Nursing

Assignment: Results Of Power Analysis
Assignment: Results Of Power Analysis
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4. Was a power analysis conducted? If so, which statement best describes the results of the power analysis?
a. The authors mention that an a priori power analysis was conducted, and 200 subjects were
determined to be needed for the study.
b. The authors mention that a power analysis was conducted using four predictors and 1-way ANOVA using three independent groups for a needed sample size of 159.
c. The authors do not report that a power analysis was conducted.
5. Which of these statements would be considered an inclusion criterion for the sample in the research article?
a. English-speaking
b. Have at least two years of experience as a nurse
c. Work on a Medical Surgical unit
d. Be a member of the Medical Surgical Nurses Association
6. Which of these statements would be considered to be exclusion criterion specifically identified by the author for the sample in the research article?
a. The exclusion criteria were explained verbally during recruitment.
b. History of depression/ mental health issue.
c. Report of no stress related problems by the participant.
d. Participants only worked on the night shift.
7. What is the refusal rate for this study? (Hint: see page 253 in your text)
a. 161/200 X 100% = 80%
b. 84/159 X 100% = 53%
c. unknown / cannot be calculated.
d. 39/200 x 100% = 19.5%
8. Which of the following would be accurate for the attrition rate for this study?
a. 161/200 X 100% = 80%
b. 39/200 X 100% = 20%
c. 84/159 X 100% = 53%
d. 0%
9. What was the setting for this research study? Briefly describe the setting and indicate whether it was appropriate for conducting this study.
a. The setting for this study was a partially controlled setting and was appropriate for this study’s research design.
b. The setting for this study was not well described by the authors and therefore not appropriate for
conducting this study.
c. The setting for this study was a highly controlled setting and was appropriate for this study’s research design.
d. The setting for this study was a natural or field setting and was appropriate for this study’s research design.
Question 10 – 14: Measurement Methods. (For help with these questions, refer to chapters 10 & 12.)
10. Which ones of these questionnaires, scales, or physiologic measures is used in this research study?
(Select all that apply).
a. The Ways of Coping Questionaire (WAYS)
b. The Nursing Stress Scale (NSS)
c. The Perceived Stress Scale (PSS)
d. The Quality of Life Scale (QOLS)
11. How do the authors describe the reliability of the Nursing Stress Scale (NSS) in previous studies?
a. Two follow-up emails were sent to potential participants.
b. they compared the odd and even questions on the test to determine their equivalence.
c. a team of staff nurses was trained by the primary investigator to administer the questionnaire.
d. they tested a group of subjects twice using the same questionnaire (test-retest reliability).
e. they computed a Cronbach’s alpha on the Nurse Stress Scale that was administered to this group of subjects.
12. How do the authors describe the validity of The Ways of Coping Questionnaire (WAYS).
a. discriminant validity demonstrated that each subscale measured the same constructs.
b. evidence of validity from contrasting groups because they gave it to spouses of MS nurses.
c. no was no mention of determining the validity of WAYS questionnaire.
d. The authors had experience with administering this questionnaire.

Case Study: Auctions
Case Study: Auctions
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The following video describes auctions as price discovery mechanisms
Use the video on auctions and at least 3 academic and/or high-quality business publications, see definitions below, to answer the following questions in 5-7 pages:
1. There are many types of auctions each with strengths and weakness at uncovering the real price/value of an item. Compare and contrast:
a) the English and Dutch auctions; and,
b) the sealed bid first price auction and the Vickery Auction.
2. Concierge Auctions Limited sells very high end and unique properties worldwide using an English style auction, selling to the highest bidder. They have been embroiled in multiple law suits, see the link to the Wall Street Journal. Advise Concierge as to the weakness that an English auction may have in uncovering a property’s value. Provide a recommendation for at least one other auction type which may better uncover the value of unique real estate properties.
3. Auctions are widely used in finance, e-commerce and in e-games. Identify 3 uses of auctions by firms in finance, e-commerce and/or e-games. Explain the:
a) need for an auction in the product/service; and
b) what type of auction is used and why that type of auction is appropriate for the product/service.
4. Auctions are also widely used to generate revenue for not-for-profit organizations. What are the advantages/disadvantages of auctions as revenue generators for not-for-profit organizations?
5. Suggest ways in which the company you work for, or the company which you aspire to work for, can use auctions to better uncover value and increase revenue.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12) with one-inch margins on all sides; citations and references must follow APA format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title and the date. The cover page and the reference page are not included in the required assignment length.
Acceptable Types of Publications
The definition of a high-quality professional business publication is one which is primarily a publication directed to reporting and/or analysis of the workings of business. Examples are: Wall Street Journal, Bloomberg, Reuters…etc. Avoid general news publications such as USA Today, Washington Post, NY Times.
PLEASE DO NOT RELY ON WIKIPEDIA, INVESTOPEDIA OR ANY OTHER PEDIA AS A REFERENCE AT ANYTIME IN THIS COURSE.
Submission Rules
You may submit 1 attempt at the assignment to test your SafeAssign Score. The SafeAssign score should be 25% or less.
You may submit ONE AND ONLY ONE ADDITIONAL ATTEMPT.

Discussion: Quality and Cost Measurements
Discussion: Quality and Cost Measurements
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As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:
· Why are quality measures important?
· What is the difference between quality measures and performance indicators?
· What performance measures are used for NP productivity?
· Why are incentive plans used in clinical organizations?
To prepare:
· Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)
· Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)
By Day 3
Post at least 250 words (no introduction or conclusion)
1. an explanation of the importance of quality measures using the clinical performance measure you identified as an example.
2. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article.
3. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.

Assignment: calcium homeostasis
Assignment: calcium homeostasis
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Question 9.
The NP is teaching a group of older adults about the value of including foods containing antioxidants in their diet. Which of the following statements best captures the rationale underlying the NPs advice?
Antioxidants inhibit the actions of reactive oxygen species (ROS).
Antioxidants prevent the formation of superoxide dismutase.
Antioxidants react nonspecifically with molecules.
Antioxidants prevent the occurrence of cell dysplasia.
Question 10.
Which of the following statements most accurately conveys an aspect of cell injury due to impaired calcium homeostasis?
Normal intracellular calcium ion levels are higher than extracellular levels.
Ischemia and certain toxins cause a decrease in cytosolic calcium.
Injured cells tend to accumulate calcium.
Low calcium levels cause an activation of damaging enzymes.
Question 11.
The NP is providing care for a 21-year-old female patient with gas gangrene of a compound fracture in her arm. Which of the following assessment findings would the nurse most reasonably expect to find when caring for a patient with a diagnosis of gas gangrene?
Inflammation of the affected tissue
A positive culture for Staphylococcus
Spreading edema
Impaired alveolar gas exchange
Question 12.
A 45-year-old patient who experienced exposure to radiation during an industrial accident several years prior is being assessed. Which of the following phenomena may underlie the genetic changes that have been noted in the patient?
Base pairs may have been rearranged by the radiation exposure.
Endonucleases may have influenced the DNA structure following exposure.
Two paired bases may have exchanged helical positions after the accident.
The radiation may have produced redundant or degenerate genetic code.
Question 13.
A child possesses a trait that is the result of the interaction of two different genes, neither of which could have produced the trait independently. Which of the following explanations best captures the genetic explanation for this?
The trait is an expression of multiple alleles.
Epistasis has dictated the phenotypic outcome.
The phenomenon is an example of polygenic inheritance.
The outcome is the result of the interaction between collaborative genes.

Discussion: Health and wellness
Discussion: Health and wellness
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Models of Health Throughout history, society has entertained a variety of concepts of health (David, 2000). Smith (1983) describes four distinct models of health in her classic work: Clinical Model In the clinical model, health is defined by the absence and illness by the conspicuous presence of signs and symptoms of disease. People who use this model may not seek preventive health services or they may wait until they are very ill to seek care. The clinical model is the conventional model of the discipline of medicine. Role Performance Model The role performance model of health defines health in terms of individuals’ ability to perform social roles. Role performance includes work, family, and social roles, with performance based on societal expectations. Illness would be the failure to perform roles at the level of others in society. This model is the basis for occupational health evaluations, school physical examinations, and physician-excused absences. The idea of the “sick role,” which excuses people from performing their social functions, is a vital component of the role performance model. It is argued that the sick role is still relevant in health care today (Davis et al., 2011; Shilling, 2002). Adaptive Model In the adaptive model of health, people’s ability to adjust positively to social, mental, and physiological change is the measure of their health. Illness occurs when the person fails to adapt or becomes maladaptive to these changes. As the concept of adaptation has entered other aspects of American culture, this model of health has become more accepted. For example, spirituality can be useful in adapting to a decreased level of functioning in older adults (Haley et al., 2001).
Eudaimonistic Model In the eudaimonistic model exuberant well-being indicates optimal health. This model emphasizes the interactions between physical, social, psychological, and spiritual aspects of life and the environment that contribute to goal attainment and create meaning. Illness is reflected by a denervation or languishing, a lack of involvement with life. Although these ideas may appear to be new when compared with the clinical model of health, aspects of the eudaimonistic model predate the clinical model of health. This model is also more congruent with integrative modes of therapy (National Institutes of Health, National Center for Complementary and Alternative Medicine [NIH/NCCAM], 2011), which are used increasingly by people of all ages in the United States and the world. In this eudaimonistic model, a person dying of cancer may still be healthy if that person is finding meaning in life at this stage of development.

Discussion: Health Promotion And Education
Discussion: Health Promotion And Education
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QUESTION 4:
Chapter 4, Health Education and Health Promotion
he community health nurse is planning a health promotion workshop for a high school PTSO (Parent-Teacher-Student Organization). The choice of topics was suggested by the high school’s registered nurse who has observed a gradual increase in student obesity. The two nurses have collaborated to develop this workshop to provide parents, students, and teachers with information about the importance of health promotion. (Learning Objectives 6, 8, and 9)
a. Describe the importance of a focus on health promotion.
b. According to the health promotion model developed by Becker (1993), what four variables influence the selection and use of health promotion behaviors?
c. Describe four components of health promotion.
QUESTION 5: Chapter 5, Adult Health and Nutritional Assessment
The registered nurse prepares to conduct a nutritional assessment on Mrs. Varner, a 52-year-old Caucasian female who describes herself as “overweight most of my adult life.” The client states that her health is good. She works part time as a receptionist and volunteers about 10 hours per week in her church. The nurse obtains Mrs. Varner’s height as 64 inches and her weight as 165 pounds. (Learning Objective 8)
QUESTION 5: Chapter 5, Adult Health and Nutritional Assessment
The registered nurse prepares to conduct a nutritional assessment on Mrs. Varner, a 52-year-old Caucasian female who describes herself as “overweight most of my adult life.” The client states that her health is good. She works part time as a receptionist and volunteers about 10 hours per week in her church. The nurse obtains Mrs. Varner’s height as 64 inches and her weight as 165 pounds. (Learning Objective 8)
a. What is the rationale for computing body mass index? What is Mrs. Varner’s BMI?
b. Calculate her ideal body weight. What is your assessment of her BMI and weight?
c. Based on Mrs. Varner’s BMI and weight, the nurse measures her waist circumference. Describe the proper procedure for this assessment.
d. Mrs. Varner’s waist circumference is 38 inches. What is your assessment?
e. What laboratory values would the nurse review to evaluate Mrs. Varner’s protein levels?

Assignment: Cost Justification
Assignment: Cost Justification
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The most common cause of disruptive noise in the hospital is staff conversations (Wallis, 2012). Educating staff and planning can help for the reduction of noise; however this cost the minimal amount. Furthermore, this projects aims in reduction of the noise by using Yacker Tracker; a noise alerting device. A Yacker Tracker costs approximately $100 (based on amazon.com) and each unit requires two devices each for nurse station and for hallways.
Project Evaluation
Project evaluation is necessary to determine the effectiveness of the project and for the continuation of the project in the future. Prior to the implementation of the project, sound environment assessment is carried out for the determination of noise-level in each unit of the hospital. Same method is applied to determine the noise-level after the implementation of the project, and differences between them are measured statistically (Kol et al, 2015). An evaluation for the project can be developed by using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data before and after the implementation of the project (Murphy et al, 2013).
In conclusion, the Night Time Noise Reduction project will be very effective to reduce the noise in a cost friendly way. This project will not only improve the environment of the hospitals but will also have beneficial effect on the health of patients and staffs. This project will be helpful in answering one of the reasons behind the declining quality of hospital environment and will help in improving the overall rating of the hospital.
prevention of pressure ulcer
;Pressure ulcer prevention is a prevalent topic in health care setting today. It can have a devastating effect on a person`s health and quality of life. During the time of admission, it is important to identify the high-risk patient prone for getting pressure ulcer and implement the preventive measures immediately. “Each year, more than 2.5 million people in the United States develop pressure ulcers. These skin lesions bring pain, associated risk for serious infection, and quality of life. These measures allow for the reduction of expenditures and re-allocation of funds into other important increased health care utilization (ARHO, 2013)”. Most pressure ulcers can be prevented by the health care team.
Purpose
There are several wound care products in health market that have dramatically improved, protected and supported skin from pressure ulcer. The main purpose of this project is to practice foam dressing called Mepilex border Flex proven to prevent pressure ulcer, alone with performing the Braden scale skin assessment. The use of Mepilex bordered dressing reduces friction and redistribute pressure as well as provided an optimal microclimate. Mepilex foam bordered dressing have antimicrobial actions of ionic silver with soft silicone adhesive reduced pain and provide healing. The frequency of occurrence and increased cost for treating pressure ulcer has promoted health care industry to implement new interventions in order to prevent hospital acquired pressure ulcers. In the past nurses were responsible for pressure ulcer care prevention but the current research has proven that a multidisciplinary approach is needed for management of pressure prevention. Effective pressure ulcer prevention needs educating health care providers and patients in prevention technique. Pressure ulcer prevention and management are the most direct and very cost effective measures hospital can utilize to improve patient safety areas in the facility. Hospitals need to become more rapacious in creating wound care protocols that will assist in the treatment and prevention of pressure ulcers (Ackerman, 2011).
The target population
According to Agency for Healthcare Research and Quality “90% of all pressure ulcer related hospitalizations are due to secondary pressure ulcer diagnosis, 72% of patients are 65years or older and about 60,000 patients die each year as a result of a pressure ulcer” (ARHO, 2013). Poor nutrition, dementia, age, mobility, medical condition is the primary reason for hospital admitted patient to get pressure ulcers. Here the targeted patient population is over age 18 and older who are admitted with debility, and who should be assessed closely for pressure ulcer.

Assignment: Transnational Crime
Assignment: Transnational Crime
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Explore a culture that has been linked to criminal behavior. At one time or another all cultures have had some link to criminal behavior, whether that’s organized crime, drug trafficking, terrorism, or civil disobedience. In a 12–15 PowerPoint slide presentation (excluding title and reference slides) complete the following:
Identify one culture or ethnicity that has ties to transnational crime, and describe its links to criminal behavior.
Evaluate its role in transnational crimes.
Analyze and explain how this culture or ethnicity has had an impact on systems of justice.
Be sure to discuss the role that socialization and religion play in shaping the beliefs of this culture. Provide examples determining why these beliefs are formed, and how culture and religion shaped these beliefs. Be sure to use speaker notes as well.
You will need to use a minimum of 3 academic sources. Use Google Scholar, JSTOR, textbooks, and/or .gov websites to keep the true academic sources in your papers. TURNITIN MUST BE UNDER 20% Make sure to write a few sentences discussing how you evaluated the credibility of your sources.
Explore a culture that has been linked to criminal behavior. At one time or another all cultures have had some link to criminal behavior, whether that’s organized crime, drug trafficking, terrorism, or civil disobedience. In a 12–15 PowerPoint slide presentation (excluding title and reference slides) complete the following:
Identify one culture or ethnicity that has ties to transnational crime, and describe its links to criminal behavior.
Evaluate its role in transnational crimes.
Analyze and explain how this culture or ethnicity has had an impact on systems of justice.
Be sure to discuss the role that socialization and religion play in shaping the beliefs of this culture. Provide examples determining why these beliefs are formed, and how culture and religion shaped these beliefs. Be sure to use speaker notes as well.
You will need to use a minimum of 3 academic sources. Use Google Scholar, JSTOR, textbooks, and/or .gov websites to keep the true academic sources in your papers. TURNITIN MUST BE UNDER 20% Make sure to write a few sentences discussing how you evaluated the credibility of your sources.

Discussion: Anaphylactic Shock
Discussion: Anaphylactic Shock
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The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration. Immediate medical intervention and emergency room visits are vital for some patients, while others can be treated through basic outpatient care.
Consider the January 2012 report of a 6-year-old girl who went to her school nurse complaining of hives and shortness of breath. Since the school did not have any medication under her name to use for treatment and was not equipped to handle her condition, she was sent to an emergency room where she was pronounced dead. This situation has raised numerous questions about the progression of allergic reactions, how to treat students with severe allergies, how to treat students who develop allergic reactions for the first time, and the availability of epinephrine in schools. If you were the nurse at the girl’s school, how would you have handled the situation? How do you know when it is appropriate to treat patients yourself and when to refer them to emergency care?
To prepare:
· Review “Anaphylactic Shock” in Chapter 23 of the Huether and McCance text, “Distributive Shock” in Chapter 10 of the McPhee and Hammer text, and the Jacobsen and Gratton article in the Learning Resources.
· Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.
· Consider when you should refer patients to emergency care versus treating as an outpatient.
· Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the process of anaphylactic shock.
Post 1 page APA
1. an explanation of the physiological progression that occurs in anaphylactic shock.
2. Then, describe the circumstances under which you would refer patients for emergency care versus treating as an outpatient.
3. Finally, explain how the patient factors you selected might impact the process of anaphylactic shock.
Course readings
· Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.
o Chapter 22, “Structure and Function of the Cardiovascular and Lymphatic Systems”
This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.
o Chapter 23, “Alterations of Cardiovascular Function”
This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.
o Chapter 24, “Alterations of Cardiovascular Function in Children”
This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart diseases from acquired cardiovascular disorders.
· McPhee, S. J., & Hammer, G. D. (2010). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.
o Chapter 10, “Cardiovascular Disorders: Heart Disease”
This chapter begins by exploring the normal structure and function of the heart. It then examines the etiology, pathophysiology, and clinical manifestations of five heart disorders: arrhythmias, congestive heart failure, valvular heart disease, coronary artery disease, and pericardial disease.
· Jacobsen, R. C., & Gratton, M. C. (2011). A case of unrecognized prehospital anaphylactic shock.Prehospital Emergency Care, 15(1), 61–66.
Retrieved from the Walden Library databases.
This article provides information relating to the diagnosis and management of anaphylactic shock. It also explores difficulties encountered when diagnosing uncommon clinical presentations of anaphylactic shock.

Assignment: Stream Morphology Laboratory
Assignment: Stream Morphology Laboratory
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This lab enables you to construct a physical scale model of a stream system to help you understand how streams and rivers shape the landscape, and how human actions can affect river ecosystems.
Take the required photos and complete all of the assignments (calculations, data tables, etc). On the lab worksheet, answer all the questions in the Lab questions section. Finally transfer all your answers and visual elements from the Lab Worksheet into the Lab Report. You will submit both the Lab Report and The Lab Worksheet Before you begin the assginment read the Stream Morphology Investigation Manual and review The Scientific Method presentation video Complete Activity 1 and Activity 2 using materials that you supply. Photograph each activity following these instructions: When taking lab photos, you need to include in each image a strip of paper with your name and the date clearly written on it.. My name is Tammy Sargent Complete all parts of the Week 1 Lab worksheet and answer all of the questions in the “Lab Questions section Transfer your responses to the lab questions and the data table and your photos from the Lab Worksheet into the Lab Report Template Submit your completed Lab Report and Lab Worksheet.
This lab enables you to construct a physical scale model of a stream system to help you understand how streams and rivers shape the landscape, and how human actions can affect river ecosystems.
Take the required photos and complete all of the assignments (calculations, data tables, etc). On the lab worksheet, answer all the questions in the Lab questions section. Finally transfer all your answers and visual elements from the Lab Worksheet into the Lab Report. You will submit both the Lab Report and The Lab Worksheet Before you begin the assginment read the Stream Morphology Investigation Manual and review The Scientific Method presentation video Complete Activity 1 and Activity 2 using materials that you supply. Photograph each activity following these instructions: When taking lab photos, you need to include in each image a strip of paper with your name and the date clearly written on it.. My name is Tammy Sargent Complete all parts of the Week 1 Lab worksheet and answer all of the questions in the “Lab Questions section Transfer your responses to the lab questions and the data table and your photos from the Lab Worksheet into the Lab Report Template Submit your completed Lab Report and Lab Worksheet.