Unit 6 Assessment

Step 1

Select ONE of the following fugal agents for your assignment.

  • Aspergillus, Tinea pedis, Candida albicans, Coccidioides, Pneumocystis jirovecii, Blastomyces, Cryptococcus neoformans, Histoplasma, Tinea corporis

Step 2

Research the chosen fungal agent to examine the anatomical structures and diseases associated with it.  

Step 3 

Using the template below answer the following questions:

  1. Where the organism is normally found and how is it spread?
  2. What are the virulence factors of the organism? 
  3. What are the symptoms and incubation period of the infection caused by the organism? 
  4. How would you diagnose an infection caused by the organism?
  5. Describe how the organism infects different organs and how the immune system responds to infection.
  6. What is the current treatment plan for the infections caused by the organism and the treatment success rate?
  7. What populations are most at risk for infection?
  8. What environments and sources are associated with the organism? 
  9. What are some public health implications of the infection caused by the agent?
  10. What precautions can the public take to prevent infections?

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The Future of Healthcare Informatics

 

The Future of Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify the current role of the informatics nurse and predict the future role of the informatics nurse, based on scholarly sources.
  2. Explain what is meant by connected health.  Provide three examples of connected health in today’s healthcare environment.  Explain the benefits and drawbacks of each.
  3. In what ways has informatics impacted public health – please provide at least three examples.

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Relationship in writing

 

For your final essay, you will need to be reflective. You will be allowed to use first-person pronouns for this assignment. You will need to create a structured paper in 750 words that describes your relationship with writing before the class, during the class, and now at the end of the class. How did you feel about writing before our semester together? Has your viewpoint changed at all? What did you learn? What do you hope to learn in 102? What do you wish we had learned together in 101? Really analyze how you feel about writing and language and how this class has affected you. 

Requirements:

  • APA formatting
    • cover page
    • no abstract required
    • Times New Roman, 12 point font
    • double spacing
    • no reference page required
  • at least 750 words
  • no outside sources are needed for this assignment, so there should be NO PLAGIARISM
  • late work is not accepted
  • must submit through Canvas, not email or Google drive share

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iqtest

 

For this discussion post,  take an IQ test found at http://www.iqtest.com (Links to an external site.). After taking the test,  write a discussion post and discuss whether you think the score you received is accurate of your intelligence level. Why, or why not? Note: some intelligence tests found on the Internet require a payment to receive the results of the test. Paying for the results is NOT a requirement for the assignment. 

You do not need to include your score you received in this discussion post if you desire not to. Only reflect on your results and if you feel it is accurate or not? What would be a better way to measure intelligence or should we not measure it?

Please submit a minimum of 250 words and cite your resources. Turnitin will be utilized.  Please make sure, you write your post in your own words.

If you do not cite your resources, you will not receive any points.

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Digestion and Macronutrients

TOPIC 1: Dietary fat has been vilified.  Is this a correct characterization of this macronutrient? Is all fat bad? What types of fats can we find in our diet (go beyond our textbook)? 

Most be at least 250 words and at least 2 reference 

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Critical Thinking at the Bedside

  

The Purpose: The purpose of this assignment is to relate the concepts of critical thinking to your professional practice.

  • Read      the article attached below: Critical Thinking at the Bedside:      Providing Safe Passage to Patients. MedSurg Nursing, 22(2),      85-93, 118 by Robert and Petersen (2013).
  • Reflection      can be an important strategy in critical thinking. It allows for      evaluation of events and consideration of how an event might have been      handled differently, more effectively, more efficiently.  Just as      with history, understanding past events allows us to prevent repeating the      same mistakes…or, in nursing, allows us to modify our actions should the      same situation recur.  Sometimes the reflection allows us to take      apart the event and analyze the parts, recognizing just how well the      actions taken contributed to the successful solution.   Your      assignment related to the concept of critical thinking is to reflect on      your practice and present a situation in which:

                   Critical thinking was evident:
                    Or
                    Critical thinking was not evident (impeded).

  • Summarize the situation and identify the      defining attributes, and enhancing factors that were present (critical      thinking evident) or notably absent (critical thinking not evident or      impeded). The situation may be client based, an episode with colleagues,      or even within the health care system where you work(ed). (If you have      never worked in a health care environment, consider clinical or life      experiences you have had for this assignment).   Make      sure you use terms from the article, cite the article properly within your      discussion, and provide a reference citation. 

Note: ( APA Format 7th edition and Zero plagiarism )

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Psychotherapy With Individuals

 

Learning Objectives

Students will:
  • Develop diagnoses for clients receiving psychotherapy*
  • Evaluate the efficacy of motivational interviewing techniques for clients*
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

  • Describe the client (without violating HIPAA regulations) and  identify any pertinent history or medical information, including  prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for this client.
  • Explain whether motivational interviewing would be effective with  this client. Include expected outcomes based on this therapeutic  approach. Support your approach with evidence-based literature.
  • Explain any legal and/or ethical implications related to counseling this client.

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Answer each the questions

Copy and paste no references

 

  1. What changes in veins occur to create varicose veins?
  2. What is the disease process with superior vena cava syndrome?
  3. How does atherosclerosis cause an aneurysm?
  4. What are the differences between healthy vessel walls and those that promote clot formation?
  5. What are the causes of pulmonary emboli?
  6. What can trigger an immune response within the bloodstream that can result in an embolus?
  7. Describe thromboangiitis obliterans (Buerger disease).
  8. Describe Raynaud disease.
  9. What is the cause of the hypertrophy of the myocardium associated with hypertension?
  10. What pathologic change occurs to the kidney’s glomeruli as a result of hypertension?
  11. What is the primary mechanism of atherogenesis?
  12. What is the effect of oxidized low-density lipoproteins (LDLs) in atherosclerosis?
  13. Which inflammatory cytokines are released when endothelial cells are injured?
  14. What alteration occurs in injured endothelial cells which contributes to atherosclerosis?
  15. Differentiate between ischemia and infarction.
  16. Which of the lipids is manufactured by the liver and primarily contains cholesterol and protein?
  17. Which elevated lipid value may be protective of the development of atherosclerosis?
  18. What are the risk factors for developing coronary artery disease?
  19. Which risk factor increases the risk of developing coronary artery disease up to threefold?
  20. How does nicotine increases atherosclerosis?
  21. Which lab test is an indirect measure of atherosclerotic plaque?
  22. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes?
  23. Which form of angina occurs most often during sleep as a result of vasospasms of one or more coronary arteries?
  24. What is the expected electrocardiogram pattern for a person when a thrombus in a coronary artery lodges in the vessel and the infarction extends through the myocardium from the endocardium to the epicardium?
  25. How does angiotensin II increase the workload of the heart after a myocardial infarction?
  26. How long after a myocardial infarction is the scar tissue that forms most vulnerable to injury?
  27. What are the enzyme indicators of a myocardial infarction?
  28. A patient complains of sudden onset of severe chest pain that radiates to the back and worsens with respiratory movement and when lying down. These clinical manifestations are indicative of which disease?
  29. What is the significance of the pulsus paradoxus that occurs as a result of pericardial effusion?
  30. Biventricular dilation is the result of which form of cardiomyopathy?
  31. Which form of cardiomyopathy is characterized by ventricular dilation and grossly impaired systolic function, leading to dilated heart failure?
  32. The hallmark of which form of cardiomyopathy is a disproportionate thickening of the interventricular septum?
  33. Which form of cardiomyopathy is usually caused by an infiltrative disease of the myocardium, such as amyloidosis, hemochromatosis, or glycogen storage disease?
  34. Which are the clinical manifestations of aortic stenosis?
  35. Aortic and mitral regurgitation as well as mitral stenosis are caused by which common disease?
  36. Which predominantly female valvular disorder is thought to have an autosomal dominant inheritance pattern, as well as being associated with connective tissue disease?
  37. Which disorder causes a transitory truncal rash that is nonpruritic and pink with erythematous macules that may fade in the center, making them appear as a ringworm?
  38. Infective endocarditis is most often caused by which type of microorganism?
  39. What are risk factors for infective endocarditis?
  40. What is the most common cardiac disorder associated with acquired immunodeficiency syndrome (AIDS) resulting from myocarditis and infective endocarditis?
  41. What contributes to the physiologic changes that mediate ventricular remodeling?
  42. In systolic heart failure, what effect does angiotensin II have on stroke volume?
  43. A patient is diagnosed with pulmonary disease and elevated pulmonary vascular resistance. Which heart failure may result from this condition?

Chapter 34: Alterations of Cardiovascular Function in Children

Study Questions

  1. When does most cardiovascular development occur?
  2. What is the function of a patent opening between the left and right atria in a fetus?
  3. At birth what is the most important change that takes place?
  4. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.
  5. When does systemic vascular resistance in infants begin to rise?
  6. Congenital heart defects that cause acyanotic congestive heart failure usually involve what kind of shunt?
  7. Congenital heart defects that cause hypoxemia, and therefore cyanosis, usually involve what kind of shunt?
  8. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?
  9. An infant has a continuous-machine type of murmur best heard at the left upper sternal border throughout systole and diastole. The infant has a bounding pulse and a thrill on palpation. These clinical findings are consistent with which congenital heart defect?
  10. The infant diagnosed with a small patent ductus arteriosus (PDA) is likely to present with what clinical manifestations?
  11. An infant has a crescendo-decrescendo systolic ejection murmur located between the second and third intercostal spaces along the left sternal border. There is also a wide fixed splitting of the second heart sound. These clinical findings are consistent with which congenital heart defect?
  12. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect?
  13. How do children with tetralogy of Fallot compensate to relieve hypoxic spells?
  14. What is the location coarctation of the aorta (COA)?
  15. Classic manifestations of a systolic ejection murmur, cyanosis of the lower extremities, and decreased or absent femoral pulse are indicative of an older child with which congenital defect?
  16. What is the most important clinical manifestation of aortic coarctation in the neonate?
  17. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click?
  18. Which heart defect produces a systolic ejection click at the upper left sternal border with a thrill palpated at the upper left sternal border?
  19. Describe the cardiac defect of transposition of the great vessels.
  20. Describe the cardiac defect of total anomalous pulmonary venous return.
  21. Which heart defect results in a single vessel arising from both ventricles providing blood to both the pulmonary and systemic circulations?

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Case Study

GERD

If you can not do it please don’t accept

 

Mrs. B is a 55-year-old, white, female

Source: Self, reliable source

Subjective:

Chief complaint: “I have acid reflux.”   

HPI:  Patient states she has been having burning in her chest over the past 2-3 weeks. It is worse with consumption of spicy foods, alcohol and caffeinated beverages. She denies any nausea, vomiting, abdominal pain, blood in stools, food getting caught in throat or painful swallowing. She denies any chills or fever. She states she has been more stressed at work, which seemed to coincide with the onset of her symptoms. She has been taking Tums, which helps “a little.”

Allergies: NKA

Current Mediations:

Ferrous sulfate, 325 mg, daily

Clopidogrel, 75 mg, daily

Aspirin, 81 mg, daily

Ramipril, 5 mg, daily

Rosuvastatin, 20 mg, daily

Oxybutynin, 3.9 mg/24 patch

Fluoxetine, 10 mg, daily

Ibandronate, 150 mg, monthly

Tums, PRN                                                                                                                

Pertinent History: Iron deficiency anemia, STEMI (two months ago), hypertension, hyperlipidemia, urge incontinence, depression, osteoporosis

Health Maintenance. Immunizations: Immunizations and pertinent screening up-to-date

Family History:

            Father – Myocardial infarction (deceased age 52)

            Mother – Atrial fibrillation (deceased age 79)

Social History: Patient lives with her husband. She smokes 1ppd (40 pack year history). She drinks a glass of wine each evening with dinner. She denies drug use.

ROS: Incorporated into HPI

Objective:

VS – BP: 145/92, HR: 86, RR: 16, Temp 97.6, oxygenation 96%, weight: 240 lbs, height: 54 inches.

Mrs. B is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

ENT: The tympanic membranes are pearly gray. The nasal mucosa is pink with no discharge. The oropharynx is pink with no tonsillar erythema or exudate. There is no evidence of abnormal masses or leukoplakia. No cervical lymphadenopathy

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop. No peripheral edema or jugular vein distention

Respiratory: Clear to auscultation, but decreased breath sounds

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly      

ECG: Sinus rhythm

CBC: Hematocrit and hemoglobin within normal range

H pylori breath test: Negative    

Assessment:

Diagnosis: Gastro-esophageal reflux, ICD-10: K21.9

Please answer the following:

  1. What is your prescribed treatment plan (include specific dosage, frequency)? Why did you choose this treatment plan? In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your choice. Please describe how the patient comorbidities influenced your choice as well (1 point).  Are there any medical interactions to your choice (1 point)? 
  2. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).

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Journal Entry#7

  COMPLETE 

 List the objective(s) met and briefly describe 8 Activities you completed during this period.

  • Evaluate clients for voluntary commitment
  • Evaluate clients for involuntary commitment based on state laws
  • Recommend actions for supporting parents of  clients not eligible for involuntary commitment
  • Recommend actions for treating clients not  eligible for involuntary commitment

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