter 6, one of the authors, Dr. Peter Facione, renders an opinion on a non-profit civil rights organization: Southern Poverty Law Center (SPLC). Dr. Facione is a leading advocate and one of the most influential voices in the field of critical thinking.

His endorsement of the civil rights organization is unqualified. It is also transparent: Dr. Facione reveals that he is a financial supporter of the organization and has arranged speaking engagements for its founder. This is Dr. Facione’s invitation to you, the reader:

Knowing where you can learn more about the SPLC for yourself, and knowing about Dr. Facione’s endorsement and support of the Center’s work, evaluate this claim made by Dr. Facione: “The SPLC is an expert on hate in America” (p. 124).

The endorsement of the SPLC is contained in the most current edition of the text, whose copyright date is 2016. Since that time Morris Dees, co-founder and former chief trial counsel, has been fired (Hassan, Zraick & Blinder, 2019). Previously, there has been controversy about groups and individuals that are listed by the SPLC as “hate groups” (Graham, 2016; Price, 2018). The organization, which has nearly a half-billion dollars in assets, has also been criticized for how it spends these funds (Robinson, 2019).

Self-Assessment Question

Textbook: Chapter 6, 7 Lesson Minimum of 1 scholarly source (in addition to the textbook)

7/22/20, 4:26 PM Page 1 of 16

 

 

Before you submit your initial post, make sure to read the assigned chapter. Then, ask yourself the following: Did the article in Chapter 6 of the text seem credible and reliable? Why? Be very specific:

Initial Post Instructions For the initial post, address the following:

Only after you have done some responsible research should you begin to respond to the discussion prompt. The discussion is not about the SPLC; it is not about Dr. Facione. It is about what you have learned about forming opinions.

Your post must answer this question:

Your post must also discuss at least two (2) of the following questions:

Follow-Up Post Instructions Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

Writing Requirements

Was it because it is in a textbook? Because it was written by a learned and respected person? Because of content in the article? Because of your previous knowledge of the SPLC?

Conduct additional research on the SPLC. Did your opinion alter in any way? Why?

How do you define the term “expert”?

How important are facts in the process of forming an opinion? Explain what you believe to be the purpose or function of facts in making a judgment. How did you respond to the self-assessment question? Since doing further research, have you re-thought the way in which you assess credibility and reliability? What is the importance of factoring the recency of a reference or opinion (i.e., how old is it?) into an assessment of credibility and reliability? How would you evaluate Dr. Facione’s claim “The SPLC is an expert on hate in America” (p. 124). Does the SPLC fit your definition of “expert”? Be specific in your answer.

Minimum of 3 posts (1 initial & 2 follow-up) Minimum of 2 sources cited (assigned readings/online lessons and an outside source)

Top

!

7/22/20, 4:26 PM Page 2 of 16

 

 

Search entries or author

Grading This activity will be graded using the Discussion Grading Rubric. Please review the following link:

Course Outcomes (CO): 4, 5, 6

Due Date for Initial Post: By 11:59 p.m. MT on Wednesday Due Date for Follow-Up Posts: By 11:59 p.m. MT on Sunday

References

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Pearson.

Graham, D.A., (2016, October) How did Maajid Nawaz end up on a list of ‘anti- Muslim extremists’? https://www.theatlantic.com/international/archive/2016/10/maajid-nawaz- splc-anti-muslim-extremist/505685/

Hassan, A., Zraick, K., & Blinder, A (2019, March 24) Morris Dees, a co-founder of the Southern Poverty Law Center, is ousted. New York Times. https://www.nytimes.com/2019/03/14/us/morris-dees-southern-poverty- law-center-fired.html

Price, G. (2018, June 18) Southern Poverty Law Center settles lawsuit after falsely labeling ‘extremist’ organization. Newsweek. https://www.newsweek.com/splc-nawaz-million-apologizes-981879

Robinson, N. J. (2019, March) The Southern Poverty Law Center is everything that’s wrong with liberalism. Current Affairs. https://www.currentaffairs.org/2019/03/the-southern-poverty-law-center-is- everything-thats-wrong-with-liberalism

Vanity Fair. (2010, October 10). An American original. https://www.vanityfair.com/news/2010/11/moynihan-letters-201011

APA format for in-text citations and list of references

Link (webpage): Discussion Guidelines

Unread ” # $ Subscribe

7/22/20, 4:26 PM Page 3 of 16

 

 

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(https://chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Jun 22, 2020

!

Greetings Students,

You are only required to post an initial answer post and ONE follow-up post in each required discussion, each week.

Please make your TWO posts each week between Monday and Sunday. Your posts must occur on different days with the first post occurring by Wednesday. If there are extenuating circumstances, please communicate with your professor.

Since so many of our beliefs are based on what other people tell us, in writing, or TV or by word-of-mouth, the critical thinker needs to know how to decide who to believe and in what circumstances. The criteria which apply will depend on the case, but relevant considerations will often include:

The sources reputation for reliability (contrast the BBC and the Sun newspaper).

Whether the source has a vested interest (e.g., someone accused of war crimes who denies any responsibility)

Whether there is corroboration of the claim from independent sources (as when it was claimed that cold fusion has been produced)

Whether the source has the relevant expertise/training (as when a police officer gives evidence in court)

The nature of the claim itself (as when someone claims to have witnessed a miracle)

Whether the source can provide credible reasons for the claim they make (as when someone claims to have encountered ‘aliens’ from another planet).

Check this out.

A group of scientists has looked at a number of studies of the link between passive smoking and lung cancer. The scientists have said that these studies do not demonstrate that there is a significant risk of lung cancer for non-smokers who are exposed to environmental

7/22/20, 4:26 PM Page 4 of 16

 

 

Edited by Sonja Sheffield (https://chamberlain.instructure.com/courses/65138/users/97891) on Jun 22 at 12:38pm

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tobacco smoke at work or in the home, either form a smoking parent or spouse. But this analysis was commissioned by the tobacco industry. So findings of the analysis are likely to be incorrect.

Reference

Fisher, A. (2001). Critical thinking: An introduction. Cambridge University Press: UK. 11

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Caitlyn Pienkowski (https://chamberlain.instructure.com/courses/65138/users/102153) Monday

!

Hello!

According to the SPCL website, the SPCL is dedicated to fighting hate and bigotry and to seek justice for the most vulnerable members of our society. My opinion did not alter in anyway. I think the website is a source for people to educate themselves on what is going on the America and is a way to stop the hate.

I would define the term “expert” as someone having authoritative knowledge in a particular skill.

– I think in order to even form an opinion you have to know your facts. You should not voice an opinion if you cannot back yourself up without support. That is what I believe to be the purpose of facts in making a judgement.

“We solve problems by following the reasons and the evidence with courage wherever they lead, by asking the tough questions, by being inquisitive, by being open- minded and tolerant about a wide range of ideas and possible explanations, by being persistent and systematic in our inquiry, and by not fearing what this process will turn up as possible answers” (Wittens,

How important are facts in the process of forming an opinion? Explain what you believe to be the purpose or function of facts in making a judgment.

7/22/20, 4:26 PM Page 5 of 16

 

 

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2015).

– I believe what is in the textbook is very credible and reliable. I always look for peer reviewed articles when using them for an assignment because it gives enough credibility for support. I would not use an article that is outdated more than 5 years. You always want to stay up to date with information within the last 3-5 years.

Reference

https://www.splcenter.org/what-we-do (https://www.splcenter.org/what-we-do)

Gittens, P.F.C. A. (2015). THINK Critically. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9780133914351/

How did you respond to the self-assessment question? Since doing further research, have you re-thought the way in which you assess credibility and reliability? What is the importance of factoring the recency of a reference or opinion (i.e., how old is it?) into an assessment of credibility and reliability?

(https://chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Monday

!

Hello Caitlyn, thank you for being the first to respond to this week’s discussion.

You wrote, “. . . it important to know your facts.” Whose facts are those and it is really our own facts that we should know and cling to? The sentence is a bit vague and I’m only trying to get clarification of what you really mean.

According to a recent Time/CNN poll:

These poll results, if they reflect reality, say something about some of the claims Americans find credible. One thing that makes these high percentages interesting is that evidence of the effectiveness of prayer in healing is so difficult to document, is it

Eighty-two percent of Americans believe in the healing power of personal prayer. Seventy-three percent believe that praying for someone else can help cure that person’s illness. Seventy-seven percent believe that God sometimes intervenes to cure people who have a serious illness.

7/22/20, 4:26 PM Page 6 of 16

 

 

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not?

What are your thoughts about “eyewitness” accounts? Look at this example:

Fairfax, Virginia, police officer signals cars after a man was shot to death October 11, 2002, at a gas station near Fredericksburg, Virginia. Police were looking for a white van.

When the series of sniper shootings occurred in Washington, DC, during the fall 2002, there were eyewitness reports that the perpetrators were two white men traveling in a white enclosed truck. In fact, two men who fit that description were detained and investigated by authorities. But when those doing the shootings were caught, they turned out to be two black men in a blue Chevrolet Caprice.

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Monica Hernandez (https://chamberlain.instructure.com/courses/65138/users/118358) Yesterday

!

Hello Professor and class,

How do you define the term expert?

An expert is a distinguished credible source with extensive knowledge and experience in a given subject area of study. Someone who is acknowledged by the professional peers at the most reliable source of information in this field or domain.

How important are facts in the process of forming in

Facts are extremely important in the process of forming an opinion. The purpose and function of fast is that they serve as verify proof or confirmations of details for the claim or argument. Facts and details allow us to see the truth and relevancy behind a claim or arguments. My evaluation of Dr. Facione claim the SPLC is an expert on hate in America was skeptical. I immediately thought the further research is going to be necessary prior to forming an opinion on whether or not the SPLC I was truly an expert on hate in America. This was because the end of the article mentioned Faciones investment and financial ties of the organization(Faciones, 2016). Furthering facts and information on SPLC, it seems that the

7/22/20, 4:26 PM Page 7 of 16

 

 

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organization is a public and recognized credible source with a background of human rights. It is also widely supported to of a large network by the government. The article in the Washington post mentions that the hate list created by the SPLC was considered nonpartisan enough to be recognized by the government agencies, law enforcement, cooperations and journalists( Montgomery 2018).

 

References:

Facione, P.A.,& GIttens, C.A. (2016). Think critically (3rd Ed.) Boston, MA: Pearson. Montgomery, D. (2018, November 8). The Southern Poverty Law Center and the delicate task of definingnhate in 2018. Retrieved from March 16, 2020 from https://www.washingtonpost.com/news/magazine/work/2018/11/08/feature/is-the-southern- poverty-law-center-judging-hate-fairly/

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Wei Wen Chiang (https://chamberlain.instructure.com/courses/65138/users/99157) Yesterday

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Before I conduct additional research on SPLC, the article in chapter 6 seems credible and reliable to me because it is in the textbook and also because all the data it is showing. I did not have any knowledge of SPLC that I did not know what it stands for. I also believe that there are multiple people who wrote the textbook, instead of just Dr. Facione; therefore, the article has to be credible if it went through different readings.

After further researches, my opinion altered a little. The definition of hate crime nowadays definitely changed comparing to 1971 when Morris Dees founded SPLC. I believe when SPLC was first founded from a good place, but I feel like fame makes things change. According to Hassan, Zraick and Blinder, in the recent years, the center has come under scrutiny for its classification of “hate groups,” and whether the organization has abused that label in pursuit of a political agenda or increased donation. (Hassan, Zraick & Blinder, 2019).

7/22/20, 4:26 PM Page 8 of 16

 

 

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I define expert as someone who has a lot of experience in the field. The textbook defines expert as someone who is both experienced and learned in a given subject matter area or field of professional practice (Facion, 2016).

How important are facts in the process of forming an opinion? Facts are important in the process of forming an opinion. Facts can increase my credibility when I am trying to form an opinion. It makes my opinion more trustworthy.

How would you evaluate Dr. Facione’s claim? I think Dr. Facione’s claim is biased. I feel like if Dr. Facione is a financial supporter of SPLC, he should not give his opinion any SPLC topics. Although SPLC has a lot of experience with hate crimes and there are lawyers working with SPLC, SPLC does not fit my definition of expert. I believe an expert should be unbiased instead of favoring some ideas.

 

Reference:

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Pearson.

Hassan, A., Zraick, K., & Blinder, A. (2019, March 14). Morris Dees, a Co-Founder of the Southern Poverty Law Center, Is Ousted. Retrieved July 21, 2020, from https://www.nytimes.com/2019/03/14/us/morris-dees-southern-poverty-law-center- fired.html (https://www.nytimes.com/2019/03/14/us/morris-dees-southern-poverty-law-center- fired.html)

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Scott O’Malley (https://chamberlain.instructure.com/courses/65138/users/84538) 5:01am

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Professor & Class,

Before reading the “An Expert on Hate in America”, I didn’t know what SPLC was. I believe it is a credible and reliable text because it is in our book. The text was able to provide stats and provide a website in which the reader is able to look up more information.

7/22/20, 4:26 PM Page 9 of 16

 

 

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After doing my own research on the SPLC, my opinion didn’t change because I felt they were able to provide facts. It is also a non-profit website because it is a .org compared to being a .com. the website was organized and I was able to learn more about the hate groups such as location and leaders.

I define an “expert” as someone who has knowledge of a subject through studies and experiences. They are able to provide facts for their beliefs. An expert is able to provide consistent reliable facts.

Facts are important in the process of forming an opinion because without a basic knowledge or credible source, it may be difficult for others to understand you. Without facts, people won’t take your opinion seriously.

I would say that Dr. Facione’s claim “ The SPLC” is an expert on hate in America because the SPLC is able to provide factual information on the subject. Not only did they provide facts but also were able to locate the groups all over the U.S., name a couple of leaders of these hate groups, and it is backed up by the government. I do believe the SPLC consist of experts because they provide years of facts through the past twenty years.

 

Gittens, P.F.C. A. (2015). THINK Critically. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9780133914351/ (https://online.vitalsource.com/#/books/9780133914351/)

https://www.splcenter.org/what-we-do (https://www.splcenter.org/what-we-do)

 

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Elijah Wiggin (https://chamberlain.instructure.com/courses/65138/users/147419) 6:02am

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After reading the article in the book and then reading on SPLC’s website, my opinion did not change. The SPLC is an organization that fights to end hate groups of a wide variety. Their

7/22/20, 4:26 PM Page 10 of 16

 

 

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website is very informative and gives a lot of information on what the organization does.

My definition of expert is, someone being well knowledgeable and familiar about a certain skill or topic.

-How important are facts in the process of forming an opinion? Explain what you believe to be the purpose or function of facts in making a judgment.

I think that facts are super important when forming an opinion. To make an honest opinion you need the truth and the right facts on the situation. The function of the facts to make a judgement or opinion is that accurate facts help with a better opinion. If the facts are not true, vague, or confusing it makes it more difficult to form a sound opinion. If the facts are clear, in depth, and have data backing them up then it is easier to form an opinion on the topic.

-How would you evaluate Dr. Facione’s claim “The SPLC is an expert on hate in America” (p. 124). Does the SPLC fit your definition of “expert”? Be specific in your answer.

After looking through the website and seeing what they had to say, I think that they could be considered experts in that area. With the data and the in depth topics they talk about I think that they are well knowledgeable about the situations going on in the world.

Facione, P.A.,& GIttens, C.A. (2016). Think critically (3rd Ed.) Boston, MA: Pearson.

20, J. (2020, July 20). Southern Poverty Law Center. Retrieved July 22, 2020, from https://www.splcenter.org/

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Brittany Varnes (https://chamberlain.instructure.com/courses/65138/users/129972) 9:28am

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Hi Professor and Class,

According to Thiessen (2018), the SPLC organization has been using its resources and influence to tarnish people. In his report, Thiessen notes an episode in which the organization listed Maajid Nawaz as an extremist (2018). The Muslim cleric, who had since renounced his association with Islamic radicals, filed a lawsuit accusing the SPLC of defamation. Other

7/22/20, 4:26 PM Page 11 of 16

 

 

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victims whose names have been slurred include Ben Carson, who was listed as a white supremacist and a neo-Nazi. According to Thiessen (2018), the SPLC organization continues to deface innocent people by listing them as extremists.

Thiessen’s report about SPLC changed what I had previously thought; I had thought it as a credible organization. Given what Dr. Facione writes about SPLC and what I read on Thiessen’s report, our views tend to differ. The former commends the organization as an “Expert on hate in America” for exposing extremist groups and their members. Dr. Facione even thanks SPLC for returning normalcy in schools where incidences of hatred had been rampant. While his article may be seen as a credible source, its reliability is questionable owing to Thiessen’s findings; the latter’s report is more recent than Dr. Facione ‘s.

Dr. Facione is a pro-SPLC and maintains a close relationship with the organization’s co- founder. I think his assertion about the organization being an “expert on hate in America” is an overstatement owing to the recent misfortunes that have befallen the SPLC. The organization’s co-founder, Mr. Dee, and friend of Dr. Facione’s was sacked after reports emerged that he had engaged in office misconduct (Wamsley, 2019). Add this to the pending lawsuits, I disagree with Dr. Facione’s claim. The organization does not, therefore, fit my definition of “expert.” According to Facione and Gittens (2016), an expert exhibits profound knowledge of their profession. The SPLC does not attach proof when they label people as extremists, which raises questions about their expertise.

 

References

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

Thiessen, M. A. (2018, June 22). The Southern Poverty Law Center has lost all credibility. Retrieved from https://www.washingtonpost.com/opinions/the-southern-poverty-law-center- has-lost-all-credibility/2018/06/21/22ab7d60-756d-11e8-9780-b1dd6a09b549_story.html

Wamsley, L. (2019, March 14). Southern Poverty Law Center Fires Morris Dees, Its Co- Founder. Retrieved from https://www.npr.org/2019/03/14/703526235/southern-poverty-law- center-fires-morris-dees-its-co-founder

 

 

 

7/22/20, 4:26 PM Page 12 of 16

 

 

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Dijana Rahmanovic (https://chamberlain.instructure.com/courses/65138/users/64315) 10:06am

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I conducted research on the Southern Poverty Law Center through their website. My opinion of them did not change. I define the term “expert” as someone who has comprehensive knowledge on a topic, often through professional training on it. Facts are important to the process of forming an opinion. Facts are what we form our opinions on topics around. For instance, we know, through seeing it with our own eyes, that police brutality exists, therefore we will form our opinion for or against police brutality based on the fact of the matter.

Dr. Facione’s claim is “The SPLC is an expert on hate in America” (p. 124). I believe the SPLC fits my definition of “expert”. The founder of the organization, Morris Dees, is a civil rights lawyer who has spent his career focusing on hate crimes against minorities. The organization is also lead by a team of civil rights lawyers and has a team full of other members who play an important role. I believe that the organization, which was founded in 1971, has been dedicated to its cause, and it is undeniable the its leading team, with the credentials, it has, has steered the organization toward many victories. They are experts in the field of hate crimes and civil rights because of the education and experience they have on the topic.

 

References

Facione, P.A.,& GIttens, C.A. (2016). Think critically (3rd Ed.) Boston, MA: Pearson.

20, J. (2020, July 20). Southern Poverty Law Center. Retrieved July 22, 2020, from https://www.splcenter.org/

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Ashley White

7/22/20, 4:26 PM Page 13 of 16

 

 

(https://chamberlain.instructure.com/courses/65138/users/148682) 11:19am

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Hi Professor and Class!

Did the article in Chapter 6 of the text seem credible and reliable? Why?

The article in Chapter 6 does seem credible to me. It appears credible to me because of the fact its in a book, and written by someone respected. It also is credible because of the statistical facts and dates that are in the article as well. When an article is backed up with facts it appears to be from a credible source.

Did your opinion alter in any way? Why?

Yes, after reaching my opinion is different. It seems like the SPLC did a good job at listing hate groups at first and then it got out of hand. Now it seems they are listing people before they even know anything about them. But when it declares Maajid Nawaz, the Family Research Council, Ben Carson and Charles Murray as moral equivalents of the Klan, it loses all integrity and credibility(Theissen, 2018). Its not fair that they starting putting people on their list before they did their research.

How do you define the term “expert”? Someone who has a lot of knowledge and experience in a specific skill.

How important are facts in the process of forming an opinion? Explain what you believe to be the purpose or function of facts in making a judgment. Facts are important when forming an opinion because they can persuade the reader to agree with them. The facts in this article made me think the SPLC was doing a good job to call out these hate groups, but now after further research I don’t think these facts are credible.

How would you evaluate Dr. Facione’s claim “The SPLC is an expert on hate in America” (p. 124). Does the SPLC fit your definition of “expert”? Be specific in your answer. I don’t think Dr. Facione’s claim is credible. It makes me wonder about his judgement too. The SPLC are not experts if they are accusing the wrong people to be listed on their hate group list. I think they do have knowledge of the hate groups because they have been doing this for years, but they also don’t really show any proof of why they label certain people in the hate group.

References:

Thiessen, M. (2018, June 22). Opinion | The Southern Poverty Law Center has lost all credibility. Retrieved July 22, 2020, from https://www.washingtonpost.com/opinions/the- southern-poverty-law-center-has-lost-all-credibility/2018/06/21/22ab7d60-756d-11e8-9780-

7/22/20, 4:26 PM Page 14 of 16

 

 

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b1dd6a09b549_story.html

(https://chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) 3:41pm

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Hello Ashley, thanks for your thoughts for this week as we look at credibility.

So let me ask you this you indicated that the article in chapter 6 seems credible because it’s written in a book as well as written by someone respected. The two questions that I would ask based on that statement are is everything written in a book credible and reliable; how do you know the author is respected? And then do you know for sure that the statistical facts and dates in the article are credible and reliable; how do you know for sure?

I’m not sure what you mean by when you wrote, “yes, after reaching my opinion is different.” Can you explain what you mean by that please.

Now let me ask some qualifying and clarification questions. You said the SPLC did a good job at first and then it got out of hand. What do you mean specifically by getting out of hand? And then be careful when you read terms such as, “it seems”, because that will cause someone that you either speaking to will ask what you say it seems like? You understand where I’m going here? Because remember we’re talking about credibility and reliability in checking sources.

Did you consider checking any outside facts regarding the SPLC before you form your opinion? I’m just curious.

How does social media factor into how you form your opinions?

Let’s look at assessing the credibility of sources. The guiding principle in evaluating claims requires that they come from credible sources. What about the credibility of sources? A person may lack credibility in various ways; what do you see as some of those ways an individual may be lacking in credibility?

I look forward to your response.

7/22/20, 4:26 PM Page 15 of 16

 

 

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Loc Nguyen (https://chamberlain.instructure.com/courses/65138/users/131729) 4:02pm

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Hello Professor and class,

 

Reference

Facione, P. & Gittens, C. A. (2016). Thinking critically. 3 . Ed. Pearson:Boston, MA.

Teaching Tolerance. (n.d.). Retrieved July 22, 2020, from https://www.splcenter.org/teaching- tolerance

After reading the article, “An Expert on Hate in America” I thought that their credibility is legitimate since it was published in a textbook, but I am still a little skeptical. After I did my research on SPLC, I am convinced that they are the group they claim to be because they have an anti-biased program. The anti-bias approach encourages children and young people to challenge prejudice and learn how to be agents of change in their own lives (SPLC). To me the term “expert” means someone who has years of experience and knowledge in their field. Facts are very important in the process of forming opinion. Facts are things that already proven and cannot be altered, just like law of physics. Opinions are formed and influenced base on known facts; therefore, judgement is made when all facts are known. I would evaluate Dr. Facion’s claim “The SPLC is an expert on hate in America” is an act of interest. Experts, being humans, have interests. (Faciones, 2016, p. 121). Dr. Faciones is a financial supporter of the SPLC for decades. The SPLC does fit my definition of “expert” because they have years of experience and knowledge when it comes to fight hate and bigotry in the country.

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