Tag Archive for: Nursing Essay Help

What can you do in advance to prepare for the changes during the first year of employment?

What can you do in advance to prepare for the changes during the first year of employment?

1. What are three questions you should ask yourself when you begin your job search?

2. What are the most common mistakes people make in preparing their résumés?

3. What should you know about your prospective employer before the job interview?

4. What should the interviewee try to achieve during a job interview? What should you look for? What red flags should you watch for?

5. What can you do in advance to prepare for the changes during the first year of employment?

6. Create your own SWOT analysis. How would you respond to your personal strengths and weaknesses if you were a prospective employer? How can you enhance your strengths and improve in areas of weakness?

7. Draw a career path for yourself, beginning with the present year and extending to the age of retirement. Be sure to include any “twists and turns” of the path you expect to experience along the way and any barriers you expect to encounter. How will you handle these experiences?

Do an online nationwide search for information about current job prospects in nursing.Compare opportunities in various regions of the country. Why do you think these opportunities are the same or different?

5. Develop a list of questions that you should ask a potential employer. What “homework” will you need to do to prepare for an interview?

What are challenges for patients that do not have access to all of the EHRs?

What are challenges for patients that do not have access to all of the EHRs?

Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with concern. The office staff discussed that she had gone to receive part of her lab work at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.

The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.

As you review this scenario, reflect and answer these questions for this discussion.

What are the pros and cons of the situation in the case study?

What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?

Do you agree or disagree with this process?

What are challenges for patients that do not have access to all of the EHRs? Remember, only portions of the EHRs are typically included in the PHRs.

What are the roles of behavior change and self-care in achieving population health outcomes

What are the roles of behavior change and self-care in achieving population health outcomes

It stated that “an estimated 30-60% of patients are not compliant with their physicians-directed treatment or medication regimens. Because of the serious clinical and cost concerns this raises, behavior modification has become recognized as an integral part of the population health paradigm.”(Nash, Fabius, Skoufalos, Clarke & Horowitz, 2016, p. 28) “What are the roles of behavior change and self-care in achieving population health outcomes” (Nash, Fabius, Skoufalos, Clarke & Horowitz, 2016, p. 35).

Reference:

Nash, D.B., Fabius, R.J., Skoufalos, A., Clarke, J.L. & Horowitz, M.R. (2016). Population health: creating a culture of wellness. Burlington: MA, Jones & Bartlett.

What alteration occurs in injured endothelial cells that contributes to atherosclerosis?

What alteration occurs in injured endothelial cells that contributes to atherosclerosis?

Question

Question 1

2 / 2 pts

In hemolytic anemia, jaundice occurs only when

the patient has elevations in aspartate transaminase (AST) and alanine transaminase (ALT).

heme destruction exceeds the liver’s ability to conjugate and excrete bilirubin.

the erythrocytes are coated with an immunoglobulin.

erythrocytes are destroyed in the spleen.

Question 2

2 / 2 pts

Symptoms of polycythemia vera are mainly the result of

destruction of erythrocytes.

neurologic involvement.

increased blood viscosity.

a decreased erythrocyte count.

Question 3

2 / 2 pts

The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.

pernicious

microcytic

hypochromic

hemolytic

Question 4

2 / 2 pts

Pernicious anemia generally requires continued therapy lasting

8 to 12 months.

the rest of one’s life.

until the iron level is normal.

6 to 8 weeks.

Question 5

2 / 2 pts

In some anemias, the erythrocytes are present in various sizes, which is referred to as

microcytosis.

poikilocytosis.

isocytosis.

anisocytosis.

Question 6

2 / 2 pts

Untreated pernicious anemia is fatal, usually because of

renal failure.

heart failure.

brain hypoxia.

liver hypoxia.

Question 7

0 / 2 pts

Local signs and symptoms of Hodgkin disease–related lymphadenopathy are a result of

inflammation and ischemia.

obstruction and pressure.

ischemia and pressure.

pressure and obstruction.

Question 8

2 / 2 pts

What is the most common cause of vitamin K deficiency?

An IgG-mediated autoimmune disorder

Liver failure

Total parenteral nutrition (TPN) with antibiotic therapy

Administration of warfarin (Coumadin)

Question 9

2 / 2 pts

Heparin-induced thrombocytopenia (HIT) is described as a(n)

IgG immune-mediated adverse drug reaction that reduces circulating platelets.

hematologic reaction to heparin in which the bone marrow is unable to produce sufficient platelets to meet the body’s needs.

cell-mediated drug reaction in which macrophages process the heparin and platelet complexes that are then destroyed by activated cytotoxic T cells.

IgE-mediated allergic drug reaction that reduces circulating platelets.

Question 10

2 / 2 pts

Which proinflammatory cytokines are responsible for the development and maintenance of DIC?

Tumor necrosis factor-alpha (TNF-a); IL-1, IL-6, and IL-8; and platelet-activatingfactor (PAF)

Granulocyte-macrophage colony-stimulating factor (GM-CSF); IL-3, IL-5, and IL-9, and IFN-?

Granulocyte colony-stimulating factor (G-CSF); IL-2, IL-4, and IL-10; and IFN-?

Macrophage colony-stimulating factor (M-CSF); IL-7, IL-11, and IL-14; and PAF

Question 11

2 / 2 pts

G6PD and sickle cell disease are

diagnosed equally in men and women.

inherited autosomal recessive disorders.

inherited X-linked recessive disorders.

disorders initiated by hypoxemia and acidosis.

Question 12

2 / 2 pts

The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait

has the mildest form of the disease with normal hemoglobin and hemoglobin F, which prevents sickling.

has a mild form of sickle cell disease that causes sickling during fever and infection, but not during acidosis or hypoxia, whereas the child with sickle cells disease develops sickling during each of these conditions.

has a milder form of the disease that is characterized by vaso-occlusive crises and is believed to result from higher hemoglobin values and viscosity.

inherited normal hemoglobin A from one parent and Hb S from the other parent, whereas the child with sickle cell disease has Hb S from both parents.

Question 13

2 / 2 pts

Hemolytic disease of the newborn can occur if the mother is

type AB blood and the fetus has type B.

Rh-positive and the fetus is Rh-negative.

Rh-negative and the fetus is Rh-positive.

type A blood and the fetus has type O.

Question 14

2 / 2 pts

What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?

Icterus gravis neonatorum

Jaundice

Kernicterus

Icterus neonatorum

Question 15

2 / 2 pts

In a full-term infant, the normal erythrocyte life span is _____ days, whereas the adult is _____ days.

30 to 50; 80

60 to 80; 120

120 to 130; 150

90 to 110; 140

Question 16

0 / 2 pts

Idiopathic thrombocytopenic purpura (ITP) is an autoimmune process involving antibodies against

eosinophils.

basophils.

neutrophils.

platelets.

Question 17

2 / 2 pts

Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes?

15

10

25

20

Question 18

0 / 2 pts

The risk of developing coronary artery disease is increased up to threefold by

obesity.

hypertension.

high alcohol consumption.

diabetes mellitus.

Question 19

0 / 2 pts

What alteration occurs in injured endothelial cells that contributes to atherosclerosis?

They are unable to make the normal amount of vasodilating cytokines.

They produce an increased amount of antithrombotic cytokines.

They develop a hypersensitivity to homocysteine and lipids.

They release toxic oxygen radicals that oxidize low-density lipoproteins (LDLs).

Question 20

2 / 2 pts

In systolic heart failure, what effect does angiotensin II have on stroke volume?

Increases preload and decreases afterload

Increases preload and increases afterload

Decreases preload and decreases afterload

Decreases preload and increases afterload

Question 21

2 / 2 pts

What is the most important clinical manifestation of aortic coarctation in the neonate?

Congestive heart failure (CHF)

Cor pulmonale

Cerebral hypertension

Pulmonary hypertension

Question 22

2 / 2 pts

When does most cardiovascular development occur?

Between the 12th and 14th weeks of gestation

Between the eighth and 10th weeks of gestation

By the 28th day of gestation

Between the fourth and seventh weeks of gestation

Question 23

2 / 2 pts

Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click?

Pulmonic stenosis

Hypoplastic left heart syndrome

Aortic stenosis

Coarctation of the aorta

Question 24

2 / 2 pts

Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?

Coarctation of the aorta and pulmonary stenosis

Tetralogy of Fallot and persistent truncus arteriosus

Atrial septal defect and dextrocardia

Ventricular septal defect and patent ductus arteriosus

Question 25

2 / 2 pts

The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.

right atrium; left atrium

right atrium; right ventricle

right ventricle; left ventricle

left atrium; left ventricle

What type of vendor support and vendor maintenance will you need after implementation?

What type of vendor support and vendor maintenance will you need after implementation?

***100% PLAGARISM FREE!!!!!!!!!!!!!!!*******

6 FULL PAGES. 4 TOTAL REFERENCES!!

PART ONE- needs to have at least 3 pages at least 2 references APA format

Now that you have identified the data sets, discussed the electronic health record (EHR) and computerized physician order entry (CPOE), and identified patient demographic information data elements that are necessary for the new system, you will begin your needs analysis in preparation for selecting the vendor for the EHR.

  • Identify the appropriate department heads that need to be part of the EHR implementation committee.
  • The computers in the facility are outdated. Identify what will need to be done to prepare for the EHR implementation.

PART TWO- needs to have at least 3 pages at with 2 references APA format.

  • Choose 3 departments in your facility, and describe the specific needs that they have requested that will help enhance their work after implementation of the electronic health record (EHR).
  • Discuss what training will need to be done prior to implementation.
  • What type of vendor support and vendor maintenance will you need after implementation? How long will this be needed?
  • Write 5 questions that your facility can ask about the product the vendor will present to you as you start your vendor interviews and selection process.

 

APA references must be present for all sources used.

Why are some parents choosing not to vaccinate their children in recent years? 

Why are some parents choosing not to vaccinate their children in recent years? 

child and Adolescent Health

Read chapter 33 of the class textbook and review the attached Power Point presentation. Once done, answer the following questions;

Do you think that school nurses should or should not be allowed to discuss contraception and pregnancy options with students? What are the possible pros and cons?

Why are some parents choosing not to vaccinate their children in recent years?

How do students view this issue? Should this be a parents’ right? Discuss any current events surrounding this issue- research, lawsuits, outbreaks, CDC news.

Do you feel that there are enough programs and funding available for children regarding mental health promotion and developmental issues? What types of programs are students familiar with? What areas do they feel are not well addressed? How would they improve this situation if given the chance?

As stated in the syllabus, present your assignment in an APA format, word document, Arial 12 font attach to the forum in the discussion tab of the blackboard title “week 12 discussion questions”. The requirements for the assignment are the following;

-Minimum of 500 words without counting first and reference page2

-2 evidence based references excluding the class textbook

  • attachment

    communityChapter33.pptx

How does technology improve the type and quality of care received by long-term care consumers?

How does technology improve the type and quality of care received by long-term care consumers?

Role of Technology in Long-Term Care

Using the South University Online Library and the Internet, find three articles describing the role technology will play in addressing the challenges ahead in long-term care. Summarize your findings and based on your learning, respond to the following questions:

  • Which challenges in long-term care system remain unmet? Why?
  • What changes can we expect to occur with the influx of baby boomers entering into the long-term care system?
  • Why do you think technology is important to long-term care? Support your answer with relevant examples.
  • What are the pros and cons of the implementation of technology in long-term care? Consider both providers and consumers while describing.
  • How does technology improve the type and quality of care received by long-term care consumers?
  • How important is the commitment by top management for the use of information technology in long-term care to be successful? Why?
  • How can the challenges be proactively addressed as opposed to being reactive?

Legal and Ethical Issues: Case Study

Cathy Smith, an eighty-eight-year-old woman, was admitted to the emergency room from the nursing facility with acute respiratory distress. Although Smith does not have a living will, her daughter Rose, a health care professional, has the power of attorney (POA) to make her mother’s health decisions.

Smith suffers from end-stage Alzheimer’s disease and recently experienced congestive heart failure. Her condition is alarming. The doctors want to place her on life-support equipment, including a ventilator. Smith’s son, Andrew, agrees with the doctor’s decision. However, Rose states her mother would never want to be placed on life-support machines to prolong her life.

Analyze the scenario and answer the following questions:

  • What are the autonomy-beneficial conflicts between Rose and Andrew related to placing their mother on life support in this case? Who has the right to make the decision on behalf of the client? Why?
  • What are the ethical issues related to the competency and decision-making capacity of the client while making the health care decisions? Do these issues impact the services offered in long-term care? How?
  • What are some of the critical issues related to informed consent? Who has the right to assume this responsibility? Why?

What roles do culture, ethnicity, race, and socioeconomic status play in families’ experiences in the health care system?

What roles do culture, ethnicity, race, and socioeconomic status play in families’ experiences in the health care system?

Read the Case Story of A Day in the Sleep Clinic http://support.mchtraining.net/national_ccce/case5/case.html

After reading the story, click on the Activities link on the left side. Review Activity #1.

Address the following in a paper:

  1. What aspects of Dr. Williams’ behavior influence the decisions of the families he works with and possibly influence the ultimate health outcomes of their children?
  2. What roles do culture, ethnicity, race, and socioeconomic status play in families’ experiences in the health care system?
  3. What factors, other than provider-patient communication, influence disparities in health outcomes?

Assignment Expectations

Length: 2–3 pages (excluding the cover page and the reference list).

Examine the importance of the continuum in understanding the differences among managed care plans.

Examine the importance of the continuum in understanding the differences among managed care plans.

Managed Care Models

Managed care’s level of control and relationships with medical service providers has been described on a continuum of control from the least controlled managed care model to the most restrictive as:

  • Tighter elements of control over health care delivery
  • More direct interaction with providers
  • Increased overhead cost and complexity
  • Greater control of utilization
  • Increased control on quality

The continuum of managed care models helps to understand the level of control for access, quality, and costs for each model. It is also true that managed care models are influenced by the market they serve. The geographic region impacts the design of managed care models. On the basis of what you learned in your readings of this week and the information provided in this assignment, answer the following questions:

  • Examine the importance of the continuum in understanding the differences among managed care plans.
  • Identify an MCO functioning in both your area and in some other parts of the country (for example, BCBS of California and BCBS of Georgia). Compare the organizations relative to the type of managed care products each offers.
  • Compare and contrast your findings with what you learned in readings this week.
  • If you were an employer looking for a managed care product for your employees, which of these three: HMO, PPO, or CDHP would you choose and why?

After answering the above questions, read the following information:

There are several key elements required in a physician’s contract with an MCO. A typical contract between an MCO and a physician specifies the types of services offered, the number of members or lives covered in the plan, the standards and credentials needed to be maintained by the provider, and, of course, compensation. Utilize your readings and search the South University Online library or the Internet to answer the following questions:

  • Explain the key elements of the physician’s contract.
  • Examine the common clauses and provisions of the physician’s contract.
  • Explain the contract negotiation and credentialing process.
  • please cite all sources