NURS 6531 FINAL EXAM (2 VERSIONS) & NURS 6531 MIDTERM EXAM (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 400 Q & A)

 

NURS 6531 Final Exam / NURS6531 Final Exam (Latest): Walden University

Walden NURS 6531 Final Exam / Walden NURS6531 Final Exam (Latest)

· Question 1

 

When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity?

· Question 2

 

Central obesity, “moon” face, and dorsocervical fat pad   are associated with:

 

A.

Metabolic     syndrome

 

B.

Unilateral     pheochromocytoma

 

C.

Cushing’s     syndrome

 

D.

None     of the above

 

· Question 3

 

An elderly man is started on lisinopril and   hydrochlorhiazide for hypertension. Three days later, he returns to the   office complaining of left great toe pain. On exam, the nurse practitioner   notes an edematous, erythematous tender left great toe. The likely   precipitant of this patient’s pain is:

 

A.

Trauma

 

B.

Tight     shoes

 

C.

Arthritis     flare

 

D.

Hydrochlorothiazide

 

· Question 4

 

The most effective treatment of non-infectious bursitis   includes:

 

· Question 5

 

What conditions must be met for you to bill “incident to”   the physician, receiving 100% reimbursement from Medicare?

 

Answers:

You must initiate the plan     of care for the patient

 

The physician must be     on-site and engaged in patient care

 

You must be employed as an     independent contractor

 

You must be the main health     care provider who sees the patient

 

· Question 6

 

Which of the following is not a risk factor associated   with the development of syndrome X and type 2 diabetes mellitus?

 

· Question 7

 

Which of the following is not a common early sign of   benign prostatic hyperplasia (BPH)?

A.   Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void

 

· Question 8

 

Steve, age 69, has gastroesophageal reflux disease (GERD).   When teaching him how to reduce his lower esophageal sphincter pressure,   which substances do you recommend that he avoid?

§ Food that is very hot or very cold

§ Fatty or fried foods

§ Peppermint or spearmint, including flavoring

§ Coffee, tea, and soft drinks that contain caffeine

§ Spicy, highly seasoned foods

§ Fried foodDT caffeine, chocolate and anticholinergics

 

· Question 9

 

Which drug category contains the drugs that are the first   line Gold standard therapy for COPD?

 

· Question 10

 

The most commonly recommended pharmacological treatment   regimen for low back pain (LBP) is:

 

· Question 11

 

Which of the following is not appropriate suppression   therapy for chronic bacterial prostatitis?

 

· Question 12

 

A patient presents with dehydration, hypotension, and   fever. Laboratory testing reveals hyponatremia, hyperkalemia, and   hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks   later with the same symptoms of hyperpigmentation, weakness, anorexia,   fatigue, and weight loss. What action(s) should the nurse practitioner take?

.A Obtain a   thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration

 

· Question 13

The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:

· Question 14

How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?

· Question 15

 

The intervention known to be most effective in the   treatment of severe depression, with or without psychosis, is:

· Question 16

 

You are assessing a patient after a sports injury to his   right knee. You elicit a positive anterior/posterior drawer sign. This test   indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.

 

· Question 17

 

 

A 32 year old female patient presents with fever, chills,   right flank pain, right costovertebral angle tenderness, and hematuria. Her   urinalysis is positive for leukocytes and red blood cells. The nurse   practitioner diagnoses pyelonephritis. The most appropriate management is:

 

· Question 18

 

A 21-year-old female presents to the office   complaining of urinary frequency and urinary burning. The nurse practitioner   suspects a urinary tract infection when the urinalysis reveals

· Question 19

 

A middle-aged man presents to urgent care complaining of   pain of the medial condyle of the lower humerus. The man works as a carpenter   and describes a gradual onset of pain. On exam, the medial epicondyle is   tender and pain is increased with flexion and pronation. Range of motion is   full The most likely cause of this patient’s pain is:

 

· Question 20

 

The initial clinical sign of Dupuytren’s contracture is:

·

· Question 21

 

The best test to determine microalbuminuria to assist in   the diagnosis of diabetic neuropathy

 

· Question 22

 

What is the first symptom seen in the majority of patients   with Parkinson’s disease?

 

· Question 23

 

The most commonly recommended method for prostate cancer   screening in a 55 year old male is:

 

· Question 24

 

Martin, age 24, presents with an erythematous ear canal,   pain, and a recent history of swimming. What do you suspect?

 

· Question 25

 

Which of   the following symptoms suggests a more serious cause of back pain?

 

· Question 26

 

Josh, age 22, is a stock boy and has an acute episode of   low back pain. You order and NSAID and tell him which of the following?

· Question 27

 

A 72 year old female patient reports a 6 month   history of gradually progressive swollen and painful distal interphalangeal   (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte   sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor   (RF) are all minimally elevated. What is the most likely diagnosis?

· Question 28

 

A patient taking levothyroxine is being   over-replaced. What condition is he at risk for?

 

· Question 29

 

Which of the following is the most common cause of low   back pain?

 

A.

Lumbar     disc disease

 

B.

Spinal     stenosis

 

C.

Traumatic     fracture

 

D.

Osteoporosis

 

· Question 30

 

Which is the most common cause of end-stage renal disease   in the United States?

 

· Question 31

 

A 77-year-old female presents to the office complaining a   sudden swelling on her right elbow. She denies fever, chills, trauma, or   pain. The physical exam reveals a non-tender area of swelling over the   extensor surface over the right elbow with evidence of trauma or irritation.   The nurse practitioner suspects:

 

A.

Arthritis

 

B.

Ulnar     neuritis

 

C.

Septic     arthritis

 

D.

Olecranon     bursitis

 

· Question 32

 

A 60 year old female patient complains of sudden onset   unilateral, stabbing, surface pain in the lower part of her face lasting a   few minutes, subsiding, and then returning. The pain is triggered by touch or   temperature extremes. Physical examination is normal. Which of the following   is the most likely diagnosis?

 

· Question 33

 

Beth, age 49, comes in with low back pain. An x-ray of the   lumbosacral spine is within normal limits. Which of the following diagnoses   do you explore further?

 

· Question 34

 

A patient exhibits extrapyramidal side effects of   antipsychotic medications. Which of the following symptoms would lead you to   look for another diagnosis?

 

· Question 35

 

Phalen’s test, 90°wrist flexion for 60 seconds, reproduces   symptoms of:

 

· Question 36

 

Jennifer says that she has heard that caffeine can cause   osteoporosis and asks you why. How do you respond?

· Question 37

 

The most common cause of elevated liver function tests is:

 

· Question 38

 

Reed-Sternberg B lymphocytes are associated with which of   the following disorders:

 

A.

Aplastic anemia

 

B.

Hodgkin’s lymphoma

 

C.

Non Hodgkin’s lymphoma

 

D.

Myelodysplastic syndromes

 

· Question 39

 

Which of the following is a potential acquired cause of   thrombophilia?

 

A.

Homocysteinuria

 

B.

Protein C deficiency

 

C.

Factor V Leiden

 

D.

Antiphospholipid antibodies

 

· Question 41

 

A 75-year-old female is diagnosed with primary   hyperparathyroidism and asks the nurse practitioner what the treatment for   this disorder is. The nurse practitioner explains:

 

Primary     hyperparathyroidism is treated with Vitamin D restriction

 

Primary     hyperparathyroidism is treated with parathyroidectomy

 

Primary     hyperparathyroidism is treated with daily magnesium

 

Primary     hyperparathyroidism is treated with parenteral parathyroid hormone (PTH)

 

· Question 42

 

Diagnostic confirmation of acute leukemia is based on:

·

· Question 43

 

A 25 year old overweight patient presents with a   complaint of dull achiness in his groin and history of a palpable lump in his   scrotum that “comes and goes”. On physical examination, the nurse   practitioner does not detect a scrotal mass. There is no tenderness, edema,   or erythema of the scrotum, the scrotum does not transilluminate. What is the   most likely diagnosis?

A. Testicular   torsion
B. Epididymitis
C. Inguinal hernia
D. Varicocele

 

· Question 44

 

Dave, age 38, states that he thinks he has an ear   infection because he just flew back from a business trip and feels unusual   pressure in his ear. You diagnose barotrauma. What is your next action?

A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist

 

· Question 45

 

Which of the following antibiotics should not be   prescribed for a pregnant woman in the 3rd trimester?

· Question 46

 

The physiological explanation of syncope is:

 

· Question 47

 

 

A 20 year old male patient complains of “scrotal   swelling.” He states his scrotum feels heavy, but denies pain. On   examination, the nurse practitioner notes transillumination of the scrotum.   What is the most likely diagnosis?

 

· Question 48

 

A 32 year old male patient complains of urinary   frequency and burning on urination for 3 days. Urinalysis reveals   bacteriuria. He denies any past history of urinary tract infection. The   initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals,   trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin.

 

· Question 49

 

Diagnostic radiological studies are indicated for low back   pain:

 

· Question 50

 

Who is at a higher risk for developing nephrolithiasis?

·

· Question 51

 

An 81-year-old female is diagnosed with type 2 diabetes.   When considering drug therapy for this patient, the nurse practitioner is   most concerned with which of the following side effects?

 

A.

Weight     gain

 

B.

Fracture     risk

 

C.

Hypoglycemia

 

D.

Weight     loss

 

· Question 52

 

A 28-year-old female presents to the office requesting   testing for diagnosis of hereditary thrombophilia. Her father recently had a   deep vein thrombosis and she is concerned about her risk factors. The nurse   practitioner explains that:

· Question 53

 

The diagnosis of human papilloma virus (HPV) infection in   males is usually made by:

 

· Question 54

 

Which history is commonly found in a patient with   glomerulonephritis?

 

· Question 55

 

A   patient complains of generalized joint pain and stiffness associated with   activity and relieved with rest. This patient history is consistent with   which of the following disorders?

 

· Question 56

 

The most common presentation of thyroid cancer is:

 

· Question 57

 

The obligatory criteria for diagnosis of muscular   dystrophy (MD) are:

 

· Question 58

 

The diagnosis which must be considered in a patient who   presents with a severe headache of sudden onset, with neck stiffness and   fever, is:

 

· Question 59

 

A 60 year old male patient with multiple health   problems presents with a complaint of erectile dysfunction (ED). Of the   following, which medication is most likely to be causing the problem?

 

· Question 60

 

A 72 year old patient exhibits sudden onset of fluctuating   restlessness, agitation, confusion, and impaired attention. This is   accompanied by visual hallucinations and sleep disturbance. What is the most   likely cause of this behavior?

A. Dementia
C. Parkinson’s disease
D. Depression

 

· Question 61

 

Which of the following set of symptoms should raise   suspicion of a brain tumor?

 

· Question 62

 

The cornerstone of treatment for   stress fracture of the femur or metatarsal stress fracture is:

 

· Question 63

 

Sally, a computer programmer, has just been given a new diagnosis   of carpal tunnel syndrome. Your next step is to:

 

· Question 64

 

Marsha presents with symptoms resembling both fibromyalgia   and chronic fatigue syndrome, which have many similarities. Which of the   following is more characteristic of fibromyalgia?

A.   Musculosckeletal pain
B. Difficulty sleeping
C. Depression
D. Fatigue

 

· Question 65

 

The cardinal sign of infectious arthritis is:

 

 

· Question 66

 

Diagnostic evaluation for urinary calculi includes:

 

· Question 67

 

Martin, a 58 year old male with diabetes, is at your   office for his diabetes follow up. On examining his feet with monofilament,   you discover that he has developed decreased sensation in both feet. There are   no open areas or signs of infection on his feet. What health teaching should   Martin receive today regarding the care if his feet?

See a   podiatrist yearly; wash your feet daily with
warm, soapy water and towel dry between the
toes; inspect your feet daily for any lesions; and
apply lotion to any dry areas.

· Question 68

 

Potential causes of septic   arthritis include which of the following?

· Question 69

 

Which of the following is the best response to a woman who   has just admitted she is a victim of spousal abuse?

· Question 70

 

A 15 year-old female patient is 5 feet tall and weighs 85   pounds. You suspect anorexia and know that the best initial approach is to:

Having   the client in view of staff for 90 minutes after each meal

 

· Question 71

 

A 63-year-old man presents to the office with hematuria,   hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately   enlarged prostate that is smooth. The PSA is 1.2. What is the most   appropriate management strategy for you to follow at this time?

A. Prescribe   an alpha adrenergic blocker.
B. Recommend saw palmetto.
C. Prescribe an antibiotic
D. Refer the client to urology.

 

· Question 72

 

A patient has been diagnosed with generalized anxiety disorder   (GAD). Which of the following medications may be used to treat generalized   anxiety disorder?

· Question 73

 

A positive drawer sign supports a diagnosis of:

 

· Question 74

 

Sam, age 67, is a diabetic with worsening renal function.   He has frequent hypoglycemic episodes, which he believes means that his   diabetes is getting “better.” How do you respond?

·

· Question 75

 

A 14 year old female cheerleader reports gradual and   progressive dull anterior knee pain, exacerbated by kneeling. The nurse   practitioner notes swelling and point tenderness at the tibial tuberosity.   X-ray is negative. What is the most likely diagnosis?

 

· Question 76

 

A 35 year old male presents with a complaint of low   pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The   nurse practitioner suspects acute bacterial prostatitis. Which of the   following specimens would be least helpful for diagnosis?

· Question 77

 

Jack, age 55, comes to the office with a blood pressure of   144/98 mm Hg. He states that he did not know if it was ever elevated before.   When you retake his blood pressure at the end of the exam, it remains at   144/98. What should your next action be?

 

· Question 78

 

A patient has just been diagnosed with Bell’s palsy. He is   understandably upset and has questions about the prognosis. You response   should be:

·

· Question 79

 

Martin is complaining of erectile dysfunction. He also has   a condition that has reduced arterial blood flow to his penis. The most   common cause of this condition is:

 

· Question 80

 

Successful management of a patient with attention deficit hyperactivity   disorder (ADHD) may be achieved with:

 

· Question 81

 

What diabetic complications result from hyperglycemia?

1.

1.

1.  Retinopathy

2.  Hypertension   resistant to treatment

3. Peripheral   neuropathy

4.  Accelerated   atherogenesis

 

· Question 82

 

· Question 83

 

The most common symptoms of transient ischemic attack   (TIA) include:

 

· Question 84

 

What is the first step in the treatment of uric acid   kidney stones?

· Question 85

 

Establishment of a definitive diagnosis of osteomyelitis   requires:

 

· Question 86

 

Which of the following is the most common causative   organism of nongonococcal urethritis?

 

A.

Chlamydia     trachomatis

 

B.

Ureaplasma     urealyticum

 

C.

Mycoplasma     hominis

 

D.

Trichonomas     vaginalis

 

· Question 87

 

Urine cultures should be obtained for which of the   following patients?

·

· Question 88

 

A 30 year old female patient presents to the clinic with   heat intolerance, tremors, nervousness, and weight loss inconsistent with   increased appetite. Which test would be most likely to confirm the suspected   diagnosis?

 

· Question 89

 

A patient has been diagnosed with   hypothyroidism and thyroid hormone replacement therapy is prescribed. How   long should the nurse practitioner wait before checking the patient’s TSH?

· Question 90

 

Potential causes of hypocalcemia include which of the   following?

 

· Question 91

 

Which of the following patients most warrants screening   for hypothyroidism?

· Question 92

 

Which of the following is a contraindication for metformin   therapy?

 

· Question 93

 

The organism most often associated with prostatitis is:

 

A.

Klebsiella

 

B.

Neiserria     gonorrhoaes

 

C.

Chlamydia     trachomatis

 

D.

Escherichia     coli

 

· Question 94

 

The most effective intervention(s)   to prevent stroke is (are):

 

· Question 95

 

What is the most commonly abused substance?

 

· Question 96

 

The hallmark of neurofibromatosis (von Recklinghausen’s   disease) present in almost 100% of patients is:

· Question 97

 

Diagnostic evaluation of   hypothyroidism reveals:

· Question 98

 

An obese hyperlipidemic patient, newly diagnosed with type   2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the   most appropriate initial treatment to consider?

A. A   low-calorie diet and exercise
B. Sliding-scale NPH insulin every 12 hours
C. A sulfonylurea and/or metformin (Glucophage® -XR)
D. Sliding-scale regular insulin every 6 hours

 

· Question 99

 

The correct treatment for ankle sprain during the first 48   hours after injury includes:

· Question 100

 

Prolonged PT suggests:

 

A.

Platelet abnormality

 

B.

Abnormality in intrinsic     coagulation pathway

 

C.

Abnormality in extrinsic     coagulation pathway

 

D.

None of the above

 

Question 101

·

A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:

· Question 102

 

The most reliable indicator(s) of neurological deficit   when assessing a patient with acute low back pain is(are):

· Question 103

 

Risk factors for Addison’s disease   include which of the following?

 

· Question 104

 

Major depression occurs most often   in which of the following conditions?

 

· Question 105

 

Which of the following medications increase the risk for   metabolic syndrome?

 

· Question 106

 

A 27 year old female patient with epilepsy is well   controlled with phenytoin (Dilantin). She requests information about   contraception. The nurse practitioner should instruct her that while taking   phenytoin:

 

· Question 107

 

Risk factors for prostate cancer include all of the   following except:

 

· Question 108

 

Maria, age 17, was raped when she was 13 year old. She is   now experiencing sleeping problems, flashbacks, and depression. What is your   initial diagnosis?Post-traumatic stress disorder

 

NURS 6531 Midterm Exam / NURS6531 Midterm Exam (Latest): Walden University

Walden NURS 6531 Midterm Exam / Walden NURS6531 Midterm Exam (Latest)

· Question 1

 

When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity?

 

Yes

 

No

· Question 2

 

The most common cancer found on   the auricle is:

 

Actinic keratosis

 

Basal cell carcinoma

 

Squamous cell carcinoma

 

Acral-lentiginous melanoma

· Question 3

 

Which of the following   medication classes should be avoided in patients with acute or chronic   bronchitis because it will contribute to ventilation-perfusion mismatch in   the patient?

 

Xanthines

 

Antihistimines

 

Steroids

 

Anticholinergics

· Question 4

 

A 47 year old male patient   presents to the clinic with a single episode of a moderate amount of bright   red rectal bleeding. On examination, external hemorrhoids are noted. How   should the nurse practitioner proceed?

 

Instruct the patient on     measures to prevent hemorrhoids such as bowel habits and diet.

 

Order a topical hemorrhoid cream along with a stool softener.

 

Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy.

· Question 5

 

Which of the following patient   characteristics are associated with chronic bronchitis?

 

Overweight, cyanosis, and normal or slightly increased respiratory     rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory     rate
Normal weight, cyanosis, and greatly increased respiratory rate

· Question 6

 

A 65-year-old female with   a past medical history of hypertension, hyperlipidemia, and polymyalgia   rheumatica presents to urgent care with new onset left lower quadrant pain.   Her current medications include omeprazole 20 milligrams po daily, lisinopril   20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12   milligrams po daily. The nurse practitioner suspects acute diverticulitis and   possibly an abscess. The most appropriate diagnostic test for this patient at   this time is:

 

CBCdiff
Erythrocyte sedimentation rate
Abdominal ultrasound
CT scan

· Question 7

 

A patient reports “something   flew in my eye” about an hour ago while he was splitting logs. If there were   a foreign body in his eye, the nurse practitioner would expect to find all   except:

 

Purulent drainage
Tearing
Photophobia
A positive fluorescein stain

· Question 8

 

A 21 year old college student   presents to the student health center with copious, markedly purulent   discharge from her left eye. The nurse practitioner student should suspect:

 

Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis

· Question 9

 

A 35 year old man   presents with radicular pain followed by the appearance of grouped vesicles   consisting of about 15 lesions across 3 different thoracic dermatomes. He   complains of pain, burning, and itching. The nurse practitioner should   suspect:

 

A common case of shingles and prescribe an analgesic and an antiviral     agent
A complicated case of shingles and prescribe acyclovir, an analgesic,     and a topical cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient’s symptoms

· Question 10

 

Which type of lung cancer has   the poorest prognosis?

 

Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma

· Question 11

 

An 83-year-old female   presents to the office complaining of diarrhea for several days. She explains   she has even had fecal incontinence one time. She describes loose stools 3–4   times a day for several weeks and denies fever, chills, pain, recent antibiotic   use. The history suggests that the patient has:

 

Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease

· Question 12

 

Margaret, age 32, comes into   the office with painful joints and a distinctive rash in a butterfly   distribution on her face. The rash has red papules and plaques with a fine   scale. What do you suspect?

 

An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus

· Question 13

 

Antibiotic administration has   been demonstrated to be of little benefit to the treatment of which of the   following disease processes?

 

Chronic sinusitis

 

Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic bronchitis

· Question 14

 

Lisa, age 49, has daily   symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily.   Her exacerbations affect her activities and they occur at least twice weekly   and may last for days. She is affected more than once weekly during the night   with an exacerbation. Which category of asthma severity is Lisa in?

 

Mild intermittent
Mild persistent
Moderate persistent

· Question 15

 

Which of the following is the   most appropriate therapeutic regimen for an adult patient with no known   allergies diagnosed with group A B-hemolytic strep?

 

Penicillin V 500 milligrams PO every 8 hours for 10 days
Ampicillin 250 milligrams PO twice a day for 10 days
Clarithromycin 500 milligrams po daily for 7 days

 

None of the above

· Question 16

 

A cashier complains of dull   ache and pressure sensation in her lower legs. It is relieved by leg   elevation. She occasionally has edema in her lower legs at the end of the   day. What is the most likely cause of these problems?

 

Congestive heart failure
Varicose veins

 

Deep vein thrombosis

 

Arterial insufficiency

· Question 17

 

Which statement below is   correct about pertussis?

 

It is also called whooping cough
It begins with symptoms like strep throat
It lasts about 3 weeks
It occurs most commonly in toddlers and young children

· Question 18

 

Which of the following is the   most important diagnosis to rule out in the adult patient with acute bronchitis?

 

Pneumonia
Asthma
Sinusitis
Pertussis

· Question 19

 

A 70 year old patient presents   with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable   abdominal wall, fever, and leukocytosis. Of the following terms, which   correctly describes the suspected condition?

 

Diverticulosis
Diverticula

 

Diverticulitis
Diverticulum

· Question 20

 

Sylvia, age 83, presents with a   3 day history of pain and burning in the left forehead. This morning she   noticed a rash with erythematous papules in that site. What do you suspect?

 

Varicella

 

Herpes zoster

 

Syphilis

 

Rubella

· Question 21

 

A 33-year-old female is   admitted with acute pancreatitis. The nurse practitioner knows that the most   common cause of pancreatitis is:

 

Alcohol
Gallstones
Medications
Pregnancy

· Question 22

 

When a patient presents with symptoms   of acute gallbladder disease, what is the appropriate nurse practitioner   action?

 

Order abdominal x-rays
Order an abdominal ultrasound
Refer the patient to a surgeon for evaluation
Prescribe pain medication

· Question 23

 

A false-positive result with   the fecal occult blood test can result from:

 

ingestion of large amounts of vitamin C
a high dietary intake of rare cooked beef
a colonic neoplasm that is not bleeding
stool that has been stored before testing

· Question 24

 

A 76-year-old male   complains of weight loss, nausea, vomiting, abdominal cramping and pain.   Physical findings include an abdominal mass and stool positive for occult   blood. The nurse practitioner pain suspects a tumor in the small intestine.   The best diagnostic test for this patient is:

 

Colonoscopy
Small bowel follow-through
Barium enema
CT abdomen

· Question 25

 

A patient presents to urgent   care complaining of dyspnea, fatigue, and lower extremity edema. The   echocardiogram reveals and ejection fraction of 38%. The nurse practitioner   knows that these findings are consistent with:

 

Mitral regurgitation
Systolic heart failure
Cardiac myxoma
Diastolic heart failure

· Question 26

 

Maxine, Age 76, has just been   given a diagnosis of pneumonia. Which of the following is an indication that   she should be hospitalized?

 

Multilobar involvement on chest x-ray with the inability to take oral     medications
Alert and oriented, slightly high but stable vital signs, and no one     to take care of her at home
Sputum and gram positive organisms
A complete blood count showing leukocytosis

· Question 27

 

A 55 year old man is diagnosed   with basal cell carcinoma. The nurse practitioner correctly tells him:

 

“It is the most common cause of death in patients with skin cancer.”
“It can be cured with surgical excision or radiation therapy.”
“It is a slow growing skin cancer that rarely undergoes malignant     changes.”
“It can be cured using 5-flurouracil cream twice daily for 2 to 4     weeks.”

· Question 28

 

Expected spirometry readings   when the patient has chronic emphysema include:

 

Decreased residual volume (RV)
Increased vital capacity (VC)
Increased forced expiratory volume (FEV-1)
Increased total lung capacity (TLC)

· Question 29

 

An 80-year-old male   admits to difficulty swallowing during the review of systems. The nurse   practitioner recognizes the differential diagnosis for this patient’s   dysphagia is:

 

Esophageal cancer
Chest pain
GERD
A and C
All of the above

· Question 30

 

A 40 year old female with   history of frequent sun exposure presents with a multicolored lesion on her   back. It has irregular borders and is about 11mm in diameter. What should the   nurse practitioner suspect?

 

Squamous cell carcinoma
Malignant melanoma
A common ne

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The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

• Review the concepts of informatics as presented in the Resources.
• Reflect on the role of a nurse leader as a knowledge worker.
• Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

• Explain the concept of a knowledge worker.
• Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
• Develop a simple infographic to help explain these concepts.NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.
• Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

hypothetical scenario originally shared in the discussion forum is:

Nursing, as with all other professional fields, has seen an amazing speed in which technological changes in the last 25 years.  Information systems provide limitless possibilities for learning and exploring, connecting and bringing the world to within reach.  For nursing, the widening range of available technology enables the opportunities for research and reform unproven clinical practices to evidence-based practices.  Nursing informatics is synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing, disseminating, and enhancing healthcare data, information, knowledge, and wisdom to improve collaboration and decision making provide high quality patient care; and advance the profession of nursing.( McGonigle & Mastrian, 2017).

Nursing Informatics also needs to stay updated on policies and processes, so they know how to correctly build them in the systems. Technology in hospitals are ever growing, which means that nursing informatics is just scratching the surface and will continue to grow over the year.

Sweeny, 2017 define informatics as “the integration of healthcare sciences, computer science, information science and cognitive science to assist in the management of healthcare information” (p. 223). The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account. Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data. The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account.

According to Nagle et al,(2017) Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data. Using The future development of nursing capabilities in data science will essentially lead to an entirely new cadre of nursing informatics specialists whose work will focus on deriving new nursing knowledge from not only electronic health record data, but also the data from sensor and remote monitoring technologies, patient portals and mobile apps described above. The implications of omics data such as genomics, metabolomics, and proteomics, being included as part of the electronic health record in the near future, should be taken into account. Nurse informatics specialists will be pivotal in assisting to identify potential ethical and practice implications in the use of these data.

A clarified scenario is patient admission to the hospital, patients with a medical or surgical condition may not be identified as having a substance abuse problem. Nurses need to be able to recognize alcohol withdrawal syndrome and start appropriate interventions within the first 24 hours. Otherwise, such complications as seizures and substance withdrawal delirium may arise.  Most hospitals have implemented this practice by including it in initial nursing assessments by checking the vital signs every three hours. But because not all patients are identified on admission as having the potential for alcohol withdrawal, you must stay alert for signs and symptoms. These may arise 4 to 12 hours after the patient’s last drink and may emerge while the patient’s still intoxicated. Many patients with long-term alcohol dependence don’t allow their blood alcohol level (BAL) to drop below a comfortable level, so withdrawal may begin when BAL is still in the intoxication range.autonomic hyperactivity (such as sweating or a pulse faster than 100 beats/minute), increased hand tremor, insomnia, nausea or vomiting transient visual, tactile, or auditory hallucinations or illusions, psychomotor agitation, anxiety, grand mal seizures. Consider the rapid action on the patient, nurses relied on the immediate data and information that the patient as shown during the initial rapid assessment to deliver appropriate care to the patient. Message send to on call- doctors via telehealth. Using the technology like the pulse oximeter and blood pressure machine and breathalyzer with assist with the support of the delivery care.

References:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

National Institute on Alcohol Abuse and Alcoholism; National Institutes of Health. Helping Patients Who Drink Too Much: A Clinician’s Guide and Related Professional Support Resources. www.niaaa.nih.gov/Publications/EducationTrainingMaterials/Pages/guide.aspx. Accessed May 15, 2012.

Nagle, L. M., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. Studies In Health Technology And Informatics, 232, 212–221. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=28106600&site=eds-live&scope=site

Sweeney, J. (2017). Healthcare informatics.(1)Online Journal of Nursing Informatics, 21

Resources:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–19)
• Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)
• Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–62)

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).

Note: You will access this article from the Walden Library databases.

Rubric:

 

Develop a 5- to 6-slide PowerPoint presentation that addresses the following:

·   Explain the concept of a knowledge worker.
·   Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.–

Levels of Achievement:Excellent 32 (32%) – 35 (35%) The presentation clearly and accurately explains the concept of a knowledge worker.

The presentation clearly and accurately defines and explains nursing informatics with a detailed explanation of the role of the nurse leader as a knowledge worker.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.Good 28 (28%) – 31 (31%) The presentation explains the concept of a knowledge worker.

The presentation defines and explains nursing informatics with an explanation of the role of the nurse leader as a knowledge worker.

Includes: 2 peer-reviewed sources and 2 course resources.Fair 25 (25%) – 27 (27%) The presentation inaccurately or vaguely explains the concept of a knowledge worker.

The presentation inaccurately or vaguely defines and explains nursing informatics with an inaccurate or vague explanation of the role of the nurse leader as a knowledge worker.

Includes: 1 peer-reviewed sources and 1 course resources.Poor 0 (0%) – 24 (24%) The presentation inaccurately and vaguely explains the concept of a knowledge worker or is missing.

The presentation inaccurately and vaguely defines and explains nursing informatics with an inaccurate and vague explanation of the role of the nurse leader as a knowledge worker or is missing.

Includes:  1 or fewer resources.Feedback:

·   Develop a simple infographic to help explain these concepts.–

Levels of Achievement:Excellent 14 (14%) – 15 (15%) The presentation provides an accurate and detailed infographic that helps explain the concepts related to the presentation.Good 12 (12%) – 13 (13%) The presentation provides an infographic that helps explain the concepts related to the presentation.Fair 11 (11%) – 11 (11%) The presentation provides an infographic related to the concepts of the presentation that is inaccurate or vague.Poor 0 (0%) – 10 (10%) The infographic provided in the presentation related to the concepts of the presentation is inaccurate and vague, or is missing.Feedback:

·   Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies.–

Levels of Achievement:Excellent 32 (32%) – 35 (35%) The presentation clearly and thoroughly includes the hypothetical scenario originally shared in the Discussion Forum, including a detailed and accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.Good 28 (28%) – 31 (31%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.Fair 25 (25%) – 27 (27%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague or inaccurate.Poor 0 (0%) – 24 (24%) The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague and inaccurate, or is missing.Feedback:

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Good 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Fair 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.Poor 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.Feedback: Total Points: 100

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Sampling theory is the study of the relationship between a population and a group randomly picked as the representatives of the whole population (GCU 2018). This theory can be considered biased since the researcher is picking and choosing which group to research and what population they want to represent (GCU 2018). An example of sampling theory would be taking a population of smokers and starting them on nicotine gum and see if it helps the smokers quit smoking. The sample would be the population of smokers, changing their habits by starting the nicotine gum, and testing the results (Paul 2017).

Generalizability is the extension of research findings or conclusion made from the sample during a research on a large population. Using my previous example, the researcher is generalizing the smoking population that nicotine gum would help with smoking cessation when it most likely will not help everyone. Generalizability is big in the nursing research world because we study populations as a whole and try to come up with “generalized” solutions. These solutions may not help everyone specifically but will meet the need as a community (GCU 2018).

Using 200-300 words APA format with at least two references to support this discussion.

Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

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write a 200 word message discussion . 100 word each question. must use the information from the chapter attached.

1- discuss whether nursing is a profession or an occupation. What can current and future nurses do to enhance nursing’s standing as a profession?

 

2- Select one of the middle range theories derived from a grand nursing theory and one derived from a non-nursing theory. Analyze both for ease of application to research and practice.

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You were introduced to a family in the structural family therapy demonstration video in this unit’s study (linked in Resources). Use the information about the family from the session you watched as your guide, and keep in mind what you read in each text (chapter 10) about goal development and treatment planning. Then, complete the following: (300 words or more)

• 1. Identify the presenting problem.
• 2. Devise three specific goals for this family based on the information from the demonstration. Include one goal addressing each of the early, middle, and late phases of treatment.
• 3. Clearly and thoroughly discuss how you arrived at these goals and how these goals align with the structural family therapy model.

 

Based on what you learned about the client family from the demonstration video (linked in Resources), imagine you are the therapist who will see them for their next visit. Identify an intervention from the structural family therapy model that you would apply in the session. In this discussion, briefly describe the intervention, including the following: (300 words or more)

• Its general purpose and goal.
• Who and what is the target of the intervention.
• Some questions that would be used to apply this intervention.
• The desired outcome of the intervention.
• The elements that make this intervention systemic in nature.

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