COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Question 1
1 out of 1 points

 
Major eras in the history of the American public health system were chacterized by all of the following EXCEPT:
Correct Answer:.

Question 2
0 out of 1 points

 
The median salary for medical and health services managers working in government agencies in the US is closest to which of the following?
Correct Answer: 4.$90,000

Question 3
1 out of 1 points

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In terms of its ranking among the world’s nations for mortality rates, the U.S. generally ranks:
Correct Answer: 3.below (i.e., has a higher rate than) about 25 to 30 other countries

Question 4
1 out of 1 points

 
Which of the following statements characterizes an important difference between public health and most other professions?
Correct Answer:

Question 5
0 out of 1 points

 
Which of these entities has published competencies specifically for public health managers and administrators?  COH 300 Ecology of Public Health Mid Term Exam Questions and Answers.
Correct Answer: 1.ASPH

Question 6
0 out of 1 points

 
What percentage of US local health departments employs public health managers/administrators?
Correct Answer: 4.75% or more

Question 7
1 out of 1 points

 
Health care expenditures in the United States increased from $12.7 billion in 1950 to over $2.5 trillion in 2010. About what proportion of the gross national product was spent on health care in 2010? COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer:t

Question 8
0 out of 1 points

 
Which of the following were the two over-arching goals of Healthy People 2010?
Correct Answer: 3.increase the quality and years of healthy life and reduce health disparities

Question 9
1 out of 1 points

 
Which of these important public health figures from the 19th century advanced the argument that the factors contributing to fatal diseases should be identified as the official causes of death?
Correct Answer:

Question 10
1 out of 1 points

 
The organizational unit in the federal government created in 1939 to bring together health, education, and welfare services.
Correct Answer: 1. 

Question 11
1 out of 1 points

 
Which of the following is not considered one of the 3 Ps or most important determinants of health worldwide? COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer: 2. 

Question 12
0 out of 1 points

 
All of the following comparisons of the US and Canadian health care systems are true EXCEPT:
Correct Answer:

Question 13
1 out of 1 points

 
The term “Title XVIII” which was signed into law on July 30, 1965, is better known as:
Correct Answer:

Question 14
1 out of 1 points

 
As a result of legislation enacted by Congress, this agency was moved out of the US Treasury Department and placed in the Department of Health, Education, and Welfare (now the Department of Health and Human Services). It was first established as the Marine Hospital Service in 1789.
Correct Answer:

Question 15
0 out of 1 points

 
The total level of health expenditures for health and medical care services in the United States for 2010 is closest to which of these figures? COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer:

Question 16
1 out of 1 points

 
A measure of health status that attempts to gauge the social impact of various diseases and conditions by adjusting for differences in the age of the population affected is:
Correct Answer:

Question 17
1 out of 1 points

 
In 1900, the leading cause of death in the United States was which of the following conditions?
Correct Answer:

Question 18
1 out of 1 points

 
Based on a quick examination of Internet web sites, which of these organizations is most closely affiliated with local public health agencies across the U.S.?
Correct Answer: 1.NACCHO

Question 19
0 out of 1 points

 
Which of the following essential public health services is least likely to be included in a public health manager’s practice profile?
Correct Answer:

Question 20
1 out of 1 points

 
Medical services (including clinical preventive services such as immunizations and screening tests) account for what share of the 30-year increased life expectancy achieved for Americans between 1900 and 2000?
Correct Answer: 2.5 years

Question 21
1 out of 1 points

 
Based on a quick examination of Internet web sites, which of these federal health agencies places the greatest emphasis on prevention?
Correct Answer: 4.Centers for Disease Control

Question 22
1 out of 1 points

 
In which form of justice are collective actions leading to the assumption of additional burdens often necessary in order to assure the fair distribution of societal benefits?
Correct Answer:

Question 23
1 out of 1 points

 
The Food and Drug Administration (FDA) is responsible for: COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer:

Question 24
1 out of 1 points

 
Which one of these has the fundamental responsibility to determine the health status and the health needs of the people within its jurisdiction, determine to what extent these needs are being effectively met by effective measures currently available, and take steps to see that the unmet needs are satisfied?
Correct Answer:

Question 25
0 out of 1 points

 
The Institute of Medicine identified which level of government as the central force in public health, bearing primary public sector responsibility for the health of the people?
Correct Answer:

Question 26
0 out of 1 points

 
Which of these public health-related occupations is included in the US Bureau of Labor Statistics’ Standard Occupational Categories?
Correct Answer:

Question 27
1 out of 1 points

 
Which two lifestyle factors have been reported to be the most important causes of preventable mortality in the U.S.?
Correct Answer: 4.tobacco and diet/physical activity

Question 28
1 out of 1 points

 
All of the following are minimum functions of a state health department as defined by the American Public Health Association EXCEPT:
Correct Answer:

Question 29
0 out of 1 points

 
The total number of workers in the health sector of the U.S. economy is approximately:
Correct Answer: 3.15 million

Question 30
1 out of 1 points

 
What major public health intervention strategy has the purpose of eliminating or reducing exposure to harmful factors by modifying human behavior?
Correct Answer:

Question 31
0 out of 1 points

 
Between the years 1998 and 2008, the ratio of FTE workers for governmental health agencies has:
Correct Answer:

Question 32
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Key demographic trends that will impact public health and the future need for programs and services include all of the following except:
Correct Answer:

Question 33
0 out of 1 points

 
Which of these essential public health services is a component of the assessment core function?
Correct Answer: 1.diagnosing and investigating health problems and health hazards in the community

Question 34
1 out of 1 points

 
Compared with a country with a steady population, a country with a rapidly growing population is most likely to have which of the following characteristics:
Correct Answer: 1. 

Question 35
1 out of 1 points

 
As a society, we endorse the delegation of executive, legislative, and judicial authority to administrative agencies for many reasons, EXCEPT which of these?
Correct Answer:

Question 36
1 out of 1 points

 
The Centers for Disease Control (CDC) does which of the following?
Correct Answer: . 

Question 37
1 out of 1 points

 
More than three-fourths of all US local health departments are organized at this level of government?
Correct Answer:  

Question 38
1 out of 1 points

 
Which of these best describes the role and duties of a public health manager or administrator?
Correct Answer: 1.Plan, organize, direct, control, and coordinate health services, education, or policy

Question 39
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Appropriate considerations for implementation of a screening test include all the following EXCEPT:
Correct Answer:  

Question 40
1 out of 1 points

 
The State Health Officer is usually appointed by the
Correct Answer:

Question 41
0 out of 1 points

 
The concept that government is responsible to ensure that standards are met in every community developed with the 1979 revision of the Model Standards and is referred to as:
Correct Answer:

Question 42
0 out of 1 points

 
Which of these pairs were not included among the so-called “Basic 6” services of public health that characterize public health practice over the first half of the 20th century in the U.S.:
Correct Answer: . 

Question 43
1 out of 1 points

 
Which two occupational categories represent more than one-half of all public health trained personnel in the U.S. workforce?
Correct Answer: 3.Public health nurses and environmental health specialists

Question 44
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Which of these essential public health services is not a component of the policy development core function?
Correct Answer: . 

Question 45
1 out of 1 points

 
Which of these is NOT one of the six universal competency categories for public health professionals identified by a task force of public health practitioners and academics in the early 1990s?
Correct Answer:

Question 46
1 out of 1 points

 
The total number of FTE workers in health agencies at all levels of government is approximately:
Correct Answer:

Question 47
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Which level of government employs the highest percentage of all workers of governmental health agencies?
Correct Answer:

Question 48
1 out of 1 points

 
Which governmental level has the fewest FTE workers in health agencies?
Correct Answer: 3.Federal

Question 49
0 out of 1 points

 
The number of medical and health services managers working in government agencies in the US is closest to which of the following?
Correct Answer: 3.25,000

Question 50
0 out of 1 points

 
The median salary for medical and health services managers working in government agencies in the US is closest to which of the following?
Correct Answer: 4.$90,000

 
COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

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THIS A NURSING PATHOPHYSIOLOGY PAPER

THIS A NURSING PATHOPHYSIOLOGY PAPER

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Details:
Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
  3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment

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Explain how dynamic assessment is consistent with Vygotsky’s zone of proximal development and with scaffolding

 Psychology homework help
 
· Respond to the REVIEW question under the “Ask Yourself” section in Chapter 9. Make sure your response is thorough.
Revel – Section 9.6, Individual Differences in Mental Development – “Explaining Individual and Group Differences in IQ” – Journal 9.4
Since there is actually no “review” question, let’s do the “Connect” question:
“Explain how dynamic assessment is consistent with Vygotsky’s zone of proximal development and with scaffolding (you will need to refer back to the Vygotsky discussion in chapter seven)
· Respond to the APPLY question under the “Ask Yourself” section  in Chapter 9
Revel – Section 9.8, Learning in School – “How Well-Educated Are U.S. Children?” – Journal 9.6
“Sandy wonders why her daughter Mira’s teacher often has students work on assignments in small, cooperative groups. Explain the benefits of this approach to Sandy.”
· Respond to the APPLY question under the “Ask Yourself” section in Chapter 10
Revel – Section 10.2, Self-Understanding – “Influences on Self-Esteem” –
Journal 10.1
“Should parents try to promote children’s self-esteem by telling them they’re “smart” or “wonderful”? Are children harmed if they do not feel good about everything they do? Explain”
****PLEASE RESPOND IN QUESTION/ANSWER FORMAT and ONLY CITE FROM THE BOOK… Chapter 9 & 10    Berk, L. E. (2014). Exploring Lifespan Development (3rd ed.). Boston: Pearson Education, Inc. ISBN-13: 978-0-134-41266-5
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Substance abuse

Students must post one interesting case that he/she has seen in the clinical setting via Discussion Board in the online part of this course. The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. Notes will be graded as “pass/fail”. In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The student will lose the opportunity for points on any SOAP notes not approved by the specified deadlines. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years.
__________________________________________________________________________________________
Sample of a SOAP note below:
HPI:
Patient is a 78-year-old man who live insist that use sunblock he walks a lot outdoors and has a very significant and on his arms with a dryness and arms also.
He presented with cough. chest. The symptom started few days ago. It is described as intermittent. Frequency is daily. The complaint is ongoing. Smoking status: Never smoker
Alcohol consumption: Never consumed
Substance abuse: Never consumed
Active Medications:
Atenolol (25.00000 – mg), take 1.00 tablet by mouth once a day
Lovastatin (40.00000 – mg), take 1.00 tablet by mouth once a day
Pantoprazole sodium (40.00000 – mg), for 90 days,
Tramadol hcl (50.00000 – mg), take 1.00 tablet by mouth twice a day
Allergies: He has no active known allergies.
Review of History:
Past surgical:
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance, Last performed on 10/02/2013.
Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or ct) including arthrography when performed. Colonoscopy, flexible; with biopsy, single or multiple Last performed on 10/20/2010.
Complex uroflowmetry (eg, calibrated electronic equipment), Last recorded on 08/26/2010.
Voiding pressure studies (vp); bladder voiding pressure, any technique. Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging, Last recorded on 08/26/2010.
Cystourethroscopy (separate procedure), Last performed on 08/03/2017.
Biopsy, prostate; needle or punch, single or multiple, Last recorded on 07/02/2014.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, single level.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, each additional level (list separately in addition to code for primary procedure).
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification).
Reviewed the following past medical:
Essential (primary) hypertension.
Constipation, unspecified.
Gastro-esophageal reflux disease without esophagitis.
Benign prostatic hyperplasia without lower urinary tract symptoms. Barrett’s esophagus without dysplasia.
Hematuria, unspecified.
Elevated prostate specific antigen [psa].
Benign prostatic hyperplasia with lower urinary tract symptoms.
Ventral hernia without obstruction or gangrene.
Social History:
He is married, never smoker, has never consumed alcohol, is a current every day consumer of coffee or tea, is not a substance abuser, has a Dairy Free diet, follows a balanced diet, has sufficient rest or recreation, does not have a risky sexual behavior, does not have disabilities, does not have family stress, does not have job stress, does not do physical exercise,has living arrangements: Private Residence with Family.
Family History: His family presents the following diseases: his Mother has Heart disease (high blood pressure), his Father has Heart disease (heart).
ROS:
Eyes: The patient denied change in vision, eye pain, redness, discharge.
Ears, Nose, Mouth, Throat (ENT): The patient denied loss hearing, congestion, sinus pain, change in hearing, ringing in ears (tinnitus), frequent nose bleeds (epistaxi), sore throat, hoarseness, ear pain, pain in throat.
Respiratory: The patient complained of cough, but denied wheezing, hemoptysis, phlegm.
Cardiovascular: The patient denied chest pain, palpitations, dyspnea, orthopnea, shortness of breath, hypertension.
Gastrointestinal: The patient denied acidity, gastritis, flatulence, hiccups, abdominal pain, difficulty swallowing(solids vs liquids), bloating, nausea, diarrhea, constipation, bright red blood per rectum (BRBPR,hematochezia), vomiting_, change in bowel habits, hemorrhoids. GU/Gyne/0B: The patient denied dysuria, hematuria, incontinence, pain with urination, cloudy urine, rectal discomfort.
Musculoskeletal: The patient complained of pain. Left Hip Pain, but denied wound, swelling (edema), tenderness, weakness, areas of numbness. Neurological: The patient denied dizziness, faints, headache, numbness, limb weakness, tremor, memory loss.
Psychiatric: The patient denied depression, anxiety, insomnia, suicidal thoughts.
Endocrine: The patient denied – diabetes mellitus, hair loss, heat or cold intolerance, change in facial or body hair, cf\ange in weight. lnteg.urnentary (skin and/or breast): The patient denied itching, change in moles, dry skin, ecchymosis, onychomycosis, lesion, abscess, rash. Hematologic/Lymphatic: The patient denied anemia, easy bruising, tender or palpable lymph nodes.
Allergic/Immunologic: The patient denied other reactions, sneezing, runny nose, post nasal drip.
Constitutional: The patient denied fever, weight loss, weight gain, night sweats, fatigue/malaise/lethargy.
 
Vital Signs: Weight: 176 lb O oz. Height: 5 ft 8 in.
Pulse: 64 bpm. Pulse: Normal, interpretation: Normal
Blood Pressure: 140/70 mmHg. Location: Left Arm. Position: Sitting. Temperature: 97.6 degrees F. BMI: 26.8 kg/m2. Respiratory rate: 16 bpm.
PE: Constitutional: Overall: Alert, cooperative.in no distress.appears stated age. Development: well developed. Nourishment: well nourished. Eyes: Eye: Conjunctivae and sclerae are clear without icterus.Pupils are reactive and equal..
Ears, Nose, Mouth, Throat (ENT}: Head: Normocephalic, without obvious abnormality,atraumatic .. Ears: Normal external ear canals, both ears .. Nose: mucosa normal no drainage.bleeding .. Throat: Lips mucosa , and tongue normal; teeth and gums normal. Neck: Supple,Symmetrical,trachea midline,no adenopathy,no carotid bruit or JVD. Thyroid gland: normal. Mouth: Lips mucosa , and tongue normal; teeth and gums normal. Cardiovascular: Pulse: regular. Blood pressure: normal. Auscultation: murmur. I/VI SEM.
Respiratory: Chest and Lungs: Clear to ascultation bilaterally, respiration unlabored,no wheezing, rales or crackles ..
Gastrointestinal: Abdomen: hernia. Huge midline hernia Stable. Rectal: deferred. GU/Gyne/OB: Genitalia: deferred.
Musculoskeletal: Hip: pain. Left Hip pain in scale 1 -10 reports 7. Upper extremities: normal atraumatic, no cyanosis or edema. Lower extremities: normal atraumatic, no cyanosis or edema.
lntegumentary (skin and/or breast): Skin: Skin color,texture,turgor normal.no rashes,or lesions .. Nails: normal.
Neurological: Cranial nerves: Cranial Nerves II-XII appears intact. Motor: normal. Coordination and Gait: Alert,Oriented. Reflexes: Strength normal. Sensory: Alert.Oriented,
Psychiatric: Orientation to time, place and person: normal. Recent and remote memory: normal. Mood and affect: No distress,mood looks normal,no agitation,no hallucinations.
Hematologic/Lymphatic: Groin: normal. Other: Cervical, supraclavicular and axillary nodes normal.
Chest / Breast: Breasts: normal.
Assessments:
Essential (primary) hypertension.
Cough.
Body mass index (bmi) 26.0-26.9, adult.
Plan:
Follow up on 1 month
Kenalog 40 mg IM,
Zithromax Z Pack
Cholesterol diet – deeply colored fruits and vegetables, fiber rich grain products, fat-free products, 1 percent and low fat milk products, lean meats and poultry without skin, fatty fish, nuts, seeds, an legumes(dried beans or peas), and unsaturated vegetable oils ..
Patient Education: She received verbal educational instructions for All the questions was answered and understood, breast self exam, Call or Return if Symptoms worsen or persist, Depression Screening Performed today, Discussed Bowel and Bladder Control, Fall precautions and Accident prevention, I Discussed all treatment options with the patient, Reviewed all Current Medications, seat belt, Skin protection, stress
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Modes of HIV Transmission and Personal Risk Factors

Modes of HIV Transmission and Personal Risk Factors
Read Chapter 7 first. Then come to this assignment.
Chapter 7 discusses the different modes by which HIV can be transmitted from person to person. The chapter tells us that the evidence for assigning risks to different levels of activities comes from two main sources: theoretical biological analysis and empirical epidemiological data, bolstered by lab data. Let me explain what this means:
1. “Theoretical biological analysis” means that scientists have learned many different things about the HIV virus by growing it in the lab. In the movie “And the Band Played On” you will remember that one reason it took so long to isolate the virus in the beginning was that is was difficult to grow in the laboratory. That’s related to certain biological properties of the HIV virus. For example, the virus itself is not a living organism. No virus can grow on its own. Every type of virus need to grow inside a cell, called a host cell. Each type of virus has it’s own range of host cells, and it can only gain entry to that cell by binding to a specific receptor on the cell’s surface. The HIV, for example, can only get into cells by binding to a receptor known as the CD4 receptor, which only lives on the surface of a few types of cells. If a cell doesn’t produce the CD4 receptor, the virus can’t get in. How efficiently a virus can infect a person is related to how it moves from person to person (mode of transmission). The ability of the virus to be transmitted is also a factor of its “stabiity”, that is,  how long it can live outside the body, how long it can live at room temperature once it leaves the body, whether it can live on surfaces once it dries out, etc. Every virus is different. So based on what the scientists learn about a certain virus, they can predict how plausible it would be for it to be transmitted under certain conditions.
2. Empirical data: Regardless of what the scientists predict about the plausibility of infection, they must weight it against actual data. “Empirical data” is true data that has been obtained from an actual situation.  Epidemiologists have learned a lot about how HIV is transmitted by exhaustive questioning of HIV patients and the people with whom they’ve had contact. They have learned what type of contact and activities can be associated with the transmission of the disease. This has allowed them to come up with a series of recommendations about the risk factors of contracting the HIV.
In this discussion, each of you should write us a comment about something new that you learned from reading this chapter.  Discuss the biological reason for your surprising finding. With so many questions up in the air, and so many abstract factors surrounding this disease, it is comforting to realize that the scientific thought process and data collection have given us a way to sort it all out. Epidemiology has removed at least some of the fear and panic associated with disease.
Each person should write 150-200 words on their primary comment, and contribute well thought out comments to at least other student’s discussions.
BE SURE TO INCLUDE YOUR NAME AND SUBTOPIC IN THE HEADER FOR YOUR PAPER.
We will discuss each of the subtopics that were chosen by the students. Each of you should take an active role in presenting your topic to the other students. Explain the concept in your own words, or develop it further using a relevant example. As other students present their perspective on the same topic, hopefully an active discussion will take hold. I will jump in only as needed. This format will allow you to develop one subtopic in an active sense, but learn about the others by being drawn into them through other people’s discussions.
Use simple sentence and grammar
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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

Cognitive Behavioral Therapy: Family Settings Versus Individual Settings
Review the media, Johnson Family
Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
Analyze challenges of using cognitive behavioral therapy for families.
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Cognitive Behavioral Therapy: Family Settings Versus Individual Settings
Johnson Family Episode 3 Program Transcript
[PEOPLE SOCIALIZING AT PARTY]
MALE SPEAKER: Hey there. How you feeling?
FEMALE SPEAKER: I’m drunk.
MALE SPEAKER: Yes, you are. Here, have some more.
FEMALE SPEAKER: I need to lay down. I don’t feel so good.
MALE SPEAKER: No, no, no, no. Not here. Not here.
FEMALE SPEAKER: Take me home.
MALE SPEAKER: I can’t leave. It’s my frat party. I actually– But I’ll tell you what, let me take you upstairs. You can use my bed. OK?
FEMALE SPEAKER: Sure.
MALE SPEAKER: All right. Come on, Talia. I got you.
FEMALE SPEAKER: I remember him lying me down on a bed and then he started kissing me. I think I kissed him back. And then he started taking off my pants. I told him to stop, but I must have passed out. When I woke up later, I didn’t have anything on. I just grabbed my clothes and got the hell out of there. I feel like such a fool. I had too much to drink. I don’t know why I let it happen.
FEMALE SPEAKER: Thank you for sharing. It sounds like you still feel responsible for what happened. Has anyone else had similar feelings about something that’s happened to them?
FEMALE SPEAKER: There was this guy once, I told him no just like you. I told him really loud, but it didn’t matter. He did what he wanted anyway. He raped me. And for some reason, I blamed myself for it. It took a long time and a lot of help to realize I was wrong. It wasn’t my fault. Just like it’s not your fault. That frat boy, he’s the one to blame.
FEMALE SPEAKER: When it happened to me some of the people in my life, people I loved, they said it was my fault. Said that I shouldn’t have been where I was. Said it wouldn’t have happened otherwise. But it wasn’t my fault. It wasn’t. But to have people that you trust say those things about you, it’s confusing. It hurts.
FEMALE SPEAKER: Thank you for sharing your thoughts and being supportive. It’s important in a group like this.
FEMALE SPEAKER: Is it? Is it really? I’m not so sure. It hurts talking about it like this. It just, it keeps hurting
Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

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digital revolution

6051 Discussion 8
Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.
To prepare:
· Read the following scenario from the text (McGonigle & Mastrian, 2018, p. 506):
Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.
· Consider how the resources identified in the scenario above could influence an organization’s practice.
· Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.
Post a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice.

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DEFINE KEY TERMS IN INFORMATICS, HEALTHCARE INFORMATICS, AND NURSING INFORMATICS

DEFINE KEY TERMS IN INFORMATICS, HEALTHCARE INFORMATICS, AND NURSING INFORMATICS.

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Impressions of Nursing Informatics

Based on your readings this week, how has your impression of informatics, especially nursing informatics, changed?
 
 
Nursing informatics is a science that integrates nursing knowledge with technology in order to enhance clinical practice and to improve health care delivery for our patients. For our first discussion topic, we are going to discuss your impressions of nursing informatics.  The course outcomes for week one are:
 

CO 1: Define key terms in informatics, healthcare informatics, and nursing informatics.
CO 2: Recognize the importance of synthesizing nursing science with computer, information, and cognitive sciences. 

Nursing informatics combines many technological and personal components.  Please reflect, based on your readings this week, how your impression of informatics, especially nursing informatics, have changed over time.  Do you remember when you were you first introduced to the concept of nursing informatics?  Did you believe nursing informatics was here to stay?
 
Please remember to include evidence based research to support your posts, and, use the APA 6th edition format to cite and reference from the literature

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Program Evaluation Essay

Program Evaluation Essay

Details:
Imagine that you are working at an agency that serves victims of  domestic violence. You have been asked by the agency’s clinical  director to create a trauma-informed care therapy program for victims  of domestic violence.
Write a 700-1,050-word essay describing the program you would want  to create. Address the following in your essay:

  1. Describe how you would do a needs assessment to determine the    need for such a program. Would you use quantitative or qualitative    tools? Why?
  2. What tool would you use to measure the outcome    of the program? Would you use a quantitative or a qualitative tool?  Why?
  3. Research one trauma-informed care intervention you would    recommend to the clinical director and evaluate its effectiveness.    Discuss its validity and reliability as an intervention. Was the    research conducted based on quantitative or qualitative  measures?

Include a minimum of three scholarly resources in your essay.
Prepare this assignment according to the guidelines 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. Refer to the  directions in the Student Success Center

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USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS

USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS.

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Case
Frustrated with ongoing complaints from family members, Reba Sanders, the administrator of 100-bed Lakeview Skilled Care and Rehabilitation Facility, replaced the director of nursing (DON) after she had been on the job for less than 2 years. At the exit conference with Reba, the DON had remarked, “I don’t think pressure ulcers have been a problem in this facility the way it is made out to be by some families. Some patients develop the ulcers at the hospital before they come here; we try our best to take care of them, and I have explained to the families what we are doing. I think firing me is unfair, but it is your decision.” Before the new DON, James Osterwal, was hired for the job, Reba had mentioned to him that looking into the pressure ulcer problem would be his first priority. Reba arranged for James to attend meetings of the local chapter of a national quality improvement organization for nursing homes. Based on some of the information presented at the meetings, James quickly settled on making pressure ulcer elimination as his primary goal. James was quite familiar with the PDSA quality improvement cycle. He discussed it with the charge nurses, decided how data would be collected, and started a campaign asking all nursing staff to adopt the motto: “We will eliminate pressure ulcers at Lakeview.” The associates liked the motto because it gave them a specific goal to work toward. At James’ request, Reba approved hiring an RN nurse coordinator to float between the three shifts. The charge nurses asked their nursing assistants to report to them right away all cases of skin breakdown. James trained the nurses in best practice protocols to treat pressure ulcers. After 4 months, data showed little to no improvement in the prevalence (total number of cases) of pressure ulcers at Lakeview. Both Reba and James could not understand why.
Questions
1.  Based on what you have learned to this point in the course, evaluate the quality improvement program as it pertains to pressure ulcers at Lakeview. Provide a specific outline of weaknesses in the overall approach.
2.  Use the PDSA cycle to address the issue of pressure ulcers. Be specific. For example, how should data be collected? How would you go about identifying root causes of the problem? What interventions would you implement? What roles should the various personnel and the administrator have?
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