A registered nurse is writing a diagnosis for a 28-year-old male patient who is in traction due to multiple fractures from a motor vehicle accident. Which nursing actions are related to this step in the nursing process? Select all that apply.
The nurse uses the nursing interview to collect patient data.
The nurse analyzes data collected in the nursing assessment.
The nurse develops a care plan for the patient.
The nurse points out the patient’s strengths.
The nurse assesses the patient’s mental status.
The nurse identifies community resources to help The nurse analyzes data collected in the nursing assessment.
The nurse points out the patient’s strengths.
The nurse identifies community resources to help
Rationale: The purposes of diagnosing are to identify how an individual, group, or community responds to actual or potential health and life processes; identify factors that contribute to or cause health problems (etiologies); and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems. In the diagnosing step of the nursing process, the nurse interprets and analyzes data gathered from the nursing assessment, identifies patient strengths, and identifies resources the patient can use to resolve problems. The nurse assesses and collects patient data in the assessment step and develops a care plan in the planning step of the nursing process.A nurse is caring for an older adult patient who presents with labored respirations, productive cough, and fever. What would be appropriate nursing diagnoses for this patient? Select all that apply.
Bronchial pneumonia
Impaired gas exchange
Ineffective airway clearance
Potential complication: sepsis
Infection related to pneumonia
Risk for septic shock Impaired gas exchange
Ineffective airway clearance
Risk for septic shock
Rationale: Nursing diagnoses are actual or potential health problems that can be prevented or resolved by independent nursing interventions, such as impaired gas exchange, ineffective airway clearance, or risk for septic shock. Bronchial pneumonia and infection are medical diagnoses, and “potential complication: sepsis” is a collaborative problem.After assessing a patient who is recovering from a stroke in a rehabilitation facility, a nurse interprets and analyzes the patient data. Which of the four basic conclusions has the nurse reached when identifying the need to collect more data to confirm a diagnosis of situational low self-esteem?
No problem
Possible problem
Actual nursing diagnosis
Clinical problem other than nursing diagnosis Possible problem
Rationale: When a possible problem exists, such as situational low self-esteem related to effects of stroke, the nurse must collect more data to confirm or disprove the suspected problem. The conclusion “no problem” means no nursing response is indicated. When an actual problem exists, the nurse begins planning, implementing, and evaluating care to prevent, reduce, or resolve the problem. A clinical problem other than nursing diagnosis requires that the nurse consult with the appropriate health care professional to work collaboratively on the problem.A nurse assesses a patient and formulates the following nursing diagnosis: Risk for Impaired Skin Integrity related to prescribed bedrest as evidenced by reddened areas of skin on the heels and back. Which phrase represents the etiology of this diagnostic statement?
Risk for Impaired Skin Integrity
Related to prescribed bedrest
As evidenced by
As evidenced by reddened areas of skin on the heels and back Related to prescribed bedrest
Rationale: “Related to prescribed bedrest” is the etiology of the statement. The etiology identifies the contributing or causative factors of the problem. “Risk for Impaired Skin Integrity” is the problem, and “as evidenced by reddened areas of skin on the heels and back” are the defining characteristics of the problem.A nurse is counseling a 60-year-old female patient who refuses to look at or care for a new colostomy. She tells the nurse, “I don’t care what I look like anymore, I don’t even feel like washing my hair, let alone changing this bag.” The nurse diagnoses Altered Health Maintenance. This is an example of what type of problem?
Collaborative problem
Interdisciplinary problem
Medical problem
Nursing problem Nursing problem
Rationale: Nursing Problem, because it describes a problem that can be treated by nurses within the scope of independent nursing practice. Collaborative and interdisciplinary problems require a teamwork approach with other health care professionals to resolve the problem. A medical problem is a traumatic or disease condition validated by medical diagnostic studies.To determine the significance of a blood pressure reading of 148/100, it is first necessary for the nurse to:
Compare this reading to standards.
Check the taxonomy of nursing diagnoses for a pertinent label.
Check a medical text for the signs and symptoms of high blood pressure.
Consult with colleagues. Compare this reading to standards.
Rationale: A standard, or a norm, is a generally accepted rule, measure, pattern, or model to which data can be compared in the same class or category. For example, when determining the significance of a patient’s blood pressure reading, appropriate standards include normative values for the patient’s age group, race, and illness category. Deviation from an appropriate norm may be the basis for writing a diagnosis.When the initial nursing assessment revealed that a patient had not had a bowel movement for 2 days, the student nurse wrote the diagnostic label “constipation.” Which of the following comments is the nurse most likely to hear from the instructor?
“Hold on a minute . . . Nursing diagnoses should always be derived from clusters of significant data rather than from a single cue.”
“Job well done . . . you’ve identified this problem early and we can manage it before it becomes more acute.”
“Is this an actual or a possible diagnosis?”
“This is a medical, not a nursing problem.” “Hold on a minute . . . Nursing diagnoses should always be derived from clusters of significant data rather than from a single cue.”
Rationale: A data cluster is a grouping of patient data or cues that points to the existence of a patient health problem. Nursing diagnoses should always be derived from clusters of significant data rather than from a single cue. There may be a reason for the lack of a bowel movement for 2 days, or it might be this individual’s normal pattern.A nurse makes a clinical judgment that an African American male patient in a stressful job is more vulnerable to developing hypertension than White male patients in the same or similar situation. The nurse has formulated what type of nursing diagnosis?
Actual
Risk
Possible
Wellness Risk
Rationale: A clinical judgment that an individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation is a Risk nursing diagnosis.A nurse is writing nursing diagnoses for patients in a psychiatrist’s office. Which nursing diagnoses are correctly written as two-part nursing diagnoses?
(1) Ineffective Coping related to inability to maintain marriage
(2) Defensive Coping related to loss of job and economic security
(3) Altered Thought Processes related to panic state
(4) Decisional Conflict related to placement of parent in a long-term care facility
Answers:
(1) and (2)
(3) and (4)
(1), (2), and (3)
All of the above All of the above
Rationale: Each of the four diagnoses is a correctly written two-part diagnostic statement that includes the problem or diagnostic label and the etiology or cause.A nurse writes nursing diagnoses for patients and their families visiting a community health clinic. Which nursing diagnoses are correctly written as three-part nursing diagnoses?
(1) Disabled Family Coping related to lack of knowledge about home care of child on ventilator
(2) Imbalanced Nutrition: Less Than Body Requirements related to inadequate caloric intake while striving to excel in gymnastics as evidenced by 20-pound weight loss since beginning the gymnastic program, and greatly less than ideal body weight when compared to standard height weight charts
(3) Need to learn how to care for child on ventilator at home related to unexpected discharge of daughter after 3-month hospital stay as evidenced by repeated comments “I cannot do this,” “I know I’ll harm her because I’m not a nurse,” and “I can’t do medical things”
(4) Spiritual Distress related to inability to accept diagnosis of terminal illness as evidenced by multiple comments such as “How could God do this to me?,” “I don’t deserve this,” “I don’t understand. I’ve tried to live my life well,” and “How could God make me suffer this way?”
(5) Caregiver Role Strain related to failure of home health aides to appropriately diagnose needs of family caregivers and initiate a plan to facilitate coping as evidenced by caregiver’s loss of weight and clinical depression
Answers:
(1) and (3)
(2) and (4)
(1), (2), and (3)
All of the above (2) and (4)
Rationale: (1) is a two-part diagnosis, (3) is written in terms of needs and not an unhealthy response, and (5) is a legally inadvisable statement.
Nursing homework help
UncategorizedDNP PROJECT UNIT 5 DQ
This week’s discussion post asks you to consider what a DPI project is and how you are incorporating the Christian worldview into the project. As a Christian university, GCU integrates faith, learning, work, and service in an effort to honor God in all that it does, and encourages others to join in these endeavors. In what ways does your project reflect this?
DNP PROJECT UNIT 6 DQ
How are you incorporating technology at your site to enhance your project? What technology will you use to gather data and analyze the data?
DNP PROJECT UNIT 7 DQ
This week’s discussion post is on how to write your abstract. Go to the DC Network and in the DNP Program Documents you will see the abstract template to help learners. Write the abstract and share it with your peers. You will not have the data, but you can practice writing the abstract as it is expected to be written for AQR. (You do not get scored by AQR 1 on this process.) (Template is Attached)
As we work on this week’s work Please take some time to respond to the follow questions
1. Does your site have an IRB or Nursing QI/Research council you have to go through for approval of your project? Make sure to state which one if there is one as well as how much time you will need for them to review your project before you get approval. This is important because you will need to get through that before you can get through GCU IRB
2. Does your project use an instrument or tool? Have you gotten permission to use it if it is copyrighted? or needs permission to use? Has it been used in other similar project or other research on your topic
3. How will you collect your data on your outcome? will you need other people to do it for you? will it be done by your site? is it pulling aggregate of electronic health record data ? Self report by your population?
4. How will you protect your data? Will you collect HPI? What will you do with the data once your project is over? A lot of you did not discuss this in your postings and it is an important part of ethical consideration.
Human Pathophysiology and Pharmacology Assignment
UncategorizedHuman Pathophysiology and Pharmacology Assignment
Case study scenario:
Adina, a 43-year-old woman comes in for her first visit at your clinic. She is a Kunjen woman from Kowanyam, in far north Queensland. Her past medical history is notable for long-standing asthma. She takes budesonide (inhalation) most days and prednisolone (orally) for severe exacerbations; this has been the case for much of her adult life. She is married with six children; her husband is an interstate truck driver. Her first sexual contact was at age 14, and she has had six sexual partners in her lifetime, but took the pill to prevent pregnancy. She has been smoking one pack of cigarettes per day for the last 30 years. She reports vaginal bleeding, particularly after intercourse which has become painful; she thinks is related to vaginal dryness after menopause. Adina, also reports of fatigue, weight loss and pelvic pain over the past 2-3 months.
Adina is subsequently diagnosed with cervical cancer and is positive for human papilloma virus
EXPLAIN THE RELATIONSHIP BETWEEN FAMILY SYSTEMS AND HEALTHY DEVELOPMENT.
UncategorizedThis week you have a short essay to write (approximately 600 words). Please include the word count in your essay. The focus of this essay is about the relationship between family systems and healthy development. There should be 2-3 scholarly references. Please read the instructions carefully for this assignment. Essay 1 Instructions Family Systems Explain in detail (using your readings/presentations from this module/week to support what you say) the relationship between family systems and healthy development. How can one discern a healthy family system? What are the determining factors that distinguish healthy family systems? Discuss the effects of an unhealthy family system on development. Give details on family systems and how they affect physical (neural), emotional, spiritual, and social development. Reference Feldman, R. S. (2014). Development across the life span (Custom 7th ed.). Boston, MA: Pearson. ISBN: 9781269621984. 100% Plagiarism free
>Computer Science homework help
UncategorizedA new medium-sized health care facility just opened and you are hired as the CIO. The CEO is somewhat technical and has tasked you with creating a threat model. The CEO needs to decide from 3 selected models but needs your recommendation. Review this week’s readings, conduct your own research, then choose a model to recommend with proper justifications. Items to include (at a minimum) are:
You will research several threat models as it applies to the health care industry, summarize three models and choose one as a recommendation to the CEO in a summary with a model using UML Diagrams (Do not copy and paste images from the Internet). In your research paper, be sure to discuss the security risks and assign a label of low, medium or high risks and the CEO will make the determination to accept the risks or mitigate them.
Your paper should meet the following requirements:
Radiation exposure to staff in intensive care unit with portable CT scanner in India
UncategorizedThe assignment should consist of
(i) A brief description of the industry, processes, tasks, equipment and workgroup (up to 500 words).
(ii) An overview of the nature of the hazard and the potential health effects which may arise from exposure, as described in the scientific literature. (up to 500 words)
You must outline the strategy you adopted in searching the literature (up to 200 words)
(iii) How the risk is assessed. (up to 500 words)
(iv) The practicalities of controlling the hazard. (up to 500 words)
(v) A critical overview of the problem e.g. In your opinion, are problems such as these being assessed and managed adequately at present? What research, if any, is called for? (up to 300 words)
(vi) References. Presented in standard format. e.g. Author, Date.
The assignment should not exceed 2500 words in length (excluding tables, figures and references).
You should aim for 2000 words.
Important: This assignment is designed to promote your understanding of how to do a rapid search of the scientific literature, interpret exposure levels in relation to standards and how to write a report of a professional standard. It is expected that students will have already conducted a search using Medline (PubMed) or Scopus.
Higher marks will be awarded for depth rather than breadth. It is also more interesting for the reader. The more specific you can be about the problem in a particular context (including your own perspective if it is your workplace) the better.
for sample another assignment of other topiic is attached
Describe an unresolved (recurring) conflict
Nursing HomeworksWrite A 5-7 Page Paper (Not Including The Title Or References Pages) Using APA Format That Includes The Following.
A registered nurse is writing a diagnosis for a 28-year-old male patient who is in traction due to multiple fractures from a motor vehicle accident. Which nursing actions are related to this step in the nursing process?
UncategorizedA registered nurse is writing a diagnosis for a 28-year-old male patient who is in traction due to multiple fractures from a motor vehicle accident. Which nursing actions are related to this step in the nursing process? Select all that apply.
The nurse uses the nursing interview to collect patient data.
The nurse analyzes data collected in the nursing assessment.
The nurse develops a care plan for the patient.
The nurse points out the patient’s strengths.
The nurse assesses the patient’s mental status.
The nurse identifies community resources to help The nurse analyzes data collected in the nursing assessment.
The nurse points out the patient’s strengths.
The nurse identifies community resources to help
Rationale: The purposes of diagnosing are to identify how an individual, group, or community responds to actual or potential health and life processes; identify factors that contribute to or cause health problems (etiologies); and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems. In the diagnosing step of the nursing process, the nurse interprets and analyzes data gathered from the nursing assessment, identifies patient strengths, and identifies resources the patient can use to resolve problems. The nurse assesses and collects patient data in the assessment step and develops a care plan in the planning step of the nursing process.A nurse is caring for an older adult patient who presents with labored respirations, productive cough, and fever. What would be appropriate nursing diagnoses for this patient? Select all that apply.
Bronchial pneumonia
Impaired gas exchange
Ineffective airway clearance
Potential complication: sepsis
Infection related to pneumonia
Risk for septic shock Impaired gas exchange
Ineffective airway clearance
Risk for septic shock
Rationale: Nursing diagnoses are actual or potential health problems that can be prevented or resolved by independent nursing interventions, such as impaired gas exchange, ineffective airway clearance, or risk for septic shock. Bronchial pneumonia and infection are medical diagnoses, and “potential complication: sepsis” is a collaborative problem.After assessing a patient who is recovering from a stroke in a rehabilitation facility, a nurse interprets and analyzes the patient data. Which of the four basic conclusions has the nurse reached when identifying the need to collect more data to confirm a diagnosis of situational low self-esteem?
No problem
Possible problem
Actual nursing diagnosis
Clinical problem other than nursing diagnosis Possible problem
Rationale: When a possible problem exists, such as situational low self-esteem related to effects of stroke, the nurse must collect more data to confirm or disprove the suspected problem. The conclusion “no problem” means no nursing response is indicated. When an actual problem exists, the nurse begins planning, implementing, and evaluating care to prevent, reduce, or resolve the problem. A clinical problem other than nursing diagnosis requires that the nurse consult with the appropriate health care professional to work collaboratively on the problem.A nurse assesses a patient and formulates the following nursing diagnosis: Risk for Impaired Skin Integrity related to prescribed bedrest as evidenced by reddened areas of skin on the heels and back. Which phrase represents the etiology of this diagnostic statement?
Risk for Impaired Skin Integrity
Related to prescribed bedrest
As evidenced by
As evidenced by reddened areas of skin on the heels and back Related to prescribed bedrest
Rationale: “Related to prescribed bedrest” is the etiology of the statement. The etiology identifies the contributing or causative factors of the problem. “Risk for Impaired Skin Integrity” is the problem, and “as evidenced by reddened areas of skin on the heels and back” are the defining characteristics of the problem.A nurse is counseling a 60-year-old female patient who refuses to look at or care for a new colostomy. She tells the nurse, “I don’t care what I look like anymore, I don’t even feel like washing my hair, let alone changing this bag.” The nurse diagnoses Altered Health Maintenance. This is an example of what type of problem?
Collaborative problem
Interdisciplinary problem
Medical problem
Nursing problem Nursing problem
Rationale: Nursing Problem, because it describes a problem that can be treated by nurses within the scope of independent nursing practice. Collaborative and interdisciplinary problems require a teamwork approach with other health care professionals to resolve the problem. A medical problem is a traumatic or disease condition validated by medical diagnostic studies.To determine the significance of a blood pressure reading of 148/100, it is first necessary for the nurse to:
Compare this reading to standards.
Check the taxonomy of nursing diagnoses for a pertinent label.
Check a medical text for the signs and symptoms of high blood pressure.
Consult with colleagues. Compare this reading to standards.
Rationale: A standard, or a norm, is a generally accepted rule, measure, pattern, or model to which data can be compared in the same class or category. For example, when determining the significance of a patient’s blood pressure reading, appropriate standards include normative values for the patient’s age group, race, and illness category. Deviation from an appropriate norm may be the basis for writing a diagnosis.When the initial nursing assessment revealed that a patient had not had a bowel movement for 2 days, the student nurse wrote the diagnostic label “constipation.” Which of the following comments is the nurse most likely to hear from the instructor?
“Hold on a minute . . . Nursing diagnoses should always be derived from clusters of significant data rather than from a single cue.”
“Job well done . . . you’ve identified this problem early and we can manage it before it becomes more acute.”
“Is this an actual or a possible diagnosis?”
“This is a medical, not a nursing problem.” “Hold on a minute . . . Nursing diagnoses should always be derived from clusters of significant data rather than from a single cue.”
Rationale: A data cluster is a grouping of patient data or cues that points to the existence of a patient health problem. Nursing diagnoses should always be derived from clusters of significant data rather than from a single cue. There may be a reason for the lack of a bowel movement for 2 days, or it might be this individual’s normal pattern.A nurse makes a clinical judgment that an African American male patient in a stressful job is more vulnerable to developing hypertension than White male patients in the same or similar situation. The nurse has formulated what type of nursing diagnosis?
Actual
Risk
Possible
Wellness Risk
Rationale: A clinical judgment that an individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation is a Risk nursing diagnosis.A nurse is writing nursing diagnoses for patients in a psychiatrist’s office. Which nursing diagnoses are correctly written as two-part nursing diagnoses?
(1) Ineffective Coping related to inability to maintain marriage
(2) Defensive Coping related to loss of job and economic security
(3) Altered Thought Processes related to panic state
(4) Decisional Conflict related to placement of parent in a long-term care facility
Answers:
(1) and (2)
(3) and (4)
(1), (2), and (3)
All of the above All of the above
Rationale: Each of the four diagnoses is a correctly written two-part diagnostic statement that includes the problem or diagnostic label and the etiology or cause.A nurse writes nursing diagnoses for patients and their families visiting a community health clinic. Which nursing diagnoses are correctly written as three-part nursing diagnoses?
(1) Disabled Family Coping related to lack of knowledge about home care of child on ventilator
(2) Imbalanced Nutrition: Less Than Body Requirements related to inadequate caloric intake while striving to excel in gymnastics as evidenced by 20-pound weight loss since beginning the gymnastic program, and greatly less than ideal body weight when compared to standard height weight charts
(3) Need to learn how to care for child on ventilator at home related to unexpected discharge of daughter after 3-month hospital stay as evidenced by repeated comments “I cannot do this,” “I know I’ll harm her because I’m not a nurse,” and “I can’t do medical things”
(4) Spiritual Distress related to inability to accept diagnosis of terminal illness as evidenced by multiple comments such as “How could God do this to me?,” “I don’t deserve this,” “I don’t understand. I’ve tried to live my life well,” and “How could God make me suffer this way?”
(5) Caregiver Role Strain related to failure of home health aides to appropriately diagnose needs of family caregivers and initiate a plan to facilitate coping as evidenced by caregiver’s loss of weight and clinical depression
Answers:
(1) and (3)
(2) and (4)
(1), (2), and (3)
All of the above (2) and (4)
Rationale: (1) is a two-part diagnosis, (3) is written in terms of needs and not an unhealthy response, and (5) is a legally inadvisable statement.
& Finance homework help
UncategorizedInstructions:
This individual project consists of you interviewing 2 different people and asking them the following MANDATORY questions:
1. In what way has your Companies handling of this COVID-19 Crisis affected your commitment to the organization?
· Are you more or less committed? Why or Why not?
2. In what way has your Companies handling of this COVID-19 Crisis affected your performance on the job?
· Are you more or less productive? Why or Why not?
3. Is there anything you would have done differently if you were in a position of authority to do so at your company or within your department?
4. What do you think will be the long-term effects this Pandemic will have on your job—at your company/organization?
5. Ask any additional questions as you see fit to help you with your interview.
In the first part of your conclusion: Summarize what you learned from the two (2) interviews. This portion is based on your interviewees’ responses only (not your thoughts).
In the second part of your conclusion; you should address how this Pandemic has affected you personally. Address how it has changed YOUR life…YOUR outlook as you are getting ready to graduate and go out to the workforce or perhaps enter an MBA Program, an internship or take a year off. Whatever your plans– how do you see them playing out under the current market conditions.
Students will have a choice to present their findings in a PPT Presentation or an Essay. Whichever delivery method you choose; it should include the following details at a minimum:
Detailed descriptions of your two (2) interview participants: (i.e first name only, name of company, position/job title, job description, tenure with organization)
What is their job status now? (Still Employed. Furloughed, Work from Home, Essential Employee, etc..)
Highlight participants’ responses to the mandatory questions asked during your interview.
List some themes that emerged from the 2 interviews.
Your conclusion should be in two parts as described above.
Essay Form = 850 -1000 words
OR
Presentation Form = 15 – 20 slides
What are the protein requirements for Liz and Larry based upon the information provided and their athletic status?
Nursing Essay HelpCLC – Pros and Cons of Mandatory Continuing Nursing Education
UncategorizedCLC – Pros and Cons of Mandatory Continuing Nursing Education
This is a Collaborative Learning Community (CLC) assignment.
In your CLC group, create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:
Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.
A minimum of three scholarly sources are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.