Nursing

Healing and Autonomy Assignment
Healing and Autonomy Assignment
In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.
Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.
In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
In 400-450 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic study materials.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. You are required to submit this assignment to LopesWrite.
Rubric:
1. Decisions that need to be made by the physician and the father are analyzed from both perspectives with a deep understanding of the complexity of the principle of autonomy. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%
2. Decisions that need to be made by the physician and the father are analyzed with deep understanding of the complexity of the Christian perspective, as well as with the principles of beneficence and nonmaleficence. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 20%
3. How a spiritual needs assessment would help the physician assist the father determine appropriate interventions for his son, his family, or others involved in the care of his son is clearly analyzed with a deep understanding of the connection between a spiritual needs assessment and providing appropriate interventions. Analysis is supported by the case study, topic study materials, or Topic 3 assignment responses. 30%
4. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
5. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
6. Writer is clearly in command of standard, written, academic English. 5%
7. All format elements are correct. 5%
8. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%
There are three different parts to this paper:
· Part one deals with Mike’s decision-making capabilities.
· Part two deals with how to think issues related to sickness and health.
· Part three deals with a spiritual assessment.
Read “Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics(2005).
Read “End of Life and Sanctity of Life,” by Reichman, from American Medical Association Journal of Ethics, formerly Virtual Mentor (2005).

Nursing Roles in Quality Improvement
Nursing Roles in Quality Improvement
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
How do nurses promote patient safety and improve quality at your workplace? How do you report errors and near misses? What changes would you suggest be made on your unit or facility to improve a nonpunitive culture of safety?
Week 5 discussion
Leadership to Improve Quality in Diverse Situations
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
Nurses demonstrate leadership in many situations. For this discussion, identify only one situation from the choices below that you have not previously experienced, and tell us how the nurse could improve quality through demonstrating leadership.
Communicating with legislators to influence health policy
Clinical leadership at the bedside
Nursing management of units or facilities
Impact of systems-based practice on leadership
Week 6 discussion
Use of Informatics in Professional Nursing
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO3 Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO 3)
How do you use informatics and technology in your nursing practice? How do you see that use changing in the future? What ethical issues have arisen or might arise from use of technology and informatics in professional nursing?
Week 7 discussion
Application of Nursing Theory to Practice
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)
You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer that resulted in a temporary colostomy. Select one of the nursing theories from our textbook and address the following:
How you would provide professional nursing care for Mr. R. using the theory you have selected? Be sure to use terminology from the selected nursing theory to explain your interventions.
How can patient-centered care and the patient’s cultural preferences be enhanced by use of this theory?
Relate applications of legal and/or ethical standards to this case study.
Week 8 discussion
AACN BSN Essentials and Your Future Practice
This week’s graded discussion topic relates to the following Course Outcomes (COs).
CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)
CO7 Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP prepared nurses in providing cost-effective, quality healthcare in structured and unstructured systems. (PO 7)
Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice.
In your post (intended to provide a clear and thorough answer), be sure to
identify the AACN BSN Essential that you have selected by name and number.
explain why you selected this Essential.
explain how this Essential will be used to improve quality in your future professional nursing career.
For your response to a classmate to further develop that person’s ideas, select at least one classmate who has written about a different AACN BSN Essential from the one you selected.
Week 2 Assignment
Time Management Plan Assignment
Time Management Plan Guidelines and Grading Rubric
Updated 7/2018
PURPOSE
The purpose of this assignment is to allow the learner to use effective strategies to manage time as a professional nurse and online student.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO3. Demonstrate effective verbal, written, and technological communication using legal and ethical standards for transferring knowledge using success resources provided to Chamberlain students. (PO3)
CO4. Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)
CO5. Apply concepts of professionalism when planning for personal, intellectual, and professional development. (PO5)
CO9. Demonstrate accountability for personal and professional development by assessing information and technology competence, implementing plans for upgrading technology skills, and using effective strategies for online student success using resources provided to Chamberlain students. (PO5)
DUE DATE
Submit the assignment by Sunday end of Week 2, 11:59 p.m. MT.
POINTS
This assignment is worth a total of 225 points.

Assessment of Respiratory Status
Assessment of Respiratory Status
This week’s graded discussion topic relates to the following Course Outcomes (COs)
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities (PO 1)
CO3 Utilize effective communication when performing a health assessment (PO 3)
CO4 Identify teaching/learning needs from the health history of an individual (PO 2)
Please review the video above as it will provide you with an opportunity to immerse yourself in the role of a nurse addressing tobacco use during routine patient care Click to review a transcript (Links to an external site)Links to an external site of this recording
While viewing, reflect on what you have learned about tobacco use and the role that nurses and other interdisciplinary team members play in helping to assist tobacco users with quitting While viewing, it is also important to keep in mind that tobacco users move through stages of change in the process of quitting They move from pre-contemplation to contemplation, contemplation to preparation; preparation to abstinence; abstinence to maintenance Every stage requires a different strategy by a nurse
After watching the video, and reflecting on the information presented, address each of the following questions
What are the common symptoms associated with an exacerbation of COPD?
What assessment techniques will you use to assess Mary?
Identify smoking strategies that would be appropriate for each of the encounters that Mary had with the nurse throughout the video that could have been used to assist Mary in quitting smoking
Find a resource in your community that could assist Mary Start by searching the Internet for your local health department’s website What services are available to Mary? Briefly describe the services that the state quit line provides Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary?
What will you do to follow-up on Mary’s smoking cessation process?

Case:Rapid Assessment of a Client
Case:Rapid Assessment of a Client
This week’s graded discussion topic relates to the following Course Outcomes (COs)
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities (PO 1)
CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning (PO 1)
CO3 Utilize effective communication when performing a health assessment (PO 3)
CO5 Explore the professional responsibilities involved in conducting a comprehensive health assessment and provide appropriate documentation (PO 6)
Please choose one of the patient scenarios below Next, complete a rapid assessment, and provide a SBAR report to a classmate Remember to include all concepts of patient safety, standard precautions, and professional standards
You are covering for a coworker who is off the floor for lunch, when you suddenly hear a loud crash coming from a nearby patient room You quickly run in and discover Mr Johnson who was admitted yesterday with a diagnosis of cerebral vascular accident (CVA) unconscious on the floor between the bed and the bathroom
You are called to the room of 2-year-old Jonah by his mother who states the child has suddenly started breathing very loudly and does not look right Upon entering the room you quickly recognize that the child is in respiratory distress as his lips are cyanotic and the use of accessory muscles is evident
You are in the process of admitting Ashley, a 27 year old who is 28 weeks pregnant with her first child, to the obstetric unit for complaints of headache, dizziness, and swelling of her lower extremities when she suddenly begins seizing
Please choose one of the patient scenarios below Next, complete a rapid assessment, and provide a SBAR report to a classmate

Assignment: Psychiatric Disorders and Screening
Assignment: Psychiatric Disorders and Screening
Week 3 discussion
Students will not receive credit for any discussions posted after Sunday 11:59pm MT.
Anxiety and depression are the most common psychiatric problems you will encounter in your primary care practice.
Review this case study
HPI: KB, 55 year old Caucasian female who presents to office with complaints of fatigue. The fatigue has been present for 6 months and seems worse in the morning, improving slightly through the day. KB reports a lack of energy and “loss of joy”. States” I really don’t feel like going anywhere or doing anything” Reports she often has difficulty staying on task and completing projects for work. She reports not feeling hungry and does not feel rested when she wakes up in the morning. KB is a widow for 2 years, social events that are couples only can make her symptoms worse. She tries to do at least one social activity a week but it can be really exhausting. Her husband died in their car while she was driving him to the hospital and sometimes driving in that car makes all the memories come back. She recently got a puppy, which she thought would help with the loneliness but the care of the puppy seems overwhelming at times. Rest and exercise, specifically yoga and meditation seem to make her feel better. At this time she does not want to do either. She has not tried any medications, prescribed or otherwise. She reports drinking a lot of coffee, but that does not seem to help.
Current medications: Excedrin PM about once a week when she can’t sleep, seems to help a bit. NKDA.
PMH: no major illnesses. Immunizations up to date.
SH: widowed, employed full time as a manager. Drinks wine, 1 glass every night. No tobacco, no illicit drugs. Previously married while living in France, reports an abusive relationship. The French government gave custody of her son to the ex-husband. She returned to US without her son 10 years ago. She sees her son two times a year, they skype and text “all the time” but she misses him.
FH: Parents are alive and well. Has one son, age 21, he is healthy but lives in France with his father.
ROS
CONSTITUTIONAL: reports weight loss of 2-3 pounds, no fever, chills, or weakness reported
HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclera. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat.
CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema.
RESPIRATORY: No shortness of breath, cough or sputum.
GASTROINTESTINAL: Reports decreased appetite for about 3 months. No nausea, vomiting or diarrhea. No abdominal pain or blood.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.
GENITOURINARY: no burning on urination. Last menstrual period 4 years ago.
PSYCHIATRIC: No history of diagnosed depression or anxiety. Reports great anxiety due to verbal and concern for physical abuse, reports feeling very sad and anxious when divorcing and leaving her son in France. Did not seek treatment. She started to feel better after about 4 months.
ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria or polydipsia
ALLERGIES: No history of asthma, hives, eczema or rhinitis.
Discussion Questions:
1. Research screening tools for depression and anxiety.
Choose one screening tool for depression and one screening tool for anxiety that you feel are appropriate to screen KB.
Explain why you chose that particular tool for KB. If you can, attempt to score KB based on the information provided (not all data may be provided). Include what questions could be scored, and your chosen score.
2. Identify your next step for evaluation and treatment for KB.
What medication, if any, would you recommend for treatment? Provide the rationale. This should include the medication class, mechanism of action of the medication and why this medication is appropriate for KB. Include initial prescribing information.
If the medication works as expected, when should KB expect to start feeling better?
DQ2
Geriatric Assessment Tools
Students will not receive credit for any discussions posted after Sunday 11:59pm MT.
Review the course library page list of available screening tools. Link to Library (Links to an external site.)Links to an external site.
Scroll down and look on the left hand side of the screen: Geriatric Assessment tools
Choose two assessment tools that are appropriate for primary care (excluding depression, anxiety and pain screening tools) and discuss the following:
explain the purpose of the tool
scoring guidelines
how you apply the assessment in practice
*If you would like to present a screening tool that is not listed, contact your instructor for approval.

Discuss: Characteristics Of Ethnocentrism.
Discuss: Characteristics Of Ethnocentrism.
Question 7 While conducting a health history, a patient demonstrates characteristics of ethnocentrism What behaviors did the nurse observe in the patient?
Select all that apply
1. Superiority with ethnic group
2. Concern with race
3. Fear of strangers
4. Morbid fear of strangers
5. Ethnic pride
Permalink:
Question 8 While collecting demographics, the nurse learns that an American patient is married to an immigrant from another country What does this patient’s marriage exemplify?
1. Assimilation
2. Socialization
3. Acculturation
4. Ethnicity
Question 9 A patient living in the United States for 10 years is distressed about not “fitting in” with American society What aspects of acculturation will the nurse discuss with this patient?
Select all that apply
1. Socialization
2. Acculturation
3. Assimilation
4. Ethnicity
5. Heritage consistency
Question 10 A patient born in a European country speaks excellent American English The nurse realizes that this patient has achieved which type of assimilation?
1. Cultural
2. Marital
3. Primary structural
4. Secondary structural
Question 11 A patient tells the nurse that it is important for him or her to be discharged soon because it is expected that the family’s needs be met Which aspect of heritage consistency is this patient demonstrating?
1. Culture
2. Ethnicity
3. Religion
4. Acculturation
Question 12 What aspects of a patient’s culture will the health care provider keep in mind when providing care?
Select all that apply
1. Parts of a person’s culture are under conscious control.
2. It is an extension of biological capabilities.
3. It is the medium of social relationships.
4. It identifies food preferences.
5. It explains folklore and music.
Question 13 The nurse is planning care for an older patient What will the nurse take into consideration to reduce generational conflict?
Select all that apply
1. Events that occurred when the patient was 10 years of age
2. Ethnocultural status of the nurse
3. Age of the nurse
4. Life trajectory
5. Religion
Question 14 The nurse identifies that a patient from a different culture will not make eye contact during the assessment process What does the lack of eye contact indicate to the nurse?
1. Respect
2. Friendliness
3. Hiding something
4. Fear
Question 15 A patient tells the nurse that a health problem is common among people of the patient’s ethnic background What other characteristics would the nurse assess as contributing to this patient’s ethnicity?
Select all that apply
1. Food preferences
2. Employment patterns
3. Special interest in the homeland
4. Divine intervention
Question 16 The nurse is not happy to learn that a newly admitted patient is from the same culture as a previous patient who had created much turmoil on the care area What behavior is this nurse prone to demonstrate?
1. Prejudice
2. Discrimination
3. Ethnocentrism
4. Racism
Question 17 A seminal event in the boomer generation that can still elicit comments today is the question:
1. “Where were you when John F. Kennedy was shot?”
2. “Do you remember Pearl Harbor?”
3. “What were you doing on September 11, 2001?”
4. “How did the Challenger tragedy affect you?”
Question 18 The staff development instructor is planning a seminar that focuses on the variables leading to generational conflict What will the instructor include in this content?
Select all that apply
1. Decade of birth
2. Generation in the United States
3. Class
4. Language
5. Socialization
Question 19 A patient tells the health care provider that a foot injury occurred while participating in Oktoberfest as a dancer The patient is explaining which aspect of heritage consistency?
1. Ethnicity
2. Culture
3. Religion
4. Assimilation
Question 20 A health care provider comments that a patient is “too old to take care of herself” and needs to “let a man make decisions for her” The nurse recognizes that this health care provider is demonstrating which misanthropic feelings?
Select all that apply
1. Ageism
2. Sexism
3. Racism
4. Heterosexism
5. Ethnocentrism

Case Study: Rural Health Clinic.
Case Study: Rural Health Clinic.
Week 5 discussion
Discussion Questions
The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.
For this assignment, go to the Discussion Area and post a response to one question in the Discussion Area by the due date assigned. You may respond to your classmates’ posts for either question.
To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.
As a family nurse practitioner you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes in complaining of having a difficulty concentrating in school. On exam you also note that the patient is very thin and frail in appearance and is asking you for diet pills.
What are some initial areas for concern? What screening tools can help lead you closer to your diagnosis?
Describe 1 health promotion strategy you can discuss with the patient.
Be sure to address the following in your plan of care: pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referral/s.
Your work should integrate course resources (text/s) as well as a minimum of two (2) other evidence-based guidelines and/or articles published within 3-5 years.
Week 6 discussion
This week’s content discussed common psychiatric disorders in the Adult and Older Adult client. Often times a secondary diagnosis is masked due to their psychiatric disorder. Review the following case study and answer the following questions.
Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.
Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).
What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
What additional testing should you consider if any?
What are treatment options to consider with this patient?
Week 7 discussion
Assignment 1: Discussion
This week’s content addressed common techniques and testing that can be prescribed by the Nurse Practitioner. Review ONE of the following videos and post for the class what you have learned this week:
Watch the following video on suturing
Suture Skills Course – Learn Best Suture Techniques
Watch the following video on EKG rhythms
Skillstat
Submission Details:
Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
Week 8 discussion
Complete The Growth and Development APEA module. Pick one of the following topics that were reviewed: Newborn assessment, Nutrition, Child, Adolescent, or Immunization. Please choose on that has not been previously covered by a peer.
What is an area that you may have forgotten?
Explain the specific growth and development concept in detail and describe strategies that you will undertake to assist in retaining that information?
Submission Details:
Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
Week 9 discussion
This week’s content will focus on health literacy which is a common barrier towards achieving optimal health care. Please review the following information from the Agency for Healthcare Research and Quality website https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/index.html Evaluate these tools to discover ways that will help reduce the barriers that hinder healthcare literacy
What are your initial thoughts after reviewing the AHRQ website?
What are some strategies you can incorporate in everyday practice to assist with health literacy?
Week 10 discussion
Evidence-Based Clinical Intervention
By the due date assigned, submit your Evidence-Based Clinical Intervention to the Discussion Area.
Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:
The medical problem/diagnosis/disease.
Typical presenting signs and symptoms including:
Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
Concomitant disease states associated with the diagnosis
The pathophysiology of the problem.
Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
The expected outcomes of the intervention.
Algorithms if available.
A typical clinical note in SOAP format.
Respond to at least two of your classmates’ Evidence-Based Clinical Interventions using the lessons and vocabulary found in the reading. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Assignment: Treatment Plan of Lung Cancer
Assignment: Treatment Plan of Lung Cancer
Question 1 (5 points)
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool When it is determines that the earned score is 9, the nurse initially:
Question 1 options:
Asks if they have any thoughts of committing suicide
Recognizes that this score is not indicative of depression
Knows it is not unusual for clients this age to earn such a score
Notifies the client’s healthcare provider immediately
Question 2 (5 points)
A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild Which intervention has priority when preparing the grandmother for long-term success in this new role?
Question 2 options:
Reviewing the developmental milestones of childhood
Identifying local sources of child counseling services
Discussing the common challenges of parenting a 6 year old
Teaching stress management and relaxation techniques
S
Question 3 (5 points)
The client is diagnosed with dyslipidemia This diagnosis is supported when the client’s lipid panel indicates a: Select all that apply
Question 3 options:
Triglyceride level of triglyceride levels (>2000 mg/dL)
Low Density Lipids (LDL) level of 120 mg/dL
Total Cholesterol level of 260 mg/dL
High Density Lipids (HDL) level of 70 mg/dL
Glucose level of 230 mg/dL
Question 4 (5 points)
Which factor is the greatest barrier to an older adult living independently?
Question 4 options:
Deficits in vision and/or hearing resulting in safety issues
Limited finances that prevent upkeep and maintenance of a residence
Depression that occurs after the death of a spouse or significant other occurs
The manifestation of cognitive impairment resulting from dementia or Alzheimer’s
Question 5 (5 points) Question 5 Unsaved
Compared with acute pain, persistent pain requires the nurse to:
Question 5 options:
Monitor vital signs more frequently
Document the character of the pain as burning
Administer analgesics at least every 4 hours
Educate the client to the benefit of specific lifestyle changes
Question 6 Unsaved
When diagnosed with diverticulosis, a client asks how this problem occurred Which assessment data identifies a risk factor for diverticulosis?
Question 6 options:
Drinks a quart of whole milk daily
Takes an over the counter laxative twice weekly
History of a Helicobacter pylori infection
Maintains a diet low in fiber
Question 7 (5 points) Question 7 Unsaved
When focusing best on the goal of enhancing the health and well-being of the older residents of extended care living facility, the nurse:
Question 7 options:
Assures that they all receive their medications and treatments on time
Assesses each new resident to determine their food and beverage preferences
Asks the nursing assistant to “allow the residents to dress themselves but to check that they are dressed appropriately”
Documents that “the residents appeared to enjoy the opportunity to socialize at the weekly Sunday brunch”
Question 8 (5 points) Question 8 Unsaved
The nurse best addresses the spirit of the Healthy People 2020 project regarding the older adult when:
Question 8 options:
Providing information regarding where free flu vaccinations are being given to those over 65 years of age
Facilitating a “Walking for your Health” program for residents of a senior living apartment complex
Arranging for a registered nutritionist to hold a “Grandparents and their Grandchildren Cooking Together” class
Encouraging their utilization of government sponsored health and wellness programs that target the senior citizen
Question 9 (5 points) Question 9 Unsaved
When acting as a fictive kin, in which activity will a paid caregiver engage?
Question 9 options:
Being responsible for paying the client’s bills
Organizing the client’s birthday celebration
Accompanying the client to doctor’s appointments
Assuring the client has clean, appropriate clothing available
Question 10 (5 points) Question 10 Unsaved
An older adult is being treated for severe pain resulting from a history of osteoarthritis In her discharge teaching, which information is most important to the successful management of the pain?
Question 10 options:
Check for incompatibilities before taking any new medications
Arrange to take a dose of analgesic prior to physical activity
To take the analgesic around the clock as prescribed
Be alert for the signs of overdose toxicity
Question 11 (5 points) Question 11 Unsaved
Which diagnostic laboratory test should the nurse anticipate being ordered for the purpose of evaluating an individual’s acute, unexplained weight loss? Select all that apply
Question 11 options:
A complete blood count (CBC)
Urinalysis
Fecal occult blood
Serum potassium
Serum electrolytes
Question 12 (5 points)
When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse best ensures an understanding of oral hypoglycemic medications when providing:
Question 12 options:
The package insert and assessing the client’s reading skills
The client with the website address for the American Diabetes Association
Oral explanations and sending the client home with a written copy
The information in paragraph form as opposed to numbered line fashion
Save
Next Page
Question 13 (5 points) Question 13 Unsaved
While the older African-American is at the highest risk for developing Alzheimer’s disease, the nurse demonstrates an understanding of this disease process’s risk factors when assessing this population’s:
Question 13 options:
Weight and elimination patterns
Heart rate and capillary refill status
Blood pressure and glucose serum levels
Muscle strength and reflex times
Question 14 (5 points) Question 14 Unsaved
When best promoting a sense of well-being, the role of the nurse caring for a terminally ill client is to:
Question 14 options:
Assume responsibility regarding medical decision making
Encourage the client to identify his/her idea of a peaceful death
Provide information regarding hospice care’s ability to prolong life
Help empower the client to achieve his/her potential for wellness
Question 15 (5 points) Question 15 Unsaved
The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client’s statement that:
Question 15 options:
“Will I start taking my St John’s Wort as soon as I can eat again?”
“I’ve haven’t taken my ginkgo for exactly 10 days”
“I didn’t want to risk catching a cold so I took my Echinacea with just a sip of water”
“It seemed strange not taking my garlic pill this morning”
Question 16 (5 points) Question 16 Unsaved
The nurse shows understanding of the need to promote healthy skin in the older adult when encouraging the client to: Select all that apply

Case: Family Genetic History
Case: Family Genetic History
Course Project Milestone 2: Patient Teaching Plan Guidelines
Purpose
The purpose of this paper is to apply information gathered from the Family Genetic History and Milestone 1 assignments to identify one modifiable risk factor and develop an evidence-based teaching plan that promotes health as well as improves patient outcomes.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.
CO4: Identify teaching/learning needs from the health history of an individual. (PO2)
Points
This assignment is worth a total of 225 points.
Due Date
The assignment is to be submitted by Sunday, 11:59 p.m. MT at the end of Week 6.
Purpose
The purpose of this paper is to apply information gathered from the Family Genetic History and Milestone 1 assignments to identify one modifiable risk factor and develop an evidence-based teaching plan that promotes health as well as improves patient outcomes.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.
CO4: Identify teaching/learning needs from the health history of an individual. (PO2)
Points
This assignment is worth a total of 225 points.
Due Date
The assignment is to be submitted by Sunday, 11:59 p.m. MT at the end of Week 6.
General Directions & Project Guidelines
You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
This paper is to be written in APA format. Please use the recommended assignment specific APA Template (Links to an external site.)Links to an external site. linked here to type on. The SSPRNBSN resource has a great section on writing scholarly papers and APA formatting (to find resource watch: http://www.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0 (Links to an external site.)Links to an external site.)
APA formatting helps you to format your paper in a professional manner and provides consistent methods for citing your sources within the paper and providing the complete reference on the reference page. See the documents in the APA category in Course Resources for assistance with APA formatting.
This paper is expected to be no more than four pages in length (not including the title page and reference list).
Please use the categories listed below as the first level headings for each section of your paper (Exception: Instead of “Introduction” please use the title of your paper).
Content Guidelines
Using the information gathered in your Genetic Family History and Milestone 1 assignments, you will identify and research one modifiable risk factor. You will develop an evidence-based teaching plan that promotes health, with the aim of improving patient outcomes related to this modifiable risk factor.
Introduction (1 paragraph): The introduction should be interesting and capture the reader’s attention.
State one preventable disease your adult participant is at risk for developing (obesity, Type 2 Diabetes, etc.), based on the information you have gathered during this course.
Introduce one modifiable risk factor (diet, smoking, sedentary lifestyle, etc.) associated with the preventable disease you described.
Clearly state the purpose of your paper. The purpose statement should relate to developing a patient teaching plan.
Preventable Disease Overview (1-2 paragraphs): Please use course materials and scholarly sources to complete this section. Be sure to paraphrase and include citations as needed!
Describe briefly the preventable disease you identified in the introduction.
What are the signs and symptoms associated with this disease?
How is it diagnosed? Notable information from Health History and General Survey? Signs and symptoms? Risk assessments? Lab values?
What physical assessment findings would be associated with this disease?
How did you identify your adult participant’s risk for this disease?
Specific information gathered in the Genetic Family History?
Specific information gathered in the Milestone 1 assignment?
Evidence Based Intervention (1-2 paragraphs):
Choose and describe one evidence based intervention related to the modifiable risk factor you have chosen. (One that has been shown to be effective at reducing an individual’s risk for developing the preventable disease.)
Describe this intervention in detail, and provide rationale for your intervention utilizing:
At least one scholarly peer-reviewed journal article. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article that discusses interventions associated with the modifiable risk factor you have chosen as the focus of your paper. Summarize what you learned from this article and cite the source in the text and reference page (Author, year). The article must be less than 10 years old. You may include and cite your textbook or other scholarly sources as well, but they do not count as the scholarly journal article.
You must summarize and analyze the information from your sources in your own words. Avoid direct quotations. If you do include a short quotation, be sure to cite it properly.
List short and long term goals you have for your participant related to this intervention.
Implementation: Teaching Plan (1-2 paragraphs):
Discuss in this section what methods you will use to teach your participant how to implement the intervention.
What is it that you are asking them to do? (For example, if your intervention is “quit smoking”, what specific steps will you recommend your participant take to achieve this goal?)
Describe any resources you would provide to the participant to help them understand and be successful (websites, community services, handouts, etc.).
Evaluation (1 paragraph):
Describe at least one method (weight, lab values, etc.) you would use to evaluate whether your intervention was effective.
How would you revise you plan if it proved to be unsuccessful?
Summary (1 paragraph):
Summarize the main points of your paper.
Reiterate what you hope to accomplish by implementing this intervention.
End with a concluding statement.
Reference Page:
The Reference Page should start on a new page (insert a page break).
All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page.
A URL link alone is not an adequate reference.
See the Chamberlain Guidelines for Writing Professional Papers in Course Resources for examples of properly formatted references.
Best Practices – Tips for Writing a Great Paper!
Review the directions, guidelines, and grading rubric thoroughly.
Use the APA template provided.
Be clear. Write about one preventable disease, one modifiable risk factor, and one related intervention.
Proofread prior to final submission. Having another person review your work is often helpful to catch grammar and spelling errors. (Spell check is not perfect!)
Abide by the CCN academic integrity policy.

NUR 440 Final Project Milestone Three Assignment
NUR 440 Final Project Milestone Three: Annotated Bibliography Guidelines and Rubric
Overview: In Milestone Two, you formulated your PICO(T) question. For Milestone Three, you will construct an annotated bibliography by using your PICO(T) to
guide your research. The annotated bibliography will assist you in gathering a detailed list of resources to use in your integrative review of the literature. An
annotated bibliography is an organized list of sources with an accompanying paragraph that describes, explains, and/or evaluates each entry in terms of quality,
authority, and relevance. The purpose of writing an annotated bibliography is to provide an overview of the research that has been published on a particular
topic.
Prompt: For this milestone, you will prepare an annotated bibliography with at least six citations. An annotation concisely paraphrases the main idea and
purpose of the selected resource. The annotation of a scholarly journal should identify the thesis (or research question, or hypothesis), the methods used, and its
discussion or conclusions. Remember that identifying the purpose is a different task than listing the resource’s contents. To be more precise, the annotation
should state why the contents are there. While constructing your annotations, be sure to include the following critical elements:
? Restate argument or thesis, methods, and conclusions (1–2 sentences)
? Evaluate/critique resource (1–2 sentences)
? Make connection to PICO(T) question (1–2 sentences)
Guidelines for Submission: Your annotated bibliography must be submitted as a 4–6 page Microsoft Word document with double spacing, 12-point Times New
Roman font, one-inch margins, and six sources cited in APA format. Your chosen sources must be recent (within the last five years), peer-reviewed, scholarly
journal articles, and should appear in alphabetical order.
NUR 440 Final Project Milestone Two
NUR 440 Final Project Milestone Two: PICO(T) Guidelines and Rubric Overview: In Milestone One, you submitted a topic proposal for instructor approval and feedback. For Milestone Two, you will incorporate any feedback and formulate a PICO(T) question which will guide your research for the integrative review of the literature. Your PICO(T) question will assist you in the process of finding and evaluating evidence related to your outcome as you continue to build upon your final project. Prompt: For this milestone, you will turn your topic into a PICO(T) question by answering each of the questions posed below: ? Identify the population of interest; what are their characteristics? Specifically, what group of individuals will be impacted by your identified intervention? ? What is the intervention of interest? (Intervention) ? What is the comparison intervention? (Comparison) ? What consequences are we interested in? (Outcome) ? What is the time frame? If a specified time frame is not appropriate for your question, please articulate why a time frame is not applicable. For examples of PICO(T), refer to your module resources. Guidelines for Submission: Your PICO(T) question must be submitted as a 1–2 paragraph Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and any sources cited in APA format. NUR 440 Final Project Milestone Three Assignment