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reply w16

July 9, 2025/in Nursing Questions /by Besttutor

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 6th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 5 years

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Thoughts

July 9, 2025/in Nursing Questions /by Besttutor

What are your thoughts??

It has been argued that mixed methods research can be useful in nursing and health science because of the complexity of the phenomena studied. According to Ostlund, Kidd, Wengstrom & Rowa-Dewar (2017), mixed methods research, where quantitative and qualitative methods are combined, is increasingly recognized as valuable, because it can potentially capitalize on the respective strengths of quantitative and qualitative approaches

Fawcett (2015) explained that if the assertion that research and practice are parallel processes, then nursing practice may be considered as a form of “invisible mixed methods research,” because almost every encounter between a nurse and a patient involves collection and integration of qualitative (word) and quantitative (number) information that actually forms the basis of care delivery.

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Response#2

July 9, 2025/in Nursing Questions /by Besttutor

Respond to your colleague by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.

At least 2 references in each peer responses!

 

The Systems Development Life Cycle (SDLC) is a systematic method of delivering efficient and useful information systems (ISs) that fit with the strategic business plan of an organization. (McGonigle & Mastrian, 2017). According to Dr. Kevin Johnson, the four stages of SDLC are planning, design, implementation, maintenance/evaluation. (Laureate Education, 2018).There are potential consequences for not involving nurses in each stage of the SDLC during the purchase and implementation of a new health information technology system. Since nurses play a vital role in nursing care, it is noteworthy to include them from the beginning until the end of the SDLC. A lack of involvement will not only lead to resistance to change but will promote chaos during the implementation phase.

Before the planning phase, McGonigle & Mastrian (2017) related the importance of understanding the problem and the solution. Nurses have opinions about their previous user encounters in different hospitals. Ideas gain from them is equally vital. The human interfaces for each of these technologies are varied and can even differ among different brands or versions of the same device.  (McGonigle & Mastrian, 2017). For example, in entering data in the EHR, we used the computer keyboard in the corrections. Yet, advanced facilities utilize touched screens and smartphones.

According to Stephanie Reel, a Project plan serves as a foundation of the essential milestones that we need to achieve in having a successful information system solution. (Laureate Education, 2018). In planning, nurses can also contribute their opinion on what they think can eliminate time-consuming tasks. For example, reducing paper documents if documentation is already in the EHR. It promotes efficient patient care and less staff exhaustion with paper works.

Knowledge sharing within the respective areas of expertise ensures that the system works for an entire organization. (McGonigle & Mastrian, 2017).

In the design phase, system designers should engage nurses in ongoing testing and refining of the system. Nurses help to affirm and confirm if the new system in place will be useful. Involving future users helps the process of the change to go smoothly.

A key to a successful implementation of health information technology (health IT) is to identify the impact of a clinical and administrative workflow. (Agency for Healthcare Research and Quality, n.d.b). According to Dr. John Glasser, the struggle in the implementation phase is on how the users will accept change. (Laureate Education, 2018). Nurses are leaders and patient advocates, so involving them in the new system that has workflows can promote good Governance and better adherence to change. According to Dr. Kevin Johnson, as long as there is proper alignment between the governance structure and expectation, there can still be a success despite reluctant participants. In evaluating the implementation and maintenance phase, nurses can identify and report to the nurse executive the problems in the system that affect the functionality and applicability of the technology.

In my healthcare organization, we don’t have a new health information technology system available. Also, we don’t have an onsite Nurse Informaticist. We reached the online IT representative through the phone. During my first EHR experience in this facility, I encountered issues logging in due to encryptions. There are settings that colleagues taught me how to alter to get into the system. I believe that we shouldn’t modify security settings because encryptions make the patients file safe from theft. In this scenario, the nurse is essential in the decision-making process of the system, whether it’s new or old. It is not just for patients’ safety but also for the facility’s protection.

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Nursing homework help

July 9, 2025/in Nursing Questions /by Besttutor

Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

In what ways, as you begin to transition to the role of a provider, do you think you have grown? Are you able to see things or understand things you didn’t before? Do you feel like you have some appreciation for the depth of committment you need for the next 18 months of your program?

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short paper

July 9, 2025/in Nursing Questions /by Besttutor

Assistance writing short paper

 

Describe one strategy that would facilitate health care provider engagement in integrated care models.  Select three (out of five) key teamwork concepts Team leadership, Mutual Performance Monitoring, Backup Behavior, Adaptability and Team Orientation, and explain why these concepts are important to you as a health care professional.  What are the barriers to teamwork?  Provide one example of an intervention to these barriers and how you would implement it. 

Include a minimum of 3 primary sources, in addition to the specific resources and materials provided within the course content.  Follow APA guidelines in formatting and citations: Times New Roman font, 12-point size, double-spaced, 1-inch margins, title page, in-text citations, and a reference page.  Cite ALL borrowed content.  Please limit your use of direct quotes and use your own words (paraphrase and summarize) as much as possible when citing borrowed content.

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spss

July 9, 2025/in Nursing Questions /by Besttutor

It is considered a best practice for researchers to spend some time, immediately after data entry, to review the data.

  • Is the data complete, or are there missing pieces that must be investigated? Are the data ranges what one might reasonably expect?
  • Are there extremes in reported values that suggest an unusual population or possible errors that will need to be traced back to the document of origin?

In the early stages, it is important for a researcher to get a bird’s-eye view of their data before diving into deeper, more complex analyses. Eventually the data will need to be cleaned, but for now the researcher just needs to identify some basic information. To this end, SPSS provides some nice tools—the most basic being the pivot tables and histograms—to easily summarize and visualize interval/ratio data, no matter how large or small. Categorical data can also be summarized with a pivot table, but you will need to use a bar graph instead of a histogram. Do you know the difference?

Instructions

For this practice exercise, you will need to upload the data set (Emotional Well-Being_your initials) you created.

  • Using this data set and the video instructions linked in Resources, create two or three pivot tables of your choice.
  • Create a bar graph for the variable Gender, and then a histogram for the variables Age and Baseline SF-36 Well-Being Scores.

In your post for this discussion:

  1. Post your creations (pivot table, bar graph and histogram) in the discussion area.
  2. Explain the difference between a bar chart or graph and a histogram.
  3. Summarize, in your own words, the most important messages you find in each of the outputs you created.
  4. Describe one or two of the challenges you found while performing these exercises and how you resolved the issues. Where appropriate, provide the address of any website that helped you.
  5. Remember to refer to the guidelines in the Faculty Expectations message (FEM) as you prepare your post.

Response Guidelines

Read and respond to the posts of your peers according to the guidelines in the FEM.

Address one of more of the following in your response:

  • How do the challenges and resolutions of your peers compare to yours?
  • How did your conclusions related to the most important messages you found in each of the outputs you created compare to those of your peers?

Resources

  • Discussion Participation Scoring Guide.
  • Emotional Well-Being (SF-36) Study Data Set [XLSX].
  • World Health Organization Data – Using a Pivot Table to Make Sense of It [Video] | Transcript.
  • Finding and Using Data in Global Health [Video] | Transcript.
  • Pivot Tables in SPSS. [Video] | Transcrip

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Multiple choice Items

July 9, 2025/in Nursing Questions /by Besttutor

Test 40 QS

 

· Question Points: 0.0 / 1.0

 

· Which of the following represents age-related changes in the lungs?

· Decrease in chest wall compliance

 

· Speed of expiration increases

 

· Increase in respiratory muscle strength

 

· Increased elastic recoil of lung tissue

 

· Question Points: 0.0 / 1.0

 

· A 32-year-old white female presents to your clinic complaining of overwhelming sadness. She says for the past 2 months she has had crying episodes, difficulty sleeping, and problems with overeating. She says she used to go out with her friends from work, but now she just wants to go home and be by herself. She also thinks that her work productivity has been dropping because she just is too tired to care or concentrate. She denies any feelings of guilt or any suicidal ideation. She states that she has never felt this way in the past. She denies any recent illness or injuries. Her past medical history consists of an appendectomy when she was a teenager; otherwise, she has been healthy. She is single and works as a clerk in a medical office. She denies tobacco, alcohol, or illegal drug use. Her mother has high blood pressure and her father has had a history of mental illness. On examination, you see a woman appearing her stated age who seems quite sad. Her facial expression does not change while you talk to her and she makes little eye contact. She speaks so softly you cannot always understand her. Her thought processes and content seem unremarkable.

What type of mood disorder do you think is most likely?

· Dysthymic disorder

 

· Manic (bipolar) disorder

 

· Major depressive episode

 

· Anxiety disorder

 

· Question Points: 0.0 / 1.0

 

· A 40-year-old mother of two presents to your office for consultation. She is interested in knowing what her relative risks are for developing breast cancer. She is concerned because her sister had unilateral breast cancer 6 years ago at age 38. The patient reports on her history that she began having periods at age 11 and has been fairly regular ever since, except during her two pregnancies. Her first child arrived when she was 26 and her second at age 28. Otherwise, she has had no health problems. Her father has high blood pressure. Her mother had unilateral breast cancer in her 70s. The patient denies tobacco, alcohol, or drug use. She is a family law attorney and is married. Her examination is essentially unremarkable.

Which risk factor of her personal and family history most puts her in danger of getting breast cancer?

.

 

· Age at menarche of less than 12

 

· First live birth between the ages of 25 and 29

·

· First-degree relative with postmenopausal breast cancer

· First-degree relative with premenopausal breast cancer

 

· Question Points: 0.0 / 1.0

 

· Ray works a physical job and notes pain when he attempts to lift his arm over his head. When you move the shoulder passively, he has full range of motion without pain and there is no gross swelling or tenderness. What type of joint disease does this most likely represent?

· Articular

 

· Extra-articular

 

· Neither

 

· Both

 

· Question Points: 0.0 / 1.0

 

·  A 36-year-old married bank teller presents to your office, complaining of pain with defecation and occasional blood on the toilet paper. She states that last week she had food poisoning with nausea, vomiting, and diarrhea. She had runny stools but no black or bloody stools. Ever since her illness, she has continued to have severe pain with bowel movements. She now tries to put off defecation as long as possible. Although she is having constipation she denies any further diarrhea or leakage of stool. She has a past medical history of hypothyroidism and two spontaneous vaginal deliveries. She has had no other chronic illnesses or surgeries. She does not smoke and rarely drinks. She has two children. There is no family history of breast or colon cancer. She has had no weight gain, weight loss, fever, or night sweats. On examination she is afebrile, with a blood pressure of 115/70 and a pulse of 80. On abdominal examination, she has active bowel sounds, is nontender in all quadrants, and has no hepatosplenomegaly. Inspection of the anus reveals inflammation on the posterior side with erythema. Digital rectal examination is painful for the patient but no abnormalities are palpated. Anoscopic examination reveals no inflammation or bleeding. What is the anal disorder that best describes her symptoms?

· Anorectal fistula

 

· External hemorrhoids

 

· Anal fissure

 

· Anorectal cancer

 

· Question Points: 0.0 / 1.0

 

· Adam is a very successful 15-year-old student and athlete. His mother brings him in today because he no longer studies, works out, or sees his friends. This has gone on for a month and a half. When you speak with him alone in the room, he states it “would be better if I was not here.” What would you do next?

· Tell him that he has a very promising career in anything he chooses and soon he will feel better.

 

· Tell him that he needs an antidepressant and it will take about 4 weeks to work.

 

· Speak with his mother about getting him together more with his friends.

 

· Assess his suicide risk.

 

· Question Points: 1.0 / 1.0

 

· Two weeks ago, Mary started a job which requires carrying 40-pound buckets. She presents with elbow pain worse on the right. On examination, it hurts her elbows to dorsiflex her hands against resistance when her palms face the floor. What condition does she have?

· Medial epicondylitis (golfer’s elbow)

 

· Olecranon bursitis

 

· Lateral epicondylitis (tennis elbow)

 

· Supracondylar fracture

 

 

· Question Points: 0.0 / 1.0

 

· A 26-year-old violinist presents to your clinic complaining of anxiety. He is a first-chair violinist in the local symphony orchestra and has started having symptoms during performances, such as sweating, shaking, and hyperventilating. It has gotten so bad that he has thought about giving up his first-chair status so he does not have to play the solo during one of the movements. He says that he never has these symptoms during rehearsals or when he is practicing. He denies having any of these symptoms at any other time. His past medical history is unremarkable. He denies any tobacco use, drug use, or alcohol abuse. His parents are both healthy. On examination you see a young man who appears worried. His vital signs and physical examination are unremarkable.

What type of anxiety disorder best describes this situation?

· Panic disorder

 

· Specific phobia

 

· Social phobia

 

· Generalized anxiety disorder

 

 

· Question Points: 0.0 / 1.0

 

· A 52-year-old secretary presents to your office, complaining about accidentally leaking urine when she coughs or sneezes. She says this has been going on for about a year now. She relates that she has not had a period for 2 years. She denies any recent illness or injuries. Her past medical history is significant for four spontaneous vaginal deliveries. She is married and has four children. She denies alcohol, tobacco, or drug use. During her pelvic examination, you note some atrophic vaginal tissue, but the remainder of her pelvic, abdominal, and rectal examinations are unremarkable.

Which type of urinary incontinence does she have?

· Stress incontinence

 

· Urge incontinence

 

· Overflow incontinence

 

· Mixed Incontinence

 

 

· Question Points: 0.0 / 1.0

 

· A 37-year-old nurse presents for evaluation of colicky right upper quadrant abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods. Which one of the following physical examination descriptions would be most consistent with the diagnosis of cholecystitis?

· Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.

 

· Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or guarding.

 

· Abdomen is soft and tender to palpation in the right upper quadrant with inspiration, to the point of stopping inspiration, and there is no rebound or guarding.

 

· Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound or guarding.

 

 

· Question Points: 0.0 / 1.0

 

· A 29-year-old computer programmer presents to your office for evaluation of a headache. The tightening sensation is located all over the head and is of moderate intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but not taken it away. Based on this description, what is your most likely diagnosis?

· Tension

 

· Migraine

 

· Cluster

 

· Analgesic rebound

 

· Question Points: 0.0 / 1.0

 

· You are having trouble examining the abdomen of a school-aged child due to ticklishness. What should you do?

· Have the child press on your hand.

 

· Have the parent insist that the child allow you to examine her.

 

· Ask the parent to leave the room.

 

· Make the child realize that this is part of the examination and must be done.

 

· Question Points: 1.0 / 1.0

 

· A 27-year-old woman is brought to your office by her mother. The mother tells you that her daughter has been schizophrenic for the last 8 years and is starting to decompensate despite medication. The patient states that she has been taking her antipsychotic and she is doing just fine. Her mother retorts that her daughter has become quite paranoid. When asked why, the mother gives an example about the mailman. She says that her daughter goes and gets the mail every day and then microwaves the letters. The patient agrees that she does this but only because she sees the mailman flipping through the envelopes and she knows he’s putting anthrax on the letters. Her mother turns to her and says, “He’s only sorting the mail!”

Which best describes the patient’s abnormality of perception?

· Illusion

 

· Hallucination

 

· Fugue state

 

· Facticious

 

 

· Question Points: 0.0 / 1.0

 

Top of Form

· A 29-year-old married computer programmer presents to your clinic, complaining of “something strange” going on in his scrotum. Last month while he was doing his testicular self-examination, he felt a lump in his left testis. He waited a month and felt the area again, but the lump was still there. He has had some aching in his left testis but denies any pain with urination or sexual intercourse. He denies any fever, malaise, or night sweats. His past medical history consists of groin surgery when he was a baby and a tonsillectomy as a teenager. He eats a healthy diet and works out at the gym five times a week. He denies any tobacco or illegal drugs and drinks alcohol occasionally. His parents are both healthy. On examination, you see a muscular, healthy, young-appearing man with unremarkable vital signs. On visualization, the penis is circumcised with no lesions; there is a scar in his right inguinal region. There is no lymphadenopathy. Palpation of his scrotum is unremarkable on the right but indicates a large mass on the left. Placing a finger through the inguinal ring on the right, you have the patient bear down. Nothing is felt. You attempt to place your finger through the left inguinal ring but cannot get above the mass. On rectal examination, his prostate is unremarkable.

What disorder of the testes is most likely the diagnosis?

· Hydrocele

 

· Inguinal hernia

 

· Scrotal edema

 

· Varicocele

· Question Points: 1.0 / 1.0

Bottom of Form

 

· A high school football player injured his wrist in a game. He is tender between the two tendons at the base of the thumb. Which of the following should be considered?

· DeQuervain’s tenosynovitis

 

· Scaphoid fracture

 

· Wrist sprain

 

· Rheumatoid arthritis

 

 

· Question Points: 0.0 / 1.0

 

· An adolescent male presents to your clinic with a note from his mother stating it is okay for him to be seen today without her presence. He has come in for his annual sports physical required to play football. For his age his physical examination is unremarkable, and you sign his school’s physical examination form. You decide to take this opportunity to do some health education with him. He admits to wondering a lot lately if he is normal. Although he is in football he really enjoys science and computers more. He is worried that all his buddies will think he is a geek. He is convinced he also won’t get a date for the Sadie Hawkins dance next week because the girls all think he is boring, too. He denies any experimentation with tobacco or alcohol, and he blushes when you mention sex. After hitting all the pertinent age-appropriate education points, you give him his sports physical form and he leaves.

The patient’s concerns during the visit most resemble what developmental stage of adolescence?

· Early adolescence (10 to 14 years old)

 

· Middle adolescence (15 to 16 years old)

 

· Late adolescence (17 to 20 years old)

 

· Adulthood

 

 

· Question Points: 0.0 / 1.0

 

· You are observing an infant who is able to pull to a stand, uses “mama” and “dada” specifically, and indicates his wants by vocalization and pointing. Where would you place this child’s developmental age?

· 12 months

 

· 10 months

 

· 8 months

 

· 6 months

 

 

· Question Points: 0.0 / 1.0

 

· A 77-year-old retired school superintendent presents to your office, complaining of unsteady hands. He says that, for the past 6 months, when his hands are resting in his lap they shake uncontrollably. He says when he holds them out in front of his body the shaking diminishes, and when he uses his hands the shaking is also better. He also complains of some difficulty getting up out of his chair and walking around. He denies any recent illnesses or injuries. His past medical history is significant for high blood pressure and coronary artery disease, requiring a stent in the past. He has been married for more than 50 years and has five children and 12 grandchildren. He denies any tobacco, alcohol, or drug use. His mother died of a stroke in her 70s, and his father died of a heart attack in his 60s. He has a younger sister who has arthritis problems. His children are all essentially healthy. On examination, you see a fine, pill-rolling tremor of his left hand. His right shows less movement. His cranial nerve examination is normal. He has some difficulty rising from his chair, his gait is slow, and it takes him time to turn around to walk back toward you. He has almost no “arm swing” with his gait.

What type of tremor is he most likely to have?

· Resting tremor

 

· Postural tremor

 

· Intention tremor

 

· Drug Induced Tremor

 

 

· Question Points: 1.0 / 1.0

 

· A 35-year-old stockbroker presents to your office, complaining of feeling tired and irritable. She also says she feels like nothing ever goes her way and that nothing good ever happens. When you ask her how long she has felt this way she laughs and says, “Since when have I not?” She relates that she has felt pessimistic about life in general since she was in high school. She denies any problems with sleep, appetite, or concentration, and states she hasn’t thought about killing herself. She reports no recent illnesses or injuries. She is single. She smokes one pack of cigarettes a day, drinks occasionally, and hasn’t taken any illegal drugs since college. Her mother suffers from depression and her father has high blood pressure. On examination her vital signs and physical examination are unremarkable.

What mental health disorder best describes her symptoms?

· Major depressive episode

 

· Dysthymic disorder

 

· Cyclothymic disorder

 

· Hypothryoidism

 

 

· Question Points: 0.0 / 1.0

 

· Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The pain is a dull ache, located in the right upper quadrant, that she rates as a 3 at the least and an 8 at the worst. The pain, which started a few weeks ago, comes and goes, lasts for 2 to 3 hours at a time, and seems to be worse a couple of hours after eating. She has noticed that it starts after eating greasy foods, so she has cut down on these as much as she can. Initially, it occurred once a week, but now it is occurring every other day. Nothing makes it better. From this description, which of the seven attributes of a symptom has been omitted?

· Setting in which the symptom occurs

 

· Associated manifestations

 

· Quality

 

· Timing

 

 

· Question Points: 1.0 / 1.0

 

· Susane is a 27-year-old who has had headaches, muscle aches, and fatigue for the last 2 months. You have completed a thorough history, examination, and laboratory workup but have not found a cause. What would be an appropriate next course of action?

· A referral to a neurologist

 

· A referral to a rheumatologist

 

· To tell the patient you can’t find anything

 

· To screen for depression

 

 

· Question Points: 0.0 / 1.0

 

· A 73-year-old retired accountant presents to your office for her annual examination. She has incontinence of urine when she coughs or sneezes. She takes several medications for control of hypertension and diabetes. You use the DIAPPERS mnemonic to assess the cause of her incontinence. All of the following are items represented by the mnemonic except for:

· Atrophic vaginitis

 

· Depression

 

· Pharmaceuticals

 

· Restricted mobility

 

 

· Question Points: 1.0 / 1.0

 

· A 8-year-old patient presents to the office for evaluation of a rash. At first, there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis?

· Pityriasis rosea

 

· Tinea versicolor

 

· Psoriasis

 

· Atopic eczema

 

 

· Question Points: 0.0 / 1.0

 

· A 79-year-old retired banker presents to your office for evaluation of difficulty with urination; he gets up five to six times per night to urinate and has to go at least that often in the daytime. He does not feel as if his bladder empties completely; the strength of the urinary stream is diminished. He denies dysuria or hematuria. This problem has been present for several years but has worsened over the last 8 months. You palpate his prostate. What is your expected physical examination finding, based on this description?

· Normal size, smooth

 

· Normal size, boggy

 

· Enlarged size, smooth

 

· Enlarged size, boggy

 

 

· Question Points: 1.0 / 1.0

 

· A 49-year-old administrative assistant presents to your office for evaluation of dizziness. You elicit the information that the dizziness is a spinning sensation of sudden onset, worse with head position changes. The episodes last a few seconds and then go away, and they are accompanied by intense nausea. She has vomited one time. She denies tinnitus. You perform a physical examination of the head and neck and note that the patient’s hearing is intact. Pt has normal results of Weber and Rinne and that there is nystagmus. Her gait is normal. Based on this description, what is the most likely diagnosis?

· Benign paroxysmal positional vertigo

 

· Vestibular neuronitis

 

· Ménière’s disease

 

· Acoustic neuroma

 

 

· Question Points: 0.0 / 1.0

 

· An 88-year-old retired piano teacher presents for evaluation of fatigue. You notice that her clothes are hanging loosely off her frame and that she has lost 15 pounds. She is unaware of this. Her husband of 63 years died a few months ago. You ask the patient to complete a Rapid Screen for Dietary Intake. Which of the following statements is considered to be part of this rapid screen?

· I eat more than two meals per day.

 

· I drink one glass of alcohol every day.

 

· Without wanting to, I have lost or gained 10 pounds in the last 6 months.

 

· I eat with at least one other person most of the time.

 

· Question Points: 1.0 / 1.0

 

· A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4 months ago he had a stroke and ever since she has been frustrated with his problems with communication. They were at a restaurant after church one Sunday when he suddenly became quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2 weeks in the hospital with right-sided weakness and difficulty speaking. After hospitalization he was in a rehab center, where he regained the ability to walk and most of the use of his right hand. He also began to speak more, but she says that much of the time “he doesn’t make any sense.” She gives an example that when she reminded him the car needed to be serviced he told her “I will change the Kool-Aid out of the sink myself with the ludrip.” She says that these sayings are becoming frustrating. She wants you to tell her what is wrong and what you can do about it. While you write up a consult to neurology, you describe the syndrome to her.

· Wernicke’s aphasia

 

· Broca’s aphasia

 

· Dysarthria

 

· Dementia

 

 

· Question Points: 0.0 / 1.0

 

· A 12-year-old presents to the clinic with his father for evaluation of a painful lump at the left eyelid. It started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no tearing occurs with palpation of the lesion. Based on this description, what is the most likely diagnosis?

· Dacryocystitis

 

· Chalazion

 

· Hordeolum

 

· Xanthelasma

 

 

· Question Points: 0.0 / 1.0

 

· A young man feels something in his scrotum and presents to you for clarification. On your examination, you note what feels like a “bag of worms” in the left scrotum, superior to the testicles. Which of the following is most likely?

· Hydrocele of the spermatic cord

 

· Varicocele

 

· Testicular carcinoma

 

· A normal vas deferens

 

 

· Question Points: 0.0 / 1.0

 

· A 28-year-old graduate student presents to your clinic for evaluation of pain “all over.” With further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, lower back, and knees. She denies swelling in her joints; she states that the pain is worse in the morning; there is no limitation in her range of motion. On physical examination, she has several points on the muscles of the neck, shoulders, and back that are tender to palpation; muscle strength and range of motion are normal. Which of the following is likely the cause of her pain?

· Rheumatoid arthritis

 

· Osteoarthritis

 

· Fibromyalgia

 

· Polymyalgia rheumatic

 

 

· Question Points: 0.0 / 1.0

 

· Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis, which has been occurring for 2 days. He does note a dark, granular substance resembling coffee grounds. What do you suspect?

· Bleeding from a diverticulum

 

· Bleeding from a peptic ulcer

 

· Bleeding from a colon cancer

 

· Bleeding from cholecystitis

 

 

· Question Points: 1.0 / 1.0

 

· The following information is recorded in the health history: “I feel really tired.”

To which category does this information belong?

· Chief complaint

 

· Present illness

 

· Personal and social history

 

· Review of systems

 

 

· Question Points: 0.0 / 1.0

 

· A 24-year-old secretary presents to your clinic complaining of difficulty sleeping, severe nightmares, and irritability. She states it all began 6 months ago when she went to a fast-food restaurant at midnight. While she was waiting in her car, a man entered through the passenger door and put a gun to her head. He had her drive to a remote area where he took her money and threatened to kill her. When the gun jammed, he panicked and ran off. Ever since this occurred, the patient has been having these symptoms. She states she jumps at every noise and refuses to drive at night. She states her anxiety has had such a marked influence on her job performance that she is afraid she will be fired. She denies any recent illnesses or injuries. Her past medical history is unremarkable. On examination you find a nervous woman appearing her stated age. Her physical examination is unremarkable. You recommend medication and counseling.

What anxiety disorder do you think this young women most likely has?

· Specific phobia

 

· Acute stress disorder

 

· Post-traumatic stress disorder

 

· Generalized anxiety disorder

 

 

· Question Points: 1.0 / 1.0

 

· A 41-year-old real estate agent presents to your office, complaining that he feels like his face is paralyzed on the left. He states that last week he felt his left eyelid was drowsy and as the day progressed he was unable to close his eyelid all the way. Later he felt like his smile became affected also. He denies any recent injuries but had an upper respiratory viral infection last month. His past medical history is unremarkable. He is divorced and has one child. He smokes one pack of cigarettes a day, occasionally drinks alcohol, and denies any illegal drug use. His mother has high blood pressure, and his father has sarcoidosis. On examination, you ask him to close his eyes. He is unable to close his left eye. You ask him to open his eyes and raise his eyebrows. His right forehead furrows but his left remains flat. You then ask him to give you a big smile. The right corner of his mouth raises but the left side of his mouth remains the same.

What type of facial paralysis does he have?

· Peripheral CN VII paralysis

 

· Central CN VII paralysis

 

· CN V Neuralgia

 

· CN V paralysis

 

 

· Question Points: 0.0 / 1.0

 

· Which of the following booster immunizations is recommended in the older adult population?

· Tetanus

 

· Diphtheria

 

· Measles

 

· Mumps

 

 

· Question Points: 0.0 / 1.0

 

· A 26-year-old white female presents to your clinic at 38 weeks, complaining of intermittent contractions. They last for 30 seconds and are coming every 10 minutes. Her prenatal course has so far been uneventful. You send her to labor and delivery for a labor assessment. On vaginal examination, she has effaced 4 cm, but you cannot feel a presenting part. You admit her for active labor; however, you wish to assess if she is vertex (baby’s head is down), so you do the Leopold’s maneuver. Palpating the upper pole with your hands, you feel a firm round mass. Placing your hand along the right side of her abdomen, you feel a smooth firmness. Palpating your other hand along the left side of her abdomen, you feel irregular bumps. Above the pelvic brim you feel a firm irregular mass. While awaiting ultrasound to confirm your diagnosis, you write the pertinent orders.

How is this fetus presenting?

· Vertex

 

· Breech

 

· Transverse

 

· Anteverted

 

 

· Question Points: 1.0 / 1.0

· A 29-year-old homemaker who is G4P3 presents to your clinic for her first prenatal check. Her last period was 2 months ago. She has had three previous pregnancies and deliveries with no complications. She has no medical problems and has had no surgeries. Her only current complaint is of severe reflux that occurs in the mornings and evenings. On examination she is in no acute distress. Her vitals are 110/70 with a pulse of 88. Her respirations are 16. Her head, eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On bimanual examination her cervix is soft and her uterus is 10 weeks in size. Pap smear, cultures, and blood work are pending.

What is the most likely cause of her first-trimester reflux?

· Increasing prolactin levels

 

· Increasing ADH (antidiuretic hormone) levels

 

· Increasing progesterone

 

· Enlarged gravid uterus

 

 

· Question Points: 0.0 / 1.0

 

· A patient is assigned a visual acuity of 20/100 in her left eye. Which of the following is true?

· She obtains a 20% correct score at 100 feet.

 

· She can accurately name 20% of the letters at 20 feet.

 

· She can see at 20 feet what a normal person could see at 100 feet.

 

· She can see at 100 feet what a normal person could see at 20 feet.

 

 

· Question Points: 1.0 / 1.0

 

· A 72-year-old African-American male is brought to your clinic by his daughter for a follow-up visit after his recent hospitalization. He had been admitted to the local hospital for speech problems and weakness in his right arm and leg. On admission, his MRI showed a small stroke. The patient was in rehab for 1 month following his initial presentation. He is now walking with a walker and has good use of his arm. His daughter complains, however, that everyone is still having trouble communicating with the patient. You ask the patient how he thinks he is doing. Although it is hard for you to make out his words, you believe his answer is “well . . . fine . . . doing . . . okay.” His prior medical history involved high blood pressure and coronary artery disease. He is a widower and retired handyman. He has three children who are healthy. He denies tobacco, alcohol, or drug use. He has no other current symptoms. On examination, he is in no acute distress but does seem embarrassed when it takes him so long to answer. His blood pressure is 150/90 and his other vital signs are normal. Other than his weak right arm and leg, his physical examination is unremarkable.

What disorder of speech does he have?

· Wernicke’s aphasia

 

· Broca’s aphasia

 

· Dysarthria

 

· Dementia

 

 

· Question Points: 0.0 /

 

· A pregnant woman finally presents in for her prenatal checkup. She complains today of headache and abdominal pain of several months’ duration. She appears somewhat hurried or nervous. What question would you ask next?

· Have you been eating properly and taking a prenatal vitamin?

 

· Do you feel safe at home?

 

· How much activity have you been able to fit into your schedule?

 

· Do you have a family history of thyroid disease?

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report

July 9, 2025/in Nursing Questions /by Besttutor

Individual Project in Nutrition

April, 2020

 

Overview

The goal of the nutrition project is to search for an evidence-based nutrition related knowledge. Then, understand different issues and implications in different levels of health care. In this project, the student will prepare a short summary report of around 250-400 words/ (2-3 pages) related to nutrition related topic.

The Learning Outcomes:

By the completion of the group project, the students will be able to:

1. Analyze and use the scientific based evidence in the field of nutrition

2. Use the most recent or up-to-date reference (it is preferable to be no more than 5 years old)

3. Appreciate the role of the nutritional therapy or dietary interventions of disease conditions.

4. Demonstrate understanding of summarizing the nutrition information and writing them in a concise report.

Suggested topics for the project:

· Nutrition Therapy for chronic diseases (e.g. DM, HTN, Dyslipidemia, CVD)

· Nutrition related disease for vulnerable groups (e.g. Pediatrics, pregnant women, elderly), e.g. Gestational DM, nutrition related issues in eledrely.

· Micronutrient deficiencies (e.g. Vitamin D deficiency, Iron deficiency)

· The usage and considerations of modified diets (e.g. in Texture or nutrients).

 

 

Report Layout:

A report of the project should include the following:

· A cover page which include the name of the topic, the student’s information

· Introduction/ background on the topic (must be from trusted references and scientific based) and must cover the following:

· National and global statistics on the topic (e.g. Prevalence of obesity in Oman and globally). “if available”

· Key definitions

· Importance of the topic

· Discussion: discuss the following:

· Core messages or information

· Dietary interventions r nutrition therapy

· Any other related information

· Implications in the health field

· Outcomes & Conclusion

· References

The project evaluation comprises of the following components:

· Layout, design and component of the report: 3%

· Information of the report is evidence based: 7%

· Key messages of the topic are clear, and precise: 5%

· Implications of the topic: 3%

· References: 2%

Academic Integrity:

· If cheating or Plagiarism is suspected or proven, the new bylaws and regulation will be applicable.

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Humanities

July 9, 2025/in Nursing Questions /by Besttutor

For this assessment task, you will be required to outline how the study of Humanities enables us to learn more about how traditions and ideas influence culture. In modern times, the Humanities has come to encompass a large variety of topics, all of which reference back to culture in various aspects. The study of the Humanities is essentially a study of what makes us human. While broad in scope, its focus on critical thinking, analyzing, and the ability to reflect on one’s place in the larger narrative of humankind.

*What are the Humanities?

*Identify key traditions and ideas influencing our culture

*In a written response, explain in detail what the Humanities are and how they influence culture?

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Discussion 1

July 9, 2025/in Nursing Questions /by Besttutor

Unit 1 Discussion

Click [Start a New Thread] to post to the Discussion, then click [Post] once complete. Be sure to post a response to all Discussion topics. Please review the Discussion Board participation grading rubric under Course Resources. This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center located in the Academic Success Center in the student portal for assistance with writing, APA, and online communication. https://campus2.purdueglobal.edu/page/writing-center

This week you will create a 12–15-slide PowerPoint.

For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. List any diagnostic studies or laboratory test(s) you need to rule in or rule out a diagnosis. The entry should be posted as an attachment. Please pick one of the following topics for your post: Allergic rhinitis, conjunctivitis, blepharitis, sinusitis, hordeolum, chalazion, otitis media, otitis externa, pharyngitis, tonsillitis, glossitis, TMJ.

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