Nursing

Genetics and Genomics in Nursing
Genetics and Genomics in Nursing
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QUESTION 8: Chapter 8, Overview of Genetics and Genomics in Nursing
Mr. Wayne is a 38-year-old man with a significant family history of elevated cholesterol levels. His father died at age 42 from a massive heart attack secondary to elevated cholesterol and triglycerides, and two of his older siblings are currently taking medications to lower their cholesterol levels. Mr. Wayne makes an appointment to discuss his risk for hypercholesterolemia. The nurse recognizes that Mr. Wayne is at risk for familial hypercholesterolemia because this is an autosomal dominant inherited condition. (Learning Objective 2)
a. Describe the pattern of autosomal dominant inheritance.
b. Mr. Wayne asks what chance his children have of developing familial hypercholesterolemia. How should the nurse respond?
c. Explain the phenomenon of penetrance observed in autosomal dominant inheritance.
QUESTION 9: Chapter 9, Chronic Illness and Disability
Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home. According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs. (Learning Objective 5)
a. What nursing considerations should be made for Mr. Edwards related to his disability?
b. What health promotion and prevention education does Mr. Edwards need?
QUESTION 8: Chapter 8, Overview of Genetics and Genomics in Nursing
Mr. Wayne is a 38-year-old man with a significant family history of elevated cholesterol levels. His father died at age 42 from a massive heart attack secondary to elevated cholesterol and triglycerides, and two of his older siblings are currently taking medications to lower their cholesterol levels. Mr. Wayne makes an appointment to discuss his risk for hypercholesterolemia. The nurse recognizes that Mr. Wayne is at risk for familial hypercholesterolemia because this is an autosomal dominant inherited condition. (Learning Objective 2)
a. Describe the pattern of autosomal dominant inheritance.
b. Mr. Wayne asks what chance his children have of developing familial hypercholesterolemia. How should the nurse respond?
c. Explain the phenomenon of penetrance observed in autosomal dominant inheritance.

Powerpoint: Technology and Patient Care
Powerpoint: Technology and Patient Care
Needs to be in PPT form or ready to be put into PPT, rubric needs to be followed
Explore the technology systems offered by Nanthealth, a provider of “telehealth” and health management services via the following link:
Prepare a brief (8-10 slides) PowerPoint presentation in which you do the following:
1. Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.
2. Describe how the technologies work to provide patients and providers with data necessary for health care decision making.
3. Discuss how the real-time data encourages outcome-focused planning.
4. Predict what impact the technology will have on future health care delivery. Provide rationale and examples.
Presentations must include speakers’ notes on each slide, as well as references for the presentation. A minimum of three academic references from credible sources are required for this assignment. The slide count (8-10 slides) does not include the introduction and References slide(s).
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.
You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.
Rubric:
1. Presentation identifies two technology innovations to connect patients, providers, and insurers across the care continuum.
2. Presentation’s description for how the technologies work to provide patients and providers with data necessary for health care decision is offered in an accurate manner with details and supported with examples.
3. Discussion for how the real-time data encourages outcome-focused planning is offered in an accurate manner with details and supported with examples.
4. Prediction to the impact the technology will have on future health care delivery offered in a specific terms and supported with rationale and examples.
5. The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.
6. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

Assignment: Care Coding experience.
Assignment: Care Coding experience.
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This assignment requires Ambulatory Care Coding experience.
You CAN NOT google these questions for the answers.
Must be CPC, CCS, or RHIT certified coder.
Please check 40 that are answered, 40 that are unanswered.
Need by 09.16.2015
Ambulatory Care Coding
Patient had a left femoral hemiorraphy for a recurrent hernia, what is the correct code assignment?
C. 49555
A patient was taken to the endoscopy suite. The endoscopy was passed into the esophagus and continued into the duodenal bulb. Based on this documentation, what CPT code would be selected to represent this procedure?
43200
43234
43235
43260
Which of the following is not coded separately from the coronary artery bypass procedure? Assignment: Care Coding experience.
Upper extremity artery
Upper extremity vein
Saphenous vein
Femoropoplitear segment of a vein
Which of the following CPT codes should be used for an emergency curettage due to retained placenta after normal vaginal delivery? Assignment: Care Coding experience.
58120
59160
49320
59840
How do you code a retropubic subtotal prostatectomy?
B. 55831
Treatment of a missed abortion, completed surgically a 22 weeks is coded as?
C. 59821
Which of the following CPT codes describes the surgical removal of kidney stones through an incision in the body of the kidney.
D.50060
The patient undergoes the closure of a nephrocutaneous fistula, how is this coded?
B. 50520
The patient provides a kidney to a sibling who has renal failure. An open procedure is performed. How is this coded?
B. 50320
10. Principles of ICD-9-CM coding for ambulatory care encounters includes.
A. Ambulatory care diagnoses should be coded to the highest of certainly at the conclusion of the encounter.
B. Code suspected diagnoses as if the disease or injury existed.
C. conditions previously treated and no longer existing are coded.
D.Only the most significant diagnosis should be coded.
Level 2 codes of the HCPCS coding system are maintained by the:D.Center for medicare and Medicaid services.
J1020 injection methylprednisolone acetate, 20 mg is an example of aC. Level 2 code
Level one of HCPCS consists of
CPT codes
The inclusion of a code in COT indicates that the procedure is:
Commonly performed across the country
Endorsed by the AMA
Reimbursed by third party payers
The three key components used in defining the levels of E/M services are:
History, examination, medical decision making.
The differences between a new patient and an established patient is whether the patient received professional services from the physician or another physician of the same specialty who belongs to the same group of practice
Within the past three years
Mary Cole, who is recovering from pneumonia, returns to her physicians for follow up. Dr. Small reviews a recent x-ray, performs a problem focus examination followed by a short discussion of findings. CPT code assigned.
99212
Refer to the medical decision making table in your CPT book. Given the following information determine the type of medical decision making involved. Number of diagnoses/management options _ limited, amount and/ or complexity of data reviewed _ moderate risk of complications and / or morbidity or mortality high.
High complexity
Low complexity
Moderate complexity
Straightforward
Joan Harrington is required by required by her insurance company to obtain a second opinion consultation prior to undergoing a hysterectomy, she presents to Dr. Marks who conducts a comprehensive history and physical examination medical decision making is moderate. Dr. Marks concurs that the surgery is necessary. Dr. Marks assigns the following CPT code for the visit.B. 99244
Which code is used to report anesthesia services for a Medicare patient undergoing a tranurethal resection of the prostate?
00914
Cystourethroscopy with fulguration of bladder tumor (2.5 cm inside) is coded.
52235
A biopsy of skin and subcutaneous tissue (3 lesions) would be coded.
C.11643
A debridement of the skin, subcutaneous tissue and muscle is coded.
C.11043
24. Bisch of procedure
63170
25. Open reduction of fracture of the distal fibula with internal fixation
27792
26. Transurethral resection of prostate following urethral dilation.
52601
27. Repeat cry cautery of the cervix.
57510
57511
57511, 57511
5713
28. Two facial lacerations are repaired with layer closure. One is 10 cm and the other is 3 cm.
12016
12035
12052, 12054
12055
29. Esophagoscopy for removal of foreign, body is coded.
43045
43200, 43215
43215
43247
30. Simple hemorrhoidectomy, internal and external with fistulectomy.
46255
43255, 46270
46257
46258
31. Arthroscopy of knew with synovial biopsy.
01382
27330
29870
29875
32. A patient develops difficulty during surgery and the physician discontinues the procedure, identify the modifier that may be reported by the physician to indicate that the procedure was discontinued.
-52
-53
-73
-74
33. EGD with laser destruction of a pedunculated polyp in the duodenum.
43250
43234, 43258
43239
43258
34. What is the correct code assignment for ligation of four hemorrhoids?
A. 46945, 46946
B. 46946
C. 46900, 46910
D. 46924
35. Which of the following is vital for determing why an insurance company paid less than expected?
CPT code book
The explanation of benefits
Knowledge of the insurance regulation
Talking to the patient
36. To properly link the diagnosis to the service what should be listed in box 24 of the CMS_1500 claim form?
The place of service code
One linking reference number from box 21
The CPT code number
The ICD_9-CM code number
37. Which set of percentages is correct for initial hospital services, 99221 65, 99222 296, 99223 362, 99231 261, 99232 410, 99233 174
4%, 19%, 23%
13%, 45%, 42%
9%, 41%, 50%
36%, 57%, 24%
38. A claim is denied because the CPT code and place of service code do not match. Where would the coder look to solve this problem for the future?
B. Fee schedule database
39. A patient presents with a closed fracture of the supracondylar humerus and receives open treatment with intercondylar: How should this be coded?
D.24546
40. Red blood cell count, differential white blood cell count, and platelet count automated, is coded as?
C. 85041, 85004, 85049
41. An asthmatic patient is treated with two nebulizer inhalation treatment on the same day by the same physician, using prefilled vials of 0.5 mg of albuterol and 2.5 mg normal saline. How is this coded?
94640, 94640-76, J7611, J7611
94664-76
94664, 94664-22, J7611x6
94640, 94640
42. A catheter is placed into the renal pelvis for injection. The same physician perfors both the injections and the supervision and interpretation. How is this coded?
50392, 74475-26
50392, 74475
74475-26
74475
43. Magnetic resonanceimagaing cholangiopancreatograpy on a 25 year old male
74185
76498
58037
58042
44. A rapid influenza test is performed with a commercial test kit. When complete, the technician visually reads the results as positive, how is this procedure coded?
87275
87276
87400
87804
45. Some reconstructive plastic surgical procedures are performed in multiple stages. What modifier should the surgeon report when the patient is returned to sugery for a planned stage procedure?
C. 58
46. Accu-check home blood glucose monitor
A4258
E0607
A4253
E0607, A4253
47. CT of maxillofacial area, with and without contrast.
70488
70487
70450
70486, 70487
48. Two- view x-ray of sacrum and cocoyy
D. 82607, J3420
49. What is the correct code for a nonabsorption vitamin B_12 level?
82608
82607
J3420
82607, J3420
50. RS&I of bilateral extremity angiograph
75716
51. When clinical laboratory tests are reported on the same day, what modifier should be assigned?
B. 91
52. In addition to the claim submitted by the surgeon, the assistant surgeon bills for his or her services. What modifier does the assistant surgeon attach to the procedure code?
62
52
81
80
53. A female patient about undergo chemo, decided to harvest and store eggs for later attempts at pregnancy. How is the laboratory service of storage coded?
89342
89346
89343
89528
54. Visual acuity screening
99173
55. Comprehensive opthalmology evaluation for a new patient.
99204
92012
92004
92002
56. Binaural hearing aid check
92539
92591
92590
92591, 92539
57. Individual interactive psychotherapy, outpatient, 50 minutes.
D. 90834, 90784
58. EEG, awake and sleep
B. 95819
59. With the use of imaging, the patient had a percutaneous needle core biopsy of the left brest.
D. LT
60. Barium enema with KUB
C. 74270
61. Planned sigmoidoscopy with removal of foreign body under conscious sedation, procedure not completed due to hypotension. How would the physician report this?
C. 53
62. Comprehensive oral examination
D0150
D0145
D0502
D0121
63. A radiologist interprest x-ray for a community hospital. The equipment belongs to the hospital. What modifier should the radiologist append to his CPT code?
26
TC
59
52
64. Replacement of a nonprogrammable epidural drug infusion pump
62360
62362
62360, 62361
62361
65. Initiation and management of continuous positive airway pressure ventilation
94660
66. Removal of foreign body from cornea using a slit lamp
65205
65222
65205, 65222
65220
67. Cervical collar, foam, un-adjustable
L0150
L0180
E0856
L0120
68. Hearing aid, monaural, behind the ear.
V5241
V5298
V5160
V5060
69. The physician provides a patient covered by commercial insurance with a peak flow meter to use at home.
D. 58096
70. The physician performs an arthroscopic debridement of the shoulder, extensive, with chondroplasty and abrasion, arthroplasty. An arthroscopic mumford procedure is also performed. How is this coded?
11044-RT, 23120-RT
29823-RT, 29824-RT
11044-RT, 29824-RT
29823-RT, 23120-RT
71. The modifier used to report therapeutic interventional procedures on the right coronary artery is.
RT
RC
50
LC
72. The physician performs an open repair of the medical meniscus of right knee: How is this coded.
C. 27403-RT
73. Modified radical mastectomy
19307
74. The physician treats a patient who has osteomyelitis of the left scapula following a past injury. A piece of dead bone is removed from the body of the scapula. How is this coded?
A. 23172-LT
75. The physician performed a partial avulsion of the nail plate of the left thumb.
A. FA
76. Surgical sinus endoscopy with spenoidotomy
C. 31287
77. Percutaneous thrombectomy of AV Fistual Graft
36870
35331
92973
35363
78. Prosthetic aortic value placement, using CP bypass
C. 33405
79. Diagnostic lumber puncture
A. 62270
80. Catheterization of Eustachian tubes, tympanic approach
69631
69405
69405-50
69400

Discussion: Leadership and economic models
Discussion: Leadership and economic models
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Details:
Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose.
The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10.
Professional Capstone and Practicum Reflective Journal
Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10.
In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week:
New practice approaches
Intraprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries.
This reflection journal also allows students to 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 they met competencies and course objectives.
Scholarly Activities
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

Choose your own ethical adventure
Choose your own ethical adventure
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Have you ever made a split-second decision, but wondered after the fact, “what if I had chosen a different option?” Part of studying ethics is the ability to assess the short and long-term consequences of a decision and then choose the option that will have the more favorable outcomes. This module’s assignment gives you the opportunity to turn back the hands of time and examine a time when you wish you would have selected a different path.
In a 1-2 page paper, summarize a time when you had to make an ethical decision. Explain how your different options would affect the outcome. What were some external factors that impacted your decision? If you would have been given more time to make your decision, how would this change your approach or outcome?
APA Format
Scoring Rubric:
Criteria Points
Criteria 1: Student provides clear summary of a time when they had to make an ethical decision. 8
Criteria 2: Explains how the presence of different options would affect the outcome. 8
Criteria 3: Lists external factors that impacted your decision. 8
Criteria 4: Discusses how having more time would have impacted their decision. 8
Criteria 5: Includes correct spelling, grammar, and punctuation. 3
Total 35
Have you ever made a split-second decision, but wondered after the fact, “what if I had chosen a different option?” Part of studying ethics is the ability to assess the short and long-term consequences of a decision and then choose the option that will have the more favorable outcomes. This module’s assignment gives you the opportunity to turn back the hands of time and examine a time when you wish you would have selected a different path.
In a 1-2 page paper, summarize a time when you had to make an ethical decision. Explain how your different options would affect the outcome. What were some external factors that impacted your decision? If you would have been given more time to make your decision, how would this change your approach or outcome?
APA Format
Scoring Rubric:
Criteria Points
Criteria 1: Student provides clear summary of a time when they had to make an ethical decision. 8
Criteria 2: Explains how the presence of different options would affect the outcome. 8
Criteria 3: Lists external factors that impacted your decision. 8
Criteria 4: Discusses how having more time would have impacted their decision. 8
Criteria 5: Includes correct spelling, grammar, and punctuation. 3
Total 35

Picot Statement: Childhood Obesity
Picot Statement: Childhood Obesity
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Formulate a PICOT statement for your capstone project. (Childhood Obesity)
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 750 -1000 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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.
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 750 -1000 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Translational Research Graphic Template
Translational Research Graphic Template
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Use the “Translational Research Graphic Organizer Template” to compare three types of translational research with traditional (qualitative or quantitative) research. Make sure to include methodology, goals, and data collection in your organizer.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Translational Research Graphic Organizer Template
Observations (Similarities/Differences)
Methodology
Goals
Data Collection
In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.
Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.
1. In 250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 450-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and non-maleficence in James’s care?
3. In 250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to include a strong thesis and support your responses with the topic study materials (minimum of 4 citations and references).
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Discussion: Interaction Between Nurse Informaticists
Discussion: Interaction Between Nurse Informaticists
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Discussion: Interaction Between Nurse Informaticists and Other Specialists
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
To Prepare:
Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
Required Readings
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
· Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
· Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)
Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.
Note: You will access this article from the Walden Library databases.
Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.
Note: You will access this article from the Walden Library databases.
Required Media

Group Processes Assignment
Group Processes Assignment
Group therapy is an effective treatment option for a wide range of disorders and is much more cost-efficient than individual therapy. As a result, many insurance companies are showing preference for group therapy over individual therapy. This has led to more therapists including group therapy in their practices, making it very likely that you will facilitate group therapy in the future. To successfully develop groups and apply this therapeutic approach, it is essential for you to have an understanding of group processes and formation.
This week, as you examine group processes and stages of formation, you explore curative factors of groups and strategies for managing intragroup conflict. You also assess progress for a client family receiving psychotherapy and develop progress and privileged psychotherapy notes for the family.
Assignment: Group Processes and Stages of Formation
In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress.
For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.
To prepare:
· Review this week’s Learning Resources and reflect on the insights they provide
on group processes.
· View the media, Group Therapy: A Live Demonstration, and consider the group
dynamics. (THE VIDEO TRANSCRIPT IS ATTACHED TO THIS ASSIGNMENT)
The Assignment
In 3-page paper, address the following:
· Explain the group’s processes and stage of formation.
· Explain curative factors that occurred in the group. Include how these factors
might impact client progress.
· Explain intragroup conflict that occurred and recommend strategies for
managing the conflict. Support your recommendations with evidence-based
literature.

Assignment: rheumatoid arthritis
Assignment: rheumatoid arthritis
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Week 6 quiz
Question 1
A 65-year-old woman has an advanced form of rheumatoid arthritis Her treatment includes a regular dosage of methotrexate The nurse will advise her to take which of the following vitamin supplements while taking the drug?
A) Vitamin A
B) Vitamin B
C) Vitamin C
D) Vitamin D
Question 2
To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should
A) administer calcium supplements.
B) position the patient in the side-lying position.
C) administer carbohydrates.
D) monitor for nausea and vomiting.
Question 3
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics The patient’s care provider has begun treatment with gabapentin (Neurontin) How is the addition of this drug likely to influence the management of the patient’s existing drug regimen?
A) The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved.
B) It is unlikely to influence the patient’s other medications because gabapentin does not interact with other drugs.
C) Gabapentin is contraindicated with the use of exogenous insulin.
D) The patient’s medication-related risk for renal failure must be assessed prior to the use of gabapentin.
Question 4
A nurse is caring for a patient who has been diagnosed with hypothyroidism Levothyroxine (Synthroid) has been prescribed Before the drug therapy is started, the nurse will assess for which of the following?
A) History of taking anticoagulant drugs
B) Allergy to seafood
C) Hirsutism
D) The patient’s age
Question 5
A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident He has been taking dantrolene (Dantrium) for 2 weeks The nurse will monitor which of the following?
A) Prothrombin time and partial thromboplastin time
B) Urine specific gravity
C) Alanine aminotransferase and total bilirubin levels
D) Follicle-stimulating hormone levels
Question 6
A nurse is assessing a patient who has come to the emergency department complaining of back spasms The patient states that he has a history of opioid addiction and does not want to take any drug that “puts me at risk of becoming physically dependent” Which of the following medications would the nurse question, if ordered?
A) Methocarbamol (Robaxin)
B) Orphenadrine (Norflex)
C) Cyclobenzaprine (Flexeril)
D) Metaxalone (Skelaxin)
Question 7
A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient?
A) Risk for Injury related to CNS depressant effects
B) Diarrhea related to anticholinergic effects
C) Altered Nutrition, Less than Body Requirements, related to appetite suppression
D) Impaired Swallowing related to increased muscle tone
Question 8
A nurse is working with a 57-year-old man who is a former intravenous drug abuser He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis Which of the following will the nurse include in her teaching plan for this patient?
A) Avoid high-fat foods
B) Drink plenty of water every day
C) Take the tablets before bedtime
D) Avoid red meat