Select  an article from a magazine or newspaper that has something in it that  pertains to biology. This will serve as the “target article” for this  assignment. For instance, you can select an article about medicine,  invasive species, nature, conservation, genetic technology, ecology, or  any other topic that is related to biology. One purpose of this  assignment is to help you become aware of how biology is related to your  everyday life.
Write a one to four (1-4) page paper in which you:

  1. Summarize the article in one (1) or more paragraphs, using your own words. Be  sure to identify the article using an in-text citation in the body of  the paper, as well as a reference in the reference section.
  2. Explain  how the article relates to this course. Identify which biological  concepts from the course and / or text are relevant to the topic covered  in the article. Citing the course text, discuss the ways in which this  course does (or doesn’t) provide background information to help you  understand the article and the larger issues surrounding it.
  3. Explain  why the article caught your attention. Relate the article to your life  and to issues that are important to you. Discuss how or if the  scientific knowledge about the topic covered in the article affects you  directly or indirectly.
  4. Discuss  your opinion on how research on this topic should be funded. State  whether you think taxpayer monies should support research on this topic  or whether such research in this area should be funded by the private  sector. Rate the importance of research on this topic, relative to other  areas of research.
500 WORDS not including min 4 references
 
Biosurveillance Algorithms
Different diseases may share many of the same symptoms. Because diseases have a broad range of symptoms (many of which overlap), biosurveillance algorithms must be constructed to identify those indicators that can (individually or in some combination) accurately discriminate the presence or absence of the condition of interest, properly monitor those indicators, and provide reliable output on each specific disease’s trends. Matching the process of analyzing the data with the necessary types of data is of utmost importance when trying to obtain an early identification of a health event with minimum false positives.
To prepare for this Discussion,select an infectious disease or condition. Consider the best approach/algorithm to monitor the disease or condition you selected. Determine the number and type of covariates the algorithm should have.
Post a description of the algorithm that you think would best monitor the disease/condition you selected. Explain which covariates you would include in the algorithm. Finally, explain the limitations of the algorithm and the implications for public health.
Support your suggestions with additional scholarly resources

Epidemiology /Nursing

 Details:
Asthma is a chronic lung disease caused by inflammation of the  lower airways and episodes of airflow obstruction. Asthma episodes or  attacks can vary from mild to life-threatening. In 2007, about 7%  percent of the U.S. population was diagnosed with asthma and there have  been a growing number of new cases since that time. There are several  known risk factors identified as triggers of asthma symptoms and  episodes, including inhalation of allergens or pollutants, infection,  cold air, vigorous exercise, and emotional upsets. There is also growing  evidence relating body-mass index to asthma in both children and  adults. Design a study to investigate whether there is such an  association.
Choose a study design and justify the reasons you chose the design over others.
Select a statistical measure you would use to describe the association (if there is one) between body mass index and asthma.
In addition, address:

  1. Subject selection
  2. Issues relating to the measurement of both the exposure and the outcome
  3. Potential biases that the study might be prone to, and how they might be handled
  4. Possible confounding factors and effect modifiers and how to overcome their effect

Present the information in a 750-1000-word report, using section  headings where each requirement is described and justified under each of  the following headings: Study Design, Statistical Measures, Subject  Selection, and Measurement Issues.
Refer to the “Key Elements of a Research Proposal.”
You are required to use a minimum of three scholarly resources.
Prepare this assignment according to the APA guidelines found in the APA Style Guide.  You are required to submit this assignment to Turnitin.

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

  • Question 1

1 out of 1 points

The AGACNP is caring for a patient who is quite ill and has developed, among other things, a large right sided pleural effusion. Thoracentesis is sent for pleural fluid analysis. While evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n) __________ is the least worrisome type.

 

Response Feedback: “A” is the correct answer. A transudate is essentially just water and can occur as a consequence of increased hydrostatic pressure in the pulmonary vessels. It typically implies that the some condition has produced an imbalance in colloid-hydrostatic pressures, such as CHF or hypoalbuminemia. While it can represent a serious problem, it may also represent a transient imbalance. Conversely, “B” is not correct as an exudate has more protein in it and implies a condition characterized by protein leaking from vessels, such as a malignancy or some serious systemic stressor. “C” is not correct—a chyliform effusion is characterized by fat and indicates a pathology causing massive triglyceride degradation. “D” is not correct as a hemorrhagic effusion is blood and typically means traumatic injury.
  • Question 2

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0 out of 1 points

Mrs. Miller is transported to the emergency department by paramedics. She is having profound, unremitting chest pain, is diaphoretic and pale. She has jugular venous distention and a widened pulse pressure. Suspecting ascending aortic aneurysm, the AGACNP order which test to confirm the diagnosis?

 

Response Feedback: “D” is the correct answer. It is the most widely used diagnostic tool as it rapidly and precisely can outline the thoracic and abdominal aorta. “A” is not the correct answer—there are radiographic findings that suggest thoracic aneurysm, but they need confirmation by CT. “B” is not the correct answer as ultrasound is not nearly as precise as a CT scan. “C” is not correct—MRI is only indicated when the patient cannot have a contrast CT.
  • Question 3

1 out of 1 points

Certain subgroups of the elderly population are at an increased risk for rapid deterioration and long-term care placement. Which of the following is not considered a high risk factor for long term care placement?

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “A” is the correct answer; men are at higher risk for long-term care placement than women. In addition to male gender, other risk factors include age over 80, living alone, bowel or bladder incontinence, history of falls, dysfunctional coping, and intellectual impairment.
  • Question 4

0 out of 1 points

A patient with anterior epistaxis has been treated with 20 minutes of direct pressure to the cartilaginous portion of the nose. Following pressure the patient is instructed to gently blow the nose. Expected findings in the patient who has been successfully treated include all of the following except a:

 

Response Feedback: “C” is the correct answer. If bleeding is successfully stopped with 20 minutes of directed pressure, there will be residual blood and clot formation. This is evacuated either by gentle suction or having the patient gently blow. Residual blood and formed clot may present as a sudden gush of dark blood or discharge with or without a clot—these are all typical expected findings. However, if bleeding is not stopped, it will continue as a bright red steady trickle. When this occurs, more invasive measures are indicated.
  • Question 5

0 out of 1 points

Kevin is a 14-year-old male who presents for evaluation of a fever of 102.5° F and significant right ear pain. He appears quite ill and says he feels nauseous. Otoscopic evaluation reveals pain to palpation, a very erythematous and bulging tympanic membrane with bullous myringitis. The AGACNP knows that antibiotic therapy must be selected to cover:

 

Response Feedback: “D” is the correct answer. Streptococcus pneumoniae is the most common bacteria that infects the head and neck in immunocompetent persons, and is the primary treatment target when treating otitis media, bacterial sinusitis, and bacterial pharyngitis. “A” is not correct—while likely on broken skin and soft tissue, it is not common in the ear, nose, or throat unless specific risk factors exist. “B” is not correct—this is much more likely in an immunocompromised patient or a patient on mechanical ventilation. “C” is not correct—it is the second most common organism, but strep is the primary treatment target.
  • Question 6

1 out of 1 points

P.M. is a 71-year-old gay male patient who presents as an outpatient for evaluation of increasing shortness of breath. The diagnostic evaluation ultimately supports a diagnosis of community acquired pneumonia. The AGACNP appreciates right middle lobe consolidation on chest radiography. Pending sputum cultures, empiric antibiotic therapy must be initiated to cover which organism?

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “D” is the correct answer. This patient presents from the outpatient population where the most common cause of pneumonia is Streptococcus pneumoniae, and is the primary treatment target for any patient being treated empirically. “A” is not correct—while the patient’s sexual orientation is offered in the provided history, there is no indication that he has HIV/AIDS or any other condition characterized by immunosuppression that would increase his risk for this organism. “B” is not correct, as this organism is not typically seen in the outpatient population without specific risk, e.g. immunosuppression or chronic ventilator therapy. “C” is not the correct answer as this organism is not likely absent specific risk such as instrumentation or known colonization.
  • Question 7

0 out of 1 points

Which of the following is the greatest risk factor for vascular dementia?

 

Response Feedback: “B” is the correct answer. Vascular dementia is a consequence of vascular disease, and is more likely to occur in patients with risk factors for target organ damage, such as hypertension, dyslipidemia, and diabetes. “A” is not a distinct risk factor for vascular dementia; it is a risk for Alzheimer’s dementia. “C” likewise increases risk for Parkinson’s dementia, but does not present a risk for vascular dementia. “D” is not a risk factor for vascular dementia. Although there may be some familial risk for certain vascular diseases that may lead to vascular dementia, there is no clear familial tendency for this type of dementia.

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

  • Question 91

1 out of 1 points

A 31-year-old male presents to urgent care because he has something in his eye. He was changing the oil under his car and says that something dropped into his eye. He is not having any pain, in fact he waited a day before coming in because he thought it would work itself out. Physical exam reveals a black 1 mm foreign body visible on the corneal surface. The most appropriate intervention is to:

 

Response Feedback: “C” is the correct answer. The nature of the injury suggests an external foreign body and it is visible to inspection. The absence of symptoms suggests that this is a simple external foreign body that will be easily removed with a saline soaked sterile swab. If unable to remove it this way, the more invasive Morgan lens or another method of eye irrigation may be utilized – but the least invasive acceptable method should always be tried first. “A” is not correct—there are not symptoms consistent with corneal abrasion. “B” is not correct as the history does not suggest an embedded or internal foreign body.
  • Question 92

0 out of 1 points

A patient with pericarditis is most appropriately treated with:

 

Response Feedback: “C” is the correct answer. Pericarditis is an inflammation of the pericardium, most often due to viral infection. The medication of choice is an NSAID. “A” is not correct—although isolated cases of pericardial inflammation are bacterial and require antibiotics, this is very uncommon. “B” is incorrect—NSAIDs generally control pain adequately and the escalation to opiate analgesia is rarely indicated. “D” is incorrect—as with choice “C” NSAIDs control pain adequately in most cases and use of corticosteroids while appropriate for NSAID-refractory cases, is uncommon.
  • Question 93

0 out of 1 points

Which of the following is not a risk factor for thoracic aneurysm?

 

Response Feedback: “B” is the correct answer. There are multiple risk factors for thoracic aneurysm, including “A,” “C,” and “D” above. However, aortic valve disease, not mitral valve disease, is correlated with increased risk. A variety of other factors including family history, smoking, and atherosclerosis, also increase risk.
  • Question 94

1 out of 1 points

The “MONA” acronym provides guidance for immediate interventions in the patient with:

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “A” is the correct answer. MONA stands for Morphine, Oxygen, Nitroglycerin, and Aspirin, and should be considered for every patient with acute coronary syndrome. Morphine may not always be used—the general guideline is to administer to any patient who does not get pain relief with three doses of nitroglycerin—but it should be considered and administered if appropriate.
  • Question 95

1 out of 1 points

Mr. Sloane is a 36-year-old male patient who presents for treatment of eye pain. He has no significant medical history and does not take any daily or over-the-counter medications. His only recent history is nighttime allergies for which he takes occasional diphenhydramine with good relief. He has had some throbbing in his eye for the last few days on and off but just ignored it; today he says it is flat out painful and he had to come to the emergency department. The eye is throbbing and painful, and he reports generalized decreased vision. The pupil is dilated to 5 mm and non-reactive to light. The eye conjunctiva is reddened. The next step in the diagnostic evaluation should be:

 

Response Feedback: “A” is the correct answer. This is a classic presentation of acute angle closure glaucoma, the patient likely had an underlying anatomic abnormality that was exacerbated by the anticholinergic properties of diphenhydramine. Assessment of intraocular pressure via tonometry must be performed and if elevated will confirm diagnosis. Once elevated pressure is confirmed, the condition will be treated. “B” and “C” are not correct—the first diagnostic evaluation must be tonometric pressure; if pressure is normal, acute angle closure glaucoma is ruled out and then imaging may be indicted depending upon the differential diagnoses. “D” is not correct; if glaucoma is confirmed than ophthalmology will be consulted.
  • Question 96

1 out of 1 points

The AGACNP counsels a patient with recurrent epistaxis that the most common cause of nose bleeding is:

 

Response Feedback: “A” is the correct answer. Statistically most nose bleeding is cause by the irritation of nose picking, and patients of all ages should be evaluated for this when presenting with a complaint of recurrent nose bleed. “B,” “C,” and “D” are also causes and are all part of the differential diagnosis and will guide the history of present illness, but “A” is most common and the first thing to be considered; similarly, while patients may not realize or acknowledge that this is a factor, if no cause is identified, counseling about the avoidance of nose picking may ultimately result in improvement of symptoms.
  • Question 97

0 out of 1 points

The geriatric depression scale (GDS) is a commonly used tool to diagnose depression in the elderly population. It comes in a variety of forms for maximal utility. When administering the geriatric depression scale to patients, the AGACNP recognizes that it is extremely important to:

NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Response Feedback: “B” is the correct answer. All forms of the GDS require one word “yes/no” answers; the tool cannot be scored with more ambiguous or scaled scoring. “A” is incorrect—the tool helps establish a diagnosis of depression, and then the etiology will be pursued. “C” is not correct, in fact the one word answer format, different from most tools that use “1 to 5” scaled scoring, allows the tool to be used in those with more significant cognitive impairment. “D” is not correct as the tool can evaluate change after initiation or change in drug therapy.
  • Question 98

1 out of 1 points

Ventilator-acquired pneumonia (VAP) is a significant problem impacting morbidity, mortality and the cost of inpatient health care. Data-supported mechanisms to reduce the risk for VAP include all of the following except:

 

Response Feedback: “B” is the correct answer. Strategies both pre and post intubation to reduce the likelihood of VAP have been extensively studied, and there are numerous data-supported strategies including those presented in choices “A,” “C,” and “D” above. Conversely, while “B” has been proposed as a possible strategy, data are conflicted. Endotracheal tube cuff biofilm formation and bacterial colonization are proposed mechanisms by which ventilator acquired pneumonia occurs, and there are several strategies in use to target this, such as antibiotic impregnated, chlorhexidine coated and silver coated endotracheal tubes. Cost and effectiveness data continue to emerge.
  • Question 99

0 out of 1 points

Absolute contraindications to thrombolytic therapy in the patient having an acute myocardial infarction include all of the following except:

 

Response Feedback: “D” is the correct answer. A history of hemorrhagic ophthalmic condition is a relative contraindication; a risk benefit analysis must be considered and thrombolytics may be used. Conversely, “A,” “B,” and “C” above are all absolute contraindications to thrombolytic therapy.
  • Question 100

1 out of 1 points

Which of the following is not a true statement with respect to risk for or occurrence of elder abuse?

 

Response Feedback: “D” is the correct answer. There are a variety of theories regarding the etiology of caregiver abuse, and a common theme is that the greater the stressors and/or burden on the caregiver, the greater the likelihood of some form of caregiver abuse, whether psychological, physical, or neglect. Otherwise “healthy” people can become abusive if the demands placed upon them are great enough; this is one of the reasons that respite care is so important. “A,” “B,” and “C” are true statements. Caregiver stress is a risk factor, the cycle of learned violence suggests that those subjected to violence are at greater risk of becoming violent, and the greater the physical and/or mental impairment of the patient, the higher the risk for an abusive situation.NURS-6550 Mid Term Exam Questions and Answers – Advanced Practice Care of Adults in Acute Care Settings

Discussion: Psychological Issues

The problem lay buried, unspoken, for many years in the minds of American women. […] Each suburban wife struggled with it alone. As she made the beds, shopped for groceries, matched slipcover material, ate peanut butter sandwiches with her children, chauffeured Cub Scouts and Brownies, lay beside her husband at night—she was afraid to ask even of herself the silent question—“Is this all?”
—Betty Friedan, The Feminine Mystique

Betty Friedan’s seminal work about social and psychological issues facing some women in the middle of the twentieth century opened with the question she saw as plaguing suburban wives: Is this all? During Friedan’s time, college graduation rates for women were actually dropping compared to the previous generation as postwar World War II economic prosperity led many women to abandon career aspirations in favor of raising families. The Feminine Mystique tells the story of a particular group of women, and as critics are correct to point out, it does not speak for the situation of many women of color and women who were not privileged socioeconomically. It did, however, expose the way that social and psychological factors came together to create gender differences in psychological wellbeing.
In the 21st century, gender differences in morbidity and mortality related to psychological issues still exist. Your course text highlights gender differences in depression, eating disorders, and suicide, but differences exist regarding other issues as well. Antisocial and avoidant personality disorders are more common in men, while borderline and histrionic personality disorders are more often seen in women. While there is some biological evidence for these differences, there is a greater amount of evidence that supports the influence of psychosocial factors related to gender socialization and gender roles themselves.
For this Discussion, you will examine gender differences related to and biopsychosocial causes of a particular psychological issue.
To prepare

  • Consider the following three populations and psychological issues and select one to use for this Discussion:
    • Autism spectrum disorder among children
    • Conduct disorder among adolescents
    • Panic disorder among adults
  • Search the Walden Library to identify any biopsychosocial risk factors that may contribute to the psychological issue you selected.
  • Identify how gender influences prevalence rates, diagnosis, and treatment of this disorder.
By Day 4

Post a description of the issue you selected; identify any biopsychosocial risk factors; and discuss how gender influences prevalence rates, diagnosis, and treatment.

SUMMARIZE SCHOLARLY RESOURCES RELATED TO A NURSING CARE MODEL.

Directions
Read your text, Finkelman (2016), pp- 111-116.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
Write a 5-7 page paper.
You are required to complete the assignment using the Microsoft Office Word 2013 (or later version)
Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
Write your paper using APA format using Microsoft Office 2010 or later.
Plagiarism free because your paper will automatically load on to Turn-it-in when you submit.

Information Systems Presentation
Select three of the following information systems:

  • Radiology
  • Emergency
  • Surgical
  • Dental
  • Pharmacy

Create a 10- to 15-slide Microsoft® PowerPoint® presentation with speaker notes describing the informational systems selected.
Include the following for each system in your presentation:

  • Define the information system.
  • Discuss its purpose and use.

Cite any outside sources.

Benchmark – Professional Capstone And Practicum Reflective Journal

Details:
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style 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.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Case Study Instructions and Template
This is a comprehensive project divided into 2 Case Study sections. The expectation is that you will be able to show a working understanding of the course material thus far (Case Study 1: Chapters 1–5; Case Study 2: Chapters 6–7, 9). Case Study 1 will include all parts of the assessment, except the final 2 sections of treatment recommendations and recovery recommendations, which will be the requirements of Case Study 2. The chapter readings and additional materials available each week will enhance your ability to excel in this project. Review the “How to Approach a Case Study” document prior to composing your assignment.
For each case study, you are to read the provided Case Study Vignette and complete a thorough assessment based upon the information presented within the Case Study using the Case Study Template below. Both Case Studies will use the same Case Study Vignette. Case Study 1 will include the section headings Reason for Assessment through Spirituality.
Case Study 2 will include the final 3 section headings: Diagnostic Impression, Treatment Plan, and Aftercare Recommendations.
Current APA format is required for all components of the paper (title page, citations, reference list). This case study needs to be strongly supported by the literature (a minimum of 5 sources for Case Study 1 and a minimum of 5 additional sources for Case Study 2) and, if done properly, will render 15–20 pages. This project is designed for you to show a working understanding of the course materials; therefore, it is truly a comprehensive project.

SHOULD NURSING HOMES HAVE THE AUTHORITY TO RESTRAIN A RESIDENT

Take a position as to whether or not nursing homes should have the authority to restrain a resident. Next, determine who should be held liable if the resident sustains injuries while being restrained. Provide a rationale for your response. Review the video titled “Senator Elizabeth Warren – The Future of Long-Term Care Policy: Continuing the Conversation” 9 min 32 s. Next, describe the fiscal impact of the growth and aging of the population on long-term care services, and take a position as to whether or not the federal government should continue to provide subsidies to offset the cost to families utilizing long-term care services. Provide support for your response.