Nursing

Assignment: history of nasal congestion
Assignment: history of nasal congestion
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Respiratory disorders such as pneumonia and asthma are among the leading causes of hospitalization in pediatric patients (U.S. Department of Health and Human Services, 2011). With such severe implications associated with many respiratory disorders, advanced practice nurses must be able to quickly identify symptoms, diagnose patients, and recommend appropriate treatment. For this Discussion, consider potential diagnoses and treatments for the patients in the following three case studies.
Case Study 1:
A 14-month-old female presents with a 4-day history of nasal congestion and congested cough. This morning, the mother noted that her daughter was breathing quickly and “it sounds like she has rice cereal popping in her throat.” Oral intake is decreased. Physical examination reveals the following: respiratory rate is 58, lung sounds are diminished in the bases, she has pronounced intercostal and subcostal retractions, expiratory wheezes are heard in all lung fields, and her tympanic membranes are normal. There is moderate, thick, clear rhinorrhea and postnasal drip. Her capillary refill is less than 3 seconds, and she is alert and smiling. Her RSV rapid antigen test is positive.
Case Study 2:
Brian is a 14-year-old known asthmatic with a 2-day history of worsening cough and shortness of breath. He reports using a short-acting beta agonist every 3 hours over the previous 24 hours. He has a long-acting inhaled corticosteroid, but the prescription ran out, and he forgot to get it refilled. He says he came today because he woke up at 2 a.m. coughing and couldn’t stop, thus preventing him from going back to sleep. Over-the-counter cough suppressants don’t help. He denies cigarette smoking, but his clothing smells like smoke. His respiratory rate is 18 and he has prolonged expiration and expiratory wheezes in all lung fields. There are no signs of dyspnea. All other exam findings are normal.
Case Study 3:
A father presents his 9-year-old with a 3-day history of cough. Dad states that his son is coughing up yellow mucus. The boy is afebrile and is sleeping through the night, but the father’s sleep is disturbed listening to his son coughing. Dad says he thinks his son has bronchitis and is requesting treatment. Physical examination reveals the following: respiratory rate is 18, lungs are clear to auscultation, patient is able to take deep breaths without coughing, there is no cervical adenopathy, nasal turbinates are slightly enlarged, and there is moderate clear rhinorrhea.
Case Studies 4–6
Assessing, diagnosing, and treating pediatric patients for many cardiovascular and genetic disorders can be challenging. As an advanced practice nurse who facilitates care for patients presenting with these types of disorders, you must be familiar with current evidence-based clinical guidelines. Because of the clinical implications, you have to know when to treat patients with these disorders and when to refer them for specialized care. In this Discussion, you examine the following case studies and consider appropriate treatment and management plans.

Reading Research Literature Worksheet
Reading Research Literature Worksheet
Assignment Directions:
Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.
Download and complete the required .
Download or access the required article. The required article must be used. O’Connor, M., Tanner, P. , Miller, L., Watts, K., & Musiello, T. (2017). Detecting distress: Introducing routine screening in a gynecological cancer setting. Clinical Journal of Oncology Nursing, 21(1), 79-85. Retrieved from
You must use the grading rubric to ensure you are meeting all grading criteria of the worksheet.
You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREEby downloading from the student portal at . Click on the envelope at the top of the page.
Use correct grammar, spelling, punctuation, and in-text APA formatting.
Assignment Directions:
Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.
Download and complete the required .
Download or access the required article. The required article must be used. O’Connor, M., Tanner, P. , Miller, L., Watts, K., & Musiello, T. (2017). Detecting distress: Introducing routine screening in a gynecological cancer setting. Clinical Journal of Oncology Nursing, 21(1), 79-85. Retrieved from
You must use the grading rubric to ensure you are meeting all grading criteria of the worksheet.
You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREEby downloading from the student portal at . Click on the envelope at the top of the page.
Use correct grammar, spelling, punctuation, and in-text APA formatting.

Assignment: oral surgery
Assignment: oral surgery
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Question 27 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following?
A) Bronchoconstriction
B) Hepatotoxicity
C) Aplastic anemia
D) Agranulocytosis
Question 28 A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to
A) avoid aggravating the gastrointestinal tract
B) ensure quick distribution of the drug
C) prevent the risk of infection or bleeding
D) minimize the risk of depressed bone marrow function
Question 29 A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient’s drug regimen. This will involve the administration of
A) daily, outpatient intravenous therapy
B) daily, oral administration
C) weekly subcutaneous injections
D) weekly administration of an enteric coated tablet
Question 30 A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically?
A) Antidiuretic hormone (ADH) levels
B) Height
C) Dehydration
D) Water retention
Question 27 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following?
A) Bronchoconstriction
B) Hepatotoxicity
C) Aplastic anemia
D) Agranulocytosis
Question 28 A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to
A) avoid aggravating the gastrointestinal tract
B) ensure quick distribution of the drug
C) prevent the risk of infection or bleeding
D) minimize the risk of depressed bone marrow function
Question 29 A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient’s drug regimen. This will involve the administration of
A) daily, outpatient intravenous therapy
B) daily, oral administration
C) weekly subcutaneous injections
D) weekly administration of an enteric coated tablet
Question 30 A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically?
A) Antidiuretic hormone (ADH) levels
B) Height
C) Dehydration
D) Water retention

Assignment: Systems Development and Implementation
Assignment: Systems Development and Implementation
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Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.
To Prepare:
Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation supportAssume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.To Prepare:
Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation support

Discussion: Bumper crop of politicians
Discussion: Bumper crop of politicians
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1. TCO 5. There has been a bumper crop of politicians who have been revealed to be less than upstanding citizens. John Edwards, a former senator who was in the running for the 2008 presidential nomination, and who said family values were at his core, was revealed to have had an affair with a campaign worker, at the same time his wife was battling cancer. Similarly, New York governor Eliot Spitzer, a married, moralizing crusader for laws against sexual tourism, was caught in an escort service “sting”, and forced to resign. These are only two of several recent examples of politicians who have celebrity status, and flaunted the social norms of decency.
Apply the course concepts of the dark side of self-esteem and moral hypocrisy to this type of behavior. What do you conclude about people who behave in such a way? Hint: Explicitly use each concept by name and also give a one sentence definition of it before explaining how the concepts apply to these people. Discussion: Bumper crop of politicians
(Points : 41)
Question 2. 2. TCO 6. The Beltway sniper attacks in the Washington D.C. area, in 2002, completely transfixed American consciousness for the three weeks in October, when a pair of armed killers roamed through the Capital region, ambushing and killing 10 people, and wounding three others. As time progressed and law enforcement officials were having little luck in solving the case, tensions and apprehensiveness spread far beyond the area where the killings were concentrated. Even though there was never any hard evidence that the killers were headed in their direction, the citizens of towns and cities a hundred miles away were terrorized by the notion that the killers were about to show up in their communities. Discussion: Bumper crop of politicians
Discuss this with respect to the effects of suggestibility that Myers writes about in Chapter 6. Be specific as to what aspects of suggestibility apply to the case.
(Points : 41)
Question 3. 3. TCO’s 4 and 12. At the 2008 Summer Olympics, Cuban Taekwondo athlete Angel Matos fell to the mat, after being hit by his opponent. He became incensed at the referee, who disqualified him for exceeding the one-minute time-out allowed for an injury. Matos angrily disputed the call, physically pushing a judge and then pushing and kicking the referee in the face. He spat on the mat and was escorted out by officials. The World Taekwondo Federation immediately banned Matos for life, and the IOC took away his bronze medal.
This is a two part question:
a. What is it about the fundamental nature and structure of the Olympics that helps explain why this situation occurred?
b. This example contains evidence of both hostile aggression and instrumental aggression. Which part of the example involves hostile aggression, and which part of the example involves instrumental aggression? Explain your reasoning.
(Points : 41)
Question 4. 4. TCO 9. Barack Obama became a very hot political commodity in 2006 when he caught the attention and imagination of the American public by announcing his intention to run for President in 2008. He is a tall, nice looking, and a very articulate individual, which quickly made him a media darling. Some media watchers have described his impact as similar to a rock star.
Name two (2) factors of interpersonal attraction mentioned in the textbook that would explain his attractiveness to audiences.
(Points : 26)
Question 5. 5. TCO 6. Why do common external threats and shared goals lead to greater cooperation between two conflicting groups? (Points : 26)
This page contains all the multiple-choice questions for the exam. Be sure to save often and remember to save before you switch back to page 1. DO NOT save and exit the exam because the servers will not let you back in.
Question 1. 1. TCO 3. Felipe is talking to a group of other students. They are discussing their views of cheating at school. Felipe says that he has very high standards, and would not cheat. Which one of the following aspects of self-concept explains Felipe’s position? (Points : 5)
[removed] social identity
[removed] personal identity
[removed] intuition
[removed] culture
Question 2. 2. TCO 10. Angelina Jolie and Brad Pitt are a Hollywood couple who seem to have been brought together by proximity, physical attractiveness, and similarity. There mutual attraction could be described as a good outcome of meeting each other. Good outcomes are associated with which one of the following theories of interpersonal attraction? (Points : 5)
[removed] reinforcement theory
[removed] contingency theory of motivation
[removed] gloried self-theory
[removed] reward theory of attraction
Question 3. 3. TCO 13. By definition, militant animal rights groups, like People for the Ethical Treatment of Animals (PETA), are socially deviant because they use bombings, arson, and poisoning to get their messages to get attention in the media. PETA has done major damage to retail outlets, laboratories, and clinics while innocent people have come close to being killed by PETA’s activities. Other groups have behaved similarly in the past, and the technique seems to have been successful. Even so, PETA has a large following of supporters from all the media attention, who by their support, are encouraging the organization to continue its aggression. What theory or concept of aggression, in the textbook, corresponds to the argument that PETA continues its anti-social ways, because it gets attention and support for their cause, and reflects an imitation of observed behaviors of other people?
(Points : 5)
[removed] equity theory of motivation
[removed] social learning theory
[removed] hostile aggression
[removed] frustration-aggression hypothesis
Question 4. 4. TCO 1. Imagine you are walking along and a large dog approaches you. You assume the dog is unfriendly, so you start yelling at it to go away. In your mind, you are convinced the dog is going to harm you. The dog is alarmed and defends itself by biting you on the ankle. This is an example of which one of the following? (Points : 5)
[removed] self-fulfilling belief
[removed] self-handicapping behavior
[removed] self-defeating behavior
[removed] perceived lack of control of your outcome
Question 5. 5. TCO 8. According to social psychologists, a group exists when two or more people interact with and influence each other AND _________ . (Points : 5)
[removed] are also in the same place
[removed] also work together
[removed] also perceive themselves as “us”
[removed] also facilitate each other
Question 6. 6. TCO 4. When your English Literature professor wants to help you remember a character from a fictional play, she asks you to compare __________ to this character. (Points : 5)
[removed] your mother
[removed] your best friend
[removed] yourself
[removed] your father
Question 7. 7. TCO 2. You are interested in whether the high price of gasoline will influence how people will perceive future car purchases. You want to specifically target those individuals who will be purchasing a vehicle within the next six months. The method must be able to be administered to a large number of people in a simple and direct way. Which is the best approach to completing this research? (Points : 5)
[removed] ask people to come to your lab, and put them through a car purchasing simulation
[removed] administer a survey to the specific target group you are studying
[removed] unobtrusively follow people around two or three car dealership sales floors, observing the makes of cars that they look at first and longest (field study)
Question 8. 8. TCO 11. Which one of Melvin’s relatives is most likely to respond favorably to an unexpected request for a charitable donation to a local hospital? (Points : 5)
[removed] Melvin’s older sister, who is in a hurry to get to her doctor’s appointment
[removed] Melvin’s mother, who just got a very positive job evaluation at work
[removed] Melvin’s cousin, who is upset over receiving a D on his college physical exam
[removed] Melvin’s father, who is annoyed because the person who delivers the newspaper threw the paper into a prized rose bush
Question 9. 9. TCO 7. Some individuals have many children so that they can ensure someone will take care of them when they grow old. However, this contributes to the collective devastation of overpopulation. This is an example of which one of the following? (Points : 5)
[removed] a mirror-image problem
[removed] the jigsaw problem
[removed] perceived inequality
[removed] a social dilemma
Question 10. 10. TCO 3. After losing the third hand of poker in a row, and running out of chips, Georgio walks over to the wall and hits it so hard with his fist that he makes a big hole in the drywall, releasing his anger on something other than himself. This is an example of which one of the following? (Points : 5)
[removed] regression
[removed] hostile aggression
[removed] Parkinson’s Second Law
[removed] displacement
Question 11. 11. TCO 9. Research on proximity and social attraction, in general, supports which one of the following views? (Points : 5)
[removed] familiarity breeds contempt
[removed] familiarity encourages liking
[removed] proximity leads to affection
[removed] distance makes the heart grow fonder

Assignment: Worksheet Matching
Assignment: Worksheet Matching
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1. ___B.___ perspective focuses on how learning experiences affect behavior, and focuses on behavior that is observable.
2. __E___ perspective focuses on the effect of unresolved conflicts from childhood, and how those conflicts unconsciously shape behavior.
3. __D___ perspective focuses on free will, conscious choices, and self-awareness, and views humans as distinct individuals with unique characteristics.
4. ___C__ perspective examines the mental processes used to obtain knowledge, and focuses on how information is processed, stored, retrieved, and manipulated.
5. __A___ perspective focuses on how factors like age, ethnicity, gender, sexual orientation, and income level influence behavior, attitudes, and mental processes. Assignment: Worksheet Matching
A. Sociocultural
B. Behavioral
C. Cognitive
D. Humanistic
E. Psychodynamic
Table
Provide a description of the function of the structures or hormones listed. Assignment: Worksheet Matching
Structure Hormone(s) released (if applicable) Description or function
Frontal lobe CRH Corticotropin-releasing hormone Helps with decision making
Somatosensory cortex CRH Sensory receptive area for the sense of touch
Pancreas Glucagon and insulin A long flat gland that lies behind the stomach
Thyroid Thyroxie, triodothyronine Covers the windpipe from 3 sides.helps the body produce and regulatehormones adrenalie
Adrenal glands Cortisol Located at the top of each kidney, produce hormones to help control blood sugar
Short Answer
Read the following examples and indicate whether they are describing sensation or perception. If the example describes sensation, list which sense is involved. If the example describes perception, list the concept or principle of perception that is involved. Assignment: Worksheet Matching
I think I see Bob approaching me from a distance, but as the man gets closer to me, I realize it isn’t Bob. Perception Harmonic perception, on the other hand, owes to the understanding that the ear usually perceives inter-related notes, as one, to create meaning in sounds Assignment: Worksheet Matching
While studying for a test at the library, I hear other people talking and laughing; however, I am able to block out the noise and concentrate on reading my textbook. perception__ Harmonic perception, on the other hand, owes to the understanding that the ear usually perceives inter-related notes, as one, to create meaning in sounds
My math teacher draws a triangle on the board, and even thought she uses dotted lines, I am still able to see the shape of the triangle. perception_ Harmonic perception, on the other hand, owes to the understanding that the ear usually perceives inter-related notes, as one, to create meaning in sounds.
I am walking down the street and I see two people walking together, but to my surprise, they walk off in different directions without acknowledging that the other person is leaving. perception_ Finally, form perception indicates the contextualization of particular objects in a given environment, whereby the eyes sees them as primarily 2-D and at times as 3-D depending on the way of their placement. It is also the understanding of what characterizes the inner and outer core of an object_
1. When I look at a white piece of paper, I can still recognize it as white whether I am outside in bright sunlight, or sitting in a dark room. perception__ Color perception, on the other hand, describes the way the visual senses, denoting the eyes, observe hues and contextualize them in the environment I notice that the light is on in the living room. sensation_Exteroceptive senses which are sense that perceives the body’s own position, motion and state.
Music is playing in the elevator. . sensation_ Exteroceptive senses which are sense that perceives the body’s own position, motion and state.
2. I notice that my mom is baking bread as I walk into the house to greet her. sensation Interoceptive senses are senses that perceive sensations in internal organs
When I wash my hands at school, I notice that the water feels hot. sensation___Exteroceptive senses which are sense that perceives the body’s own position, motion and state.
When I had an infected tooth extracted, I experienced pressure as the tooth separated from the gums. sensation Interoceptive senses are senses that perceive sensations in internal organsx
I am able to type this sentence without looking at the keyboard on my computer. _perception_ Amodal perception is one of the most recognizable types of perception in psychology. It is the observation and interpretation of things in terms of depth and motion._
I experience motion sickness whenever I ride in a boat. sensation Interoceptive senses are senses that perceive sensations in internal organs
Essay
Read the following scenarios.
Write a 100- to 150-word response to the following questions associated with each scenario.
A psychologist is interested in learning more about how children interact with each other during the school day. The psychologist is particularly interested in discovering the ways in which children behave when they do not think they are being watched. What research method would be best used to conduct this type of research, and why? What ethical concerns might be an issue in this type of research? ) Observational research method would be suitable because it includes case studies, ethnographic studies, ethological studies, etc. The primary characteristic of each of these types of studies is that phenomena are being observed and recorded. Often times, the studies are qualitative in nature. For example, a psychological case study would entail extensive notes based on observations of and interviews with the client. A detailed report with analysis would be written and reported constituting the study of this individual case. For example, an ethological study interaction of children as they play with each other may include measures of behavior durations i.e. the amount of time the children are engaged in a specified behavior. This measure of time would be quantitative. Observational research can be problematic if not conducted well. Clearly, there are many problems with internal validity. One can describe the individual(s) being observed but one cannot make any sort of causative conclusions based on the observations. Additionally, construct validity can be impacted by lack of background work before the observations or study, observer and experimenter biases or expectencies, etc. In developmental psychology, this form of research is often early work in the exploration of a developmental topic. In this research approach, behaviors are counted, correct answers or errors are counted, and other types of measures are recorded in terms of quantity. Observational research involves both experimental and non-experimental research. Ethical issues Observational research focus on protecting individuals that receive an intervention. For example, an intervention may involve training participants in group communication where a great deal of self-disclosure is required. Self-disclosure is a technique whereby people are encouraged to discuss their feelings, attitudes, and experiences (some of which may be quite personal). Does there searcher have the right to use such a treatment? Dealing with this question is a personal decision on the part of the researcher.
1. As a researcher, I am interested in learning whether or not there is a connection between sleep and test scores. I want to know if an increase in sleep improves test scores, for example. What type of research method would I use, and why? What ethical concerns might present an issue when conducting this type of research? True Experiments: The true experiment is often thought of as a laboratory study. However, this is not always the case. A true experiment is defined as an experiment conducted where an effort is made to impose control over all other variables except the one under study. It is often easier to impose this sort of control in a laboratory setting. True experiments have often been erroneously identified as laboratory studies. To understand the nature of the experiment, we must first define a few terms: Experimental or treatment group – this is the group that receives the experimental treatment i.e. the group that we use to examine the relationship between sleep and improvement of test scores, manipulation, or is different from the control group on the variable under study. Control group – this group is used to produce comparisons. The treatment of interest is deliberately withheld or manipulated to provide a baseline performance with which to compare the experimental or treatment group’s performance. Independent variable – this is the variable that the experimenter/researcher manipulates in a study. It can be any aspect of the environment that is empirically investigated for the purpose of examining its influence on the dependent variable which is the variable that is measured in a study. The experimenter does not control this variable. A major ethical concern would be double blind where by neither the subject nor the experimenter knows whether the subject is in the treatment of the control condition.
If I want to research whether or not a new medication has an effect on depression, and I want to compare the medication against a placebo, what research method might I use, and why? What ethical concerns might be an issue in this type of research? In the case of research to establish whether or not a new medication has an effect on depression Correlational research can be used as a good research method. In general, correlational research examines the co-variation of two or more variables. Correlational research can be accomplished by a variety of techniques which include the collection of empirical data. Often times, correlational research is considered a type of observational research as nothing is manipulated by the experimenter or individual conducting the research. The early studies on cigarette smoking did not manipulate how many cigarettes were smoked. The researcher only collected the data on the two variables. Nothing was controlled by the researchers and therefore, no cause and effect statements were made out. Further experimental research clearly demonstrated the negative effects of cigarette smoking. Correlational research is not causal research. In other words, we cannot make statements concerning cause and effect on the basis of this type of research. There are two major reasons why we cannot make cause and effect statements. First, we don’t know the direction of the cause. Second, a third variable may be involved of which we are not aware. An example may help clarify these points. In major clinical depressions, the neurotransmitters serotonin or norepinephrine has been found to be depleted (Coppen, 1967; Schildkraut & Kety, 1967). In other words, low levels of these two neurotransmitters have been found to be associated with increased levels of clinical depression. However, while we know that the two variables covary – a relationship exists – we do not know if a causal relationship exists. Thus, it is unclear whether depletion in serotonin/norepinephrine cause depression or whether depression causes depletion is neurotransmitter levels. This demonstrates the first problem with correlational research; we don’t know the direction of the cause. Second, a third variable has been uncovered which may be affecting both of the variables under study. The number of receptors on the postsynaptic neuron has been found to be increased in depression. Thus, it is possible that the increased number of receptors on the postsynaptic neuron is actually responsible for the relationship between neurotransmitter levels and depression. As you can see from the discussion above, one cannot make a simple cause and effect statement concerning neurotransmitter levels and depression based on correlational research. To reiterate, it is inappropriate in correlational research to make statements concerning cause and effect. Correlational research is often conducted as exploratory or beginning research. Once variables have been identified and defined, experiments are conductable. Correlational research involves data that are recorded in narrative descriptions, not numbers. Researchers use correlational methods to observe and describe conditions rather than control them. A basic ethical principle for correlative researchers is this. Do not tamper with the natural setting or group under study.
REFERENCES
Wettlaufer, Alexandra K. (2003). In the mind’s eye : the visual impulse in Diderot, Baudelaire and Ruskin, pg. 257. Amsterdam: Rodopi. ISBN 90-420-1035-5.
The Secret Advantage Of Being Short by Robert Krulwich. All Things Considered, NPR.
Atkinson, Rita L.; Atkinson, Richard C.; Smith, Edward E. (March 1990). Introduction to psychology. Harcourt Brace Jovanovich. pp. 177–183. ISBN 978-0-15-543689-3.
Gordon B. (2005). Social cognition: understanding self and others. Guilford Press. p. 421. ISBN 978-1-59385-085-2.
Popper, Arthur N. (30 November 2010). Music Perception. Springer. p. 150. ISBN 978-1-4419-6113-6.
Copyright © XXXX by University of Phoenix. All rights reserved.
Copyright © 2013 by University of Phoenix. All rights reserved.

Assignment: How to Build Genogram
Assignment: How to Build Genogram
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(Many of the symbols and definitions are adopted from GenoPro.com)
Although there is general agreement on the basic genogram structure and symbols, there are some variations from one author to another and some in the GenoPro software program on how to depict certain family situations, such as cutoffs, adoptions etc. (Bowen, 1980; Kramer, 1985; McGoldrick, Gerson, & Shellenberger, 1999). The following are the common to genogram construction. The male is represented by a square and the female by a circle. You may also use a diamond for a pet and the question mark for unknown gender.
Deaths are typically represented by putting an “X” through the symbol. (If you ever do a genogram with a client, ask the client how he/she would like to represent the death since putting an “X” through the symbol without their permission could be traumatizing.) Assignment: How to Build Genogram
For one to be called a parent, they would have to have at least 1 of the 3 types of children: biological/natural, foster, or adopted. On the genogram, a triangle is the standard diagrammatic representation of a pregnancy, a miscarriage, or an abortion. While an abortion is represented with a horizontal line on top of the triangle, a diagonal cross in the same position indicates the death of a baby through a miscarriage. As for a still birth, it is displayed the same as its gender, though the gender symbol is two times smaller, while the diagonal cross remains the same size. Assignment: How to Build Genogram
The reason is obvious as to why the children on a genogram are placed below the family line, starting from the oldest to the youngest, and from the left hand to right. Take note that these are vitally important rules to remember down the road, as the family system becomes labyrinthine. The GenoPro software, however, does allow variations in this area.
Birth, marriage, divorce, and death dates may be indicated by the initial and year (i.e., b. 89). The ages of the individuals are put in as numbers in the markers. Alcoholism (or other relevant issues) is frequently indicated by filling in the bottom part of the individual’s marker. Assignment: How to Build Genogram
Genogram symbols for child links and special birth
The child links are joined together for multiple births, such as twins, triplets, etc. Identical twins (or triplets, etc.) are displayed with a horizontal line between the siblings. In the example below, the mother had two fraternal twin brothers, two identical twin sisters and triplets, one of which died at birth. Assignment: How to Build Genogram
Child links are joined for multiple births such as twins and triplets
There are 4 general rules to keep in mind: Assignment: How to Build Genogram
1. The female is always at the right of the family and the male is always at the left. Assignment: How to Build Genogram
2. Where there is ambiguity, it is recommended to assume a male-female relationship instead of a same sex relationship.
3. It is assumed that a spouse must always be closer to his/her first partner than to subsequent partners (if any).
4. The youngest child is always at the right of the family and the oldest child is always at the left.

Discussion: Inception of HITECH
Discussion: Inception of HITECH
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Successful Implementation of Electronic Health Information Technology
Since the inception of the HITECH Act, health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week, many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions?
This week introduces the systems development life cycle and discusses how it can guide an organization through the complexities of adopting a new HIT system. In this Discussion, you are asked to consider the role of nurses in the SDLC process.
To prepare:
· Review the steps of the systems development life cycle.
· Think about your own organization, or one with which you are familiar, and the steps the organization goes through when purchasing and implementing a new HIT system.
· Consider what a nurse could contribute to decisions made at each stage when planning for new health information technology. What might be the consequences of not involving nurses?
· Reflect on your own experiences with your organization selecting and implementing new technology. As an end user, do you feel you had any input in the selection or and planning of the new HIT system?
Post on or before Day
1. an analysis of the ramifications of an organization not involving nurses in each stage of the systems development life cycle (Feasibility, Analysis, Design, Implement, Test, & Maintain) when purchasing and implementing a new HIT system.
2. Give specific examples of potential issues at each stage and how the inclusion of nurses could help avoid such issues.
3. Use 2 course resources as references and 1 additional scholarly reference
Course Resources
· McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (2nd ed.). Burlington, MA: Jones and Bartlett Learning.
o Chapter 12, “Systems Development Life Cycle: NI and Organizational Decision Making”
This chapter explains the systems development life cycle and explores various methods of applying it. The chapter also examines the importance of interoperability in implementing HITECH.
o Chapter 13, “Administrative Information Systems”
This chapter provides an overview of agency-based health information systems. The text also details how administrators can use core business systems in their practice.
· Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change. Consulting Psychology Journal: Practice and Research, 63(2), 138–148.
· Hsiao, J., Chang, H., & Chen, R. (2011).A study of factors affecting acceptance of hospital information systems: A nursing perspective. Journal of Nursing Research, 19(2), 150–160.
· Kelley, T. F., Brandon, D. H., & Docherty, S. L. (2011). Electronic nursing documentation as a strategy to improve quality of patient care. Journal of Nursing Scholarship, 43(2), 154–162.
· Nurse leaders discuss the nurse’s role in driving technology decisions. (2010). Virginia Nurses Today, 18(1), 8–9..
· Page, D. (2011). Turning nurses into health IT superusers. Hospitals & Health Networks, 85(4), 27–28.
· Swab, J., & Ciotti, V. (2010). What to consider when purchasing an EHR system. hfm(Healthcare Financial Management), 64(5), 38–41.

Evaluating Ears Nose and Throat
Evaluating Ears Nose and Throat
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Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes, but would probably perform a simple strep test.
In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.
Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

Assignment: Conquest of strange and weak
Assignment: Conquest of strange and weak
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Unit 3 Study Questions:
Below you will find a list of study questions to help you prepare for the Unit 3 Test. Please carefully review these questions before, during, and after you read (and re-read, and re-read) the textbook chapters. The test questions will cover the same content as the study questions (although they may be worded differently).
Chapter 7
Nietzsche announces the death of God in a parable about
a. A madman holding a lantern
b. A lonely prophet walking the earth
c. Jesus
d. A desert hermit living in a cave
The madman’s proclamation that “God is dead” refers to the fact that
a. He has found incontrovertible proof that God never really existed in the first place
b. God has temporarily withdrawn Himself from the world, only to return at the end of time
c. People have ceased to believe in God
d. None of the above
3. The madman finds the death of God to be so terrifying because
a. All of his contemporaries are grief-stricken at the sudden disappearance of God, and do not know how to recover from this frightening piece of news
b. Without God human life is devoid of any intrinsic purpose, value, and meaning
c. Both A and B
d. None of the above
4. Shakespeare’s Macbeth says that life “is a tale told by an idiot, full of sound and fury, signifying nothing.” This would be an example of
a. Theism
b. Virtue ethics
c. Hedonism
d. Nihilism
5. “Life itself is essentially appropriation, injury, conquest of the strange and weak, suppression, severity…and at the least…exploitation.” Nietzsche here refers explicitly to
a. The Will to Power
b. Slave Morality
c. Judeo-Christianity
d. The German people
6. Each of the following is a characteristic of an aristocratic society EXCEPT:
a. They come into being through conquest
b. Master Morality
c. They are the embodiment of will-to-power
d. They champion full equality among all members of society
7. Master morality is to slave morality as
a. nobility is to baseness
b. higher is to lower
c. affirmation of life is to negation of life
d. All of the above
8. The “good” of master morality is to the “good” of slave morality as
a. Noble is to despicable
b. Mediocrity is to excellence
c. Despicable is to noble
d. Rare is to exceptional
9. The “evil” of slave morality is to the “bad” of master morality as
a. cowardly is to heroic
b. lover is to beloved
c. self-glorification is to resentment
d. mediocrity is to excellence
10. The “good” of master morality is to the “evil” of slave morality as
a. resentment is to honor
b. hero is to coward
c. base is to noble
d. They are one and the same thing
11. According to Nietzsche, the modern liberal democratic ideal
a. encourages slavishness
b. is the only honorable value to be found in Judeo-Christianity
c. is embraced by master morality
d. is shunned by slave morality
12. Nihilism is the belief that
a. God is evil
b. Nothingness is an illusion of the mind
c. If we remain ignorant we will annihilate ourselves
d. The world is meaningless
13. According to Nietzsche, the slavish individual expresses _________ for the noble types.
a. admiration
b. resentment
c. a feeling of kinship
d. affection
14. According to Nietzsche, slave morality originates from
a. a feeling of superiority
b. the need for slaves to survive
c. economic inequality
d. faith in a higher power
15. According to Nietzsche, master morality originates from
a. the aristocratic man’s spontaneous self-glorification
b. resentment toward other aristocratic men
c. the need to combat low self-esteem
d. a will to the denial of life