Health Care

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Question 1

 

  • Identify a health care need that would benefit from political advocacy by nurses.
  • Describe how nursing could influence legislation in this area.

 

 

 

Question 2

 

In the media, there has been much debate about the effectiveness and affordability of the ACA. Let’s consider how this legislation will influence your nursing practice and work environment.

 

  • Summarize the key components of the ACA. (Affordable Care Act)
  • Describe how you have observed this policy influencing health care and nursing practice in your organization

 

 

 

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Leadership Theories, Styles, and Application

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There are multiple leadership styles available to nurses. When you look at an appropriate leadership style, you must take into consideration personal style, the situation being addressed, the environment in which the situation is taking place, and other people who may be involved. With this in mind, complete the following for this assignment:

  • Think of three different situations that might occur in a practice setting. At least one of the situations must include an aspect that involves financial reimbursement and patient outcomes.
  • Identify and describe the situations and the people involved.
  • Choose the leadership style that you believe would be appropriate for handling each situation.
  • Describe, briefly, the major tenets of each leadership style and explain how the leadership style applies to the situation.
  • Offer one pro and one con to using each leadership style.
  • Support your choices with references from your unit readings, your journal selections, and any additional resources.

Writing Requirements

  • Your paper must be 3–5 pages in length, excluding title page and reference page.
  • Use double spacing in between entries and annotations with one-inch margins.
  • Use Times New Roman, 12-point font.
  • Sources: Support your choices with references from both your unit readings, and at least two resources not required for this course. These may come from the journals you used in your annotated bibliography.
  • Format the paper (including references) according to APA (6th edition) style and formatting guidelines.

writing information.

Leadership Theories, Styles, and Application Scoring Guide Grading Rubric
Criteria Non-performance Basic Proficient Distinguished
Identify the major tenets of nursing leadership styles.
33%		 Does not identify the major tenets of nursing leadership styles. Partially identifies the major tenets of nursing leadership styles. Identifies the major tenets of nursing leadership styles. Identifies the major tenets of nursing leadership styles with superior clarity and provides a well-reasoned pro and con to various nursing leadership styles.
Examine how leaders use critical thinking to influence their decision-making processes.
33%		 Does not examine how leaders use critical thinking to influence their decision-making processes. Explains at a minimal level how leaders use critical thinking to influence their decision-making processes. Examines how leaders use critical thinking to influence their decision-making processes. Examines how leaders use critical thinking to influence their decision -making processes and recognizes how various nursing leadership styles apply to different situations.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics, and correctly format citations using APA style.
34%		 Does not write clearly and logically and writing shows little attention to spelling, grammar, punctuation, and mechanics, and does not correctly format citations using APA style. Uses sentence structure that is mostly clear, with a few minor spelling or grammatical errors but fails to attribute quotes and citations in a few places, or allows some inconsistencies in APA style. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics, and formats citations correctly, using APA style. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics, with no errors, and formats citations correctly using APA style, and all information is accurate and up-to-date.

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Task

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Describe a current health disparity. Explain which social determinants of health are contributing to this health disparity. Identify the target population, the impact, and descriptive statistics. Explain how this health disparity is currently being addressed, organizations that are involved, and the anticipated outcomes.

Evaluation Criteria

  • Described a current health disparity, identified the target population, and described its impact on the target population.
  • Identified the social determinants of health as contributing factors to the health disparity and explained the relationship.
  • Provided descriptive statistics of the population and the public health issue.
  • Justified answers with appropriate research and reasoning by using appropriate examples and current references from textbooks, the South University Online Library, and other acceptable references and citing the sources in APA format.

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NR507 Week 7 Quiz Latest 2017

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Question

Question 1

2 / 2 pts

Dilated and sluggish pupils, widening pulse pressure, and bradycardia are clinical findings evident of which stage of intracranial hypertension?

Stage 4

Stage 2

Stage 1

Stage 3

Question 2

2 / 2 pts

Posthyperventilation apnea (PHVA) ceases and rhythmic breathing is resumed when levels of arterial

carbon dioxide become normal.

oxygen increase.

oxygen decrease.

carbon dioxide increase.

Question 3

2 / 2 pts

Uncal herniation occurs when

the hippocampal gyrus shifts from the middle fossa through the tentorial notch into the posterior fossa.

the diencephalon shifts from the middle fossa straight downward through the tentorial notch into the posterior fossa.

the cingulate gyrus shifts under the falx cerebri.

a cerebellar tonsil shifts through the foramen magnum.

Question 4

2 / 2 pts

What are the areas of the brain that mediate several cognitive functions, including vigilance, reasoning, and executive functions?

Occipital

Limbic

Parietal

Prefrontal

Question 5

0 / 2 pts

The most critical aspect in diagnosing a seizure disorder and establishing its cause is

computed tomography (CT) scan.

cerebrospinal fluid analysis.

health history.

skull x-ray films.

Question 6

2 / 2 pts

Cerebral edema is an increase in the fluid content of the

brain tissue.

meninges.

neurons.

ventricles.

Question 7

2 / 2 pts

Which is a characteristic of brainstem death?

Comatose

Vegetative state

Apnea

Locked-in syndrome

Question 8

2 / 2 pts

Which disease process is infratentorial?

Cerebellar neoplasm

Parkinson disease

Encephalitis

Cerebral neoplasm

Question 9

2 / 2 pts

Microinfarcts resulting in pure motor or pure sensory deficits are the result of which type of stroke?

Lacunar

Hemorrhagic

Embolic

Thrombotic

Question 10

0 / 2 pts

Spinal cord injuries are most likely to occur in which of the following regions?

Cervical and thoracic

Lumbar and sacral

Cervical and lumbar

Thoracic and lumbar

Question 11

2 / 2 pts

A right hemisphere embolic cerebrovascular accident has resulted in left-sided paralysis and reduced sensation of the left foot and leg. The vessel most likely affected by the emboli is the right _____ artery.

middle cerebral

posterior cerebral

vertebral

anterior cerebral

Question 12

2 / 2 pts

In children most intracranial tumors are located

laterally.

below the tentorium cerebelli.

above the tentorium cerebelli.

posterolaterally.

Question 13

2 / 2 pts

What are the most common side effects of selective serotonin reuptake inhibitors (SSRIs)?

Hypertensive crisis and agitation

Orthostatic hypotension and weight gain

Dry mouth and sexual dysfunction

Sleep disturbances and nausea

Question 14

0 / 2 pts

Which neurotransmitter is reduced in people with schizophrenia?

Acetylcholine

Dopamine

Gamma-aminobutyric acid (GABA)

Serotonin

Question 15

0 / 2 pts

Which electrolyte imbalance contributes to lithium toxicity?

Hyponatremia

Hypernatremia

Hypokalemia

Hyperkalemia

Question 16

2 / 2 pts

Benign febrile seizures are characterized by

onset after the fifth year of life.

respiratory or ear infections.

lasting 30 minutes or more.

a temperature less than 39° C.

Question 17

2 / 2 pts

The clinical manifestations of dyskinetic cerebral palsy include

exaggerated deep tendon reflexes, clonus, and rigidity of extremities.

scoliosis, contractures, and stiffness of trunk muscles.

increased muscle tone and prolonged primitive reflexes.

jerky uncontrolled and abrupt fine musculoskeletal movements.

Question 18

2 / 2 pts

A _____ is the test done on amniotic fluid and maternal blood to test for neural tube defect.

α-fetoprotein (AFP)

total protein

culture

C-reactive protein

Question 19

2 / 2 pts

Symptoms characteristic of bulimia nervosa include:

a perception that the body is fat when it is actually underweight.

recurrent episodes of binge eating with fears of not being able to stop eating.

absence of three consecutive menstrual periods.

a fear of becoming obese despite progressive weight loss.

Question 20

2 / 2 pts

Intussusception causes intestinal obstruction by

the loss of peristaltic motor activity in the intestine, causing an adynamic ileus.

twisting the intestine on its mesenteric pedicle causing occlusion of the blood supply.

forming fibrin and scar tissue that attach to intestinal omentum and cause obstruction.

telescoping of part of the intestine into another usually causing strangulation of the blood supply.

Question 21

2 / 2 pts

After a partial gastrectomy or pyloroplasty, clinical manifestations that include increased pulse, hypotension, weakness, pallor, sweating, and dizziness are a result of

a rapid gastric emptying and creation of a high osmotic gradient in the small intestine that causes a sudden shift of fluid from the blood vessels to the intestinal lumen.

hemorrhage postoperatively in which a large volume of blood is lost, causing hypotension with compensatory tachycardia.

an anaphylactic reaction in which chemical mediators, such as histamine, prostaglandins, and leukotrienes, relax vascular smooth muscles causing shock.

a concentrated bolus that moves from the stomach into the small intestine, which causes hyperglycemia, resulting in polyuria and eventually hypovolemic shock.

Question 22

0 / 2 pts

Hepatitis _____ in children is primarily associated with blood transfusions.

D

B

A

C

Question 23

2 / 2 pts

_____ diarrhea results from lactose intolerance.

Motility

Secretory

Small volume

Osmotic

Question 24

0 / 2 pts

A person with cystic fibrosis has an exocrine pancreatic insufficiency because

the pancreas has a volvulus at the ampulla of Vater.

of the impaired blood supply to the pancreas causing ischemia.

genetically the pancreas is unable to produce digestive enzymes.

the pancreatic ducts are obstructed with mucus.

Question 25

2 / 2 pts

Prolonged diarrhea is more severe in children than in adults because

children have diarrhea more often than do adults.

children have a higher fluid volume intake.

less water is absorbed from the colon in children.

fluid reserves are smaller in children.

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Quality health care in the US

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Quality health care in the US

In 250 words, discuss how the quality of health care is measured in the U.S. Be sure to cite sources to support your opinions. Agency for Healthcare Research and Quality (AHRQ) Can be used as a resource

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Discussion Question

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What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers?

Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

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Nursing homework

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Emotional Intelligence

The patient in 4D had been admitted for multidrug resistant pneumonia. Given her advanced age and a host of other medical problems, the outlook was dire. Over the weeks she and the night nurse had struck up something of a friendship. Other than that she had no visitors, not a soul listed to notify in case of death, and no known friends or relatives. As he dropped by on his night rounds, the nurse was her only visitor, and the visits were limited to the short conversations she could manage. Now her vital signs were failing, and the nurse recognized that the patient in 4D was near death. So he tried to spend every spare minute on his shift in her room, just being present. He was there to hold her hand during her last moments of life. How did his supervisor respond to this gesture of human kindness?
—Goleman, 2006, p. 252

How do aspects of emotional intelligence relate to leadership and management success? Does an effective leader-manager have to be emotionally sensitive and literate? Why or why not?

Reference:
Goleman, D. (2006). Social intelligence: The revolutionary new science of human relationships. New York, NY: Bantam Dell.

To prepare:

  • Following the passage above, Goldman continues on to explain that the nurse supervisor reprimanded the nurse. Does this line up with what you were expecting? Why or why not?
  • Based on the information in the Learning Resources, think of a recent experience in your organization and consider how a nursing administrator demonstrated or failed to demonstrate emotional intelligence. How did this impact the outcome of the situation?
  • Reflect on your identified strengths and opportunities for growth related to emotional intelligence from the information in the Learning Resources. What surprises you about the concept of emotional intelligence? How would you rate your own emotional intelligence?

By Day 3

Post a description of a situation in which a nursing administrator demonstrated or did not demonstrate emotional intelligence when managing a situation. Explain how this may have impacted the outcome of the situation. Describe how you would handle the situation differently based on your own identified emotional intelligence strengths.

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homework help w5a1

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Global Warming: A Major Concern

According to World Health Organization  (WHO), global warming is the primary issues for concern. Noise  pollution, overcrowding, traffic jams are some factors that have led to  this problem. Lack of privacy is another factor in the modern times that  is impacting people in ways that haven’t been examined yet. We also see  a wide variance in weather patterns, such as severe hurricanes and  drought conditions in the U.S.

Source: World Health Organization (WHO). (n.d.). Climate change. Retrieved from http://www.who.int/topics/climate/en/

Based on your understanding of the topic, create a report in a Microsoft Word document answering the following questions:

  • Examine one weather  condition over the past two years in the U.S. which drastically affected  the population. How can the community better prepare their families for  such severe conditions?
  • Do you agree with the  statement that countries should be held accountable for their  contribution to climate change? Why or why not?
  • List some of the issues that might occur as the  world’s population increases? Factor in water, food, and hazardous waste  into your comments. Suggest ideas to address or avoid these issues.

According to the CDC website, violence is  attributed for approximately fifty thousand deaths each year and results  in over 2.5 million injuries. Homicide and suicide are the second and  third leading causes of death, respectively, among US population aged  fifteen to thirty four years.

Hospital emergency departments treat an  average of fifty five people for injuries every minute. The worst after  effect of the sudden population explosion across the globe is the rise  in violence.

  • How have violent injuries affected a community? What steps have communities taken to decrease overall violent crimes?
  • What steps can the  federal or state governments take to help support communities affected  from random or consistent violent acts?
  • What can parents do in  their homes to help educate children about risks and preventative  accidents to help keep them safe? What role should parents take to  reduce family violence?
  • How can health promotion and wellness programs play a significant role to reduce individual or gang violence?
  • How can schools and  work environments increase safety measures against violent individuals  or gangs entering their establishments?
  • What roles should parents, neighbors, friends,  health care personnel, and the community take when they observe someone  who may exhibit unusual behavior or comments to help prevent potential  violence? What agencies or resources are available to help communities  cope and help their members seek help or assistance?

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Nursing

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One of the leading health indicators from the Healthy People website is obesity. How could you as a health educator include the topic of obesity to a group of nurses on a pediatric unit? Defend in 400 words. With at least 2 references and citations

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NURS 81 ASSGN 6 & 7

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Systematic Reviews: Searching and Analysis of the Literature

This Assignment expands upon the work you have been conducting for this week’s Discussion.) you will conduct a search for literature on your selected practice problem. A Literature Review Matrix template will be used to identify gaps in the literature.

To prepare:

Consider the practice problem you addressed in this week’s Discussion. (You may select a new issue if necessary, but it is not recommended): Practice problem chosen: Health literacy and self-care activities, self-efficacy, and health related outcome of patients with type 2 Diabetes.

Review the guidelines in the Literature Review Matrix, included in the Learning Resources.

Formulate a research question around your issue as indicated in Part I. Then

complete Part II of the Matrix, identifying the resources you will use, search terms and criteria, and Boolean search strings.

Using the Walden Library, locate 10 articles related to your research question. At least one article must be a systematic review.

All of the articles should be primary sources. NOTE: If appropriate, you may use the four articles you reviewed for this week’s Discussion.

Actual Assignment:

Complete Part I and Part II of the Literature Review Matrix template.

Begin working on Part III.

Review Part III of the Literature Review Matrix and notice which middle range theories were used most frequently in the articles you reviewed.

Consider the appropriate use of the theoretical frameworks in each article.

Review the information on empiricism presented in Chapter 1 of Theoretical Basis for Nursing and Chapter 6 in The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence as you consider your response to Part IV.

Complete Part III of the Literature Review Matrix.

In your analysis of the strengths and weaknesses of the existing literature, note the appropriate use of the theoretical frameworks.

Complete Part IV addressing the influence of empiricism on quantitative methodology.

REFERENCES

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 10, “Introduction to Middle Range Nursing Theories”

Chapter 11, “Overview of Selected Middle Range Nursing Theories”

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 3, “Introduction to Quantitative Research”

Chapter 4, “Introduction to Qualitative Research”

Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses.

Chapter 7 examines the process of preparing for a literature review to support research efforts.

Chapter 13, “Outcomes Research”

Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Review Chapter 6, “Developing the Scholarly Project”

Armola, R., Bourgault, A., Halm, M., Board, R., Bucher, L., Harrington, L., & … Medina, J. (2009). AACN levels of evidence: What’s new? Critical Care Nurse, 29(4), 70–73. doi: 10.4037/ccn2009969

Elkins, M. Y. (2010). Using PICO and the brief report to answer clinical questions. Nursing, 40(4), 59–60. doi: 10.1097/01.NURSE.0000369871.07714.39

Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia, Pennsylvania: F. A. Davis.

DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355–359.

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part I an introduction to gathering, evaluating, and recording the evidence… fifth in a series. American Journal of Nursing, 110(7), 47–52. doi: 10.1097/01.NAJ.0000383935.22721.9c

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

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