Nursing

Assignment: disease intervention
Assignment: disease intervention
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While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college.
When the 17-year-old boy says he plays baseball and would like to get an athletic scholarship for college, we can suspect that he spends a lot of time in the field, exposed his self to sun and has been exposed to smokeless tobacco which is prevalent in the baseball sport. An increased use of smokeless tobacco use in sports, mainly in baseball is been reported in 2016 (Jarvis, 2016). ), “Leukoplakia is chalky white, thick raised patch with well-defined borders.” This is attached firmly to the buccal mucosa, even if you scraping hard it will not come off. You can also see it in individual who are heavily tobacco user as well as alcohol (Jarvis, 2016). White patches in the mouth also called excessive Candida you may see it in patient with weak immune system, steroid inhaler user, and HIV infection, use of broad-spectrum antibiotics, leukemia, and malnutrition.Slight upward or downward slanting of palpebral fissures normally occurs on a familial basis or in groups such as people of Asian descent. So in this case the slating palpable fissures in his eyes found during the assessment can be suspect that this patient is Asian or is an Asian descent. In non-Asians, the palpebral fissures are horizontal (Jarvis, 2008). Usually when narrowed, upward slanted palpebral fissures are present it could be indication of Down syndrome. In this case this 17-year-old boy should have been ruled out earlier than the age of 17. I would conduct a cranial nerve examination using Snellen chart test for visual acuity to see if there are any deficits in the optic nerve. Patients near vision could also be assessing (Jarvis, 2016). An ophthalmoscope consult should be place to “examine the ocular fundus to determine the color, size, and shape of the optic disc” (Jarvis, 2016, p. 644). I will also get order for a CT scan to rule out ICP if during retina exam patient’s margins of the optic disc become blurred and indistinct. I would first want to initially suspect that the patient has papilledema, also known as a choked disc which is an increase in cranial pressure (ICP) (Jarvis, 2016).
As a Health care professionals we are educated and trained on strategies to teach patients and family members about this condition. First and foremost, would be for the patient to have genetic testing done to confirm a Down syndrome diagnosed. If the test results are positive, then the health care professional can provide the family and patient with the appropriate resources and specialty professionals to aid them in coping with their new diagnosis. The one most important thing that a health care professional can do is to empower the patient and family. This can be accomplished by carrying out interventions in a manner in which family members acquire a sense of control over their own efforts to meet their needs. Health care professionals can also enable families by creating opportunities for family members to become more competent and self-sustaining with respect to their abilities to mobilize their social networks to get their needs met and attain desired goals (Cohen, 2013). It is important to also let the patient know that his career of playing baseball may be limited in college may grossing diminish if other manifestations of condition sets in later in life.
Some special considerations that can help to educate the patient and family on health promotion and disease intervention would include continuous monitoring measures, including yearly audiologic assessment and yearly ophthalmologic assessment, ongoing management of manifestation of the disorder and related conditions, as well as discussion of issues identified with the move into adulthood. If it were discovered that the patient has developed the habit of using smokeless tobacco, I would educate him on the harmful effects of smokeless tobacco such as the increase risk for cancer, and encourage him to seek out measures to quit. I would also remind him that at the age of 17 it is illegal to obtain to tobacco products and that he could jeopardize his chances of playing baseball on the collegiate level via an athletic scholarship if caught breaking the law. Furthermore, I would encourage this patient to seek alternative measure to quit smoking, and pick up healthier habits like chewing sugar free gum in place of using smokeless tobacco.
References
Cohen, W. I. (2003). Health Care Guidelines for Individuals with Down Syndrome-1999 Revision. Down Syndrome, 237-245. doi:10.1002/0471227579.ch17
Jarvis, C. (2016). Physical examination & health assessment. (7th ed.). St. Louis: Elsevier.
Jarvis, C. (2008). Pocket companion for physical examination and health assessment. (5thed.). St. Louis: Elsevier.
PROFESSOR QUESTION/NEEDS TO ANSWER TO PROFESSOR BASE ON MY POST.
For our 1st pt-
The diagnosis of whiplash is a key differential diagnosis for our first patient. When we consider the patients complaints; HA, decreased ROM in the neck, vertigo, loss of hearing to one ear, sweating and uncontrollable eye movements, along with the recent possible mechanism of injury; the MVA whiplash does fit a possible diagnosis for this patient. When we think of the causes of whiplash, we think of a force strong enough to whip the patients neck backward and forward, placing a great deal of stress on the neck muscles and ligaments. What additional differential diagnosis is appropriate for our first patient, based on the S/S?

Discussion: Parenting and Substance Abuse
Discussion: Parenting and Substance Abuse
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As a social worker, you will meet children and adolescents who are in complicated family situations and may require a variety of resources for support. There are many times when these situations involve drug abuse, domestic violence, child abuse, and/or neglect. If these factors are present within a child’s or adolescent’s environment, it will impact their development. As mandated reporters, social workers are legally required to report any suspicion they have of child abuse or neglect to local authorities in an effort to ensure a healthier environment within which they can grow.
As a social worker, you will meet children and adolescents who are in complicated family situations and may require a variety of resources for support. There are many times when these situations involve drug abuse, domestic violence, child abuse, and/or neglect. If these factors are present within a child’s or adolescent’s environment, it will impact their development. As mandated reporters, social workers are legally required to report any suspicion they have of child abuse or neglect to local authorities in an effort to ensure a healthier environment within which they can grow.
For this Discussion, review the case study “Working With Clients With Addictions: The Case of Barbara and Jonah.” Consider this week’s reading in the Learning Resources.
1. Post an explanation of influences of Barbara’s addiction on Jonah’s future development.
2. Describe an intervention that you would use for Jonah if you were the social worker in this case.
3. Use the Learning Resources to support your answer. ****Use a minimum of 2 references***
References
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014). Social work case studies: Foundation year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
· Working With Clients With Addictions: The Case of Barbara and Jonah
Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA: Cengage Learning.
Chapter 2 (pp. 62-111)

QUESTION: Community Based Nursing Practice
QUESTION: Community Based Nursing Practice
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Complete each case study utilizing collegiate formatting (MLA or APA); typed in Cambria or New Times Roman 12 point font in ONE document. Citations required.
Case studies are case specific. Your answers should reflect the assessment and your analysis of the information in the case study… no generalized answers of all matter regarding the content.
QUESTION 1: Healthcare Delivery and Evidenced –Based Nursing Practice
The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence-based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans. (Learning Objective 3)
a. Describe how clinical pathways are used to coordinate care of caseloads of patients.
b. What is the role of the case manager in evaluating a patient’s progress?
c. What are examples of evidence-based practice tools used for planning patient care?
QUESTION 2: Community-Based Nursing Practice
Mrs. Johnson, a 67-year-old female patient, has recently been discharged from the hospital following an admission for COPD. She has a past medical history of a colon resection related to acute diverticulitis. She developed a surgical wound infection that requires daily wet to dry wound packing and IV Zosyn. Mrs. Johnson was discharged with home oxygen. To manage her care at home, home care visits were ordered. (Learning Objective 5).
a. What would be involved in setting up the first home care visit?
b. Describe the nursing assessments and management that would occur during the visit.

Assignment: Consulting’s two consultants
Assignment: Consulting’s two consultants
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Premier Consulting’s two consultants, Avery and Baker, can be scheduled to work for clients up to a maximum of 160 hours each over the next four (4) weeks. A third consultant Campbell has some adminstrative assignments already planned and is availble for clieents up to a maximum of 140 hours over the next four (4) weeks. The company has four (4) clients with projects in process. The estimated hourly requirments for each of the clients over the four-week period as follows:
CLIENT HOURS
A 180
B 75
C 100
D 85
Hourly rates vary form the consultant-client combinations and are based on several factors, including project type and consultants” experince. The rates( dollars per hour) for each consultants-client combination are as follows:
CLIENT
CONSULTANTS A B C D
AVERY 100 125 115 100
BAKER 120 135 115 120
CAMPBELL 155 150 140 130
a) Develop a network representation of the problem.
b) formulate the problem as linear program, with the optimal solution providing the hours each consultant should be scheduled for each client to maximize the consulting firm’s billings. What is the schedule and what is the total billing?
c)New information shows that Avery doesn’t have the experince to be scheduled for client B. If this consultingnassignment is not premitted, what impact does it have on total billings? What is the revised scheduled?
To solve problem using LINGO software.
a) Develop a network representation of the problem.
b) formulate the problem as linear program, with the optimal solution providing the hours each consultant should be scheduled for each client to maximize the consulting firm’s billings. What is the schedule and what is the total billing?
c)New information shows that Avery doesn’t have the experince to be scheduled for client B. If this consultingnassignment is not premitted, what impact does it have on total billings? What is the revised scheduled?
To solve problem using LINGO software.

Ethical HealthCare Decision Making
Ethical HealthCare Decision Making
Write a reflection about worldview and respond to following:
1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence?
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.
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 LopesWrite. Refer to the for assistance.
Write a reflection about worldview and respond to following:
1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence?
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.
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 LopesWrite. Refer to the for assistance.

Assignment: Functions of progesterone
Assignment: Functions of progesterone
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Anatomy
Which of the following is true of the biological functions of progesterone?
A. Progesterone is the most important hormone associated with pregnancy.
B. Progesterone directs male sexual characteristics.
C. Levels of progesterone increases if the egg is not fertilized.
D. Levels of progesterone remain stable if the egg is not fertilized.
Anatomy
Which of the following is true of the biological functions of testosterone?
A. Testosterone is not secreted by the ovaries.
B. Testosterone is needed for development of female secondary sexual characteristics.
C. Testosterone stimulates ovulation.
D. Testosterone is needed for development of male secondary sexual characteristics.
Anatomy
Which of the following is true of the biological functions of estrone?
A. Estrone is required for proper development of male secondary sexual characteristics.
B. Level of estrogen degreases if the egg is not fertilized.
C. Estrone is required for proper development of female secondary sexual
characteristics.
D. Estrone affects only the reproductive organs.
Biology
What is the function of hemoglobin?
A. Hemoglobin is the protein in red blood cells that is responsible for carrying oxygen to the cells of the body.
B. Hemoglobin is a lipid in red blood cells that is responsible for carrying oxygen to the cells of the body.
C. Hemoglobin is a protein in white blood cells that is responsible for carrying oxygen to the cells of the body.
D. Hemoglobin is a protein in red blood cells that is not responsible for carrying carbon dioxide to the cells of the body.
Biology
Why is heat an effective means of sterilization?
A. Heat is an effective means of sterilization because it destroys the proteins of microbial life forms, including fungi, bacteria, and viruses.
B. Heat is an effective means of sterilization because it destroys the proteins of anaerobic microbial life forms, including fungi, bacteria, and viruses.
C. Heat is an effective means of sterilization because it destroys the lipids of microbial life forms, including fungi, bacteria, and viruses.
D. Both (B) and (C).
Chemistry:
List the enzymes whose levels are elevated in the blood serum following an MI.
A. CPK, LDH, AST, and SGOT
B. LDH, AST, and SGOT
C. CRE, AST, and ALT
D. None of the above

Assignment: Dignity and autonomy
Assignment: Dignity and autonomy
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The text this comes from is
Timmons, M. Disputed Moral Issues: A Reader, 4th Edition, Oxford University Press.
In a paragraph (150 words minimum), please respond to the following questions:
Of the seven moral theories discussed in Chapter 1, which one do you consider to be the mostcompelling, and why?
Which of the seven moral theories do you consider to be the least compelling, and why?
Discussion 2
In a paragraph (150 words minimum), please respond to the following question:
Explain John Stuart Mill’s theory of higher and lower pleasures: Are there any problems inherent in the theory?
Overall, does Mill’s idea of higher and lower pleasures make sense to you? Why or why not?
Discussion 3
In a paragraph (150 words minimum), please respond to ONE of the following questions:
After reading the Gill essay, Discuss the logical point made by some opponents of PAS that it is impossible to be better off dead than alive. Even if the logical argument were sound, are there other reasons to claim that suicide for a terminally ill patient is morally justified?
What worries does Velleman raise about appeals to dignity and autonomy in arguments over euthanasia? Do you agree or disagree with him on this issue? Why or why not?
Discussion 4
In a paragraph (150 words minimum), please respond to the following questions:
Leopold suggests that economics should not be our only concern when it comes to the use of land. To what extent should economic considerations play a part in our treatment of nature and the environment?
Are there any situations in which economic concerns might trump environmental ones? If so, could you give an example?
Discussion 5
In a paragraph (150 words minimum), please respond to the following questions:
Do you relate more to the abolitionist or the retentionist position?
What do you see as the two strongest supporting arguments for your position, and why?
Discussion 6
In a paragraph (150 words minimum), please respond to the following questions:
Prior to reading the text, how would you have defined terrorism?
What is your understanding of terrorism now?
How would you account for the huge amount of terrorism in the 20th and 21st centuries?
What do you see as the ethically proper response to acts of terror?
Discussion 7
In a paragraph (150 words minimum), please respond to ONE of the following questions:
What do people spend money on that they either don’t need or rarely use other than those things mentioned by Singer? What things might people be most easily convinced to do without, and why?
Consider and discuss whether the Kantian argument for helping the vulnerable is more or less convincing than the traditional utilitarian arguments. What kinds of arguments would be the most likely to persuade people to help those in need?
Does Peter Singer’s greatest moral evil rule require that persons act in heroic ways or go above and beyond the call of duty as Arthur suggests? Explain your answer.
Discussion 8
In a paragraph (150 words minimum), please respond to ONE of the following questions:
Macedo distinguishes two possible ways, which he labels “humanitarian assistance” and “distributive justice,” of seeking to improve the condition of the poor. Explain these two approaches to assisting the poor. Do you agree or disagree with them? Why or why not?
Why does Macedo claim that cosmopolitan distributive justice “makes no sense”? Do you agree or disagree with him on this question?

Assignment: Leadership and economic models
Assignment: Leadership and economic models
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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.

Discussion: Pedophilia disease
Discussion: Pedophilia disease
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# 1.24
(1 pts.) Wayne has pedophilia. He tends to victimize boys but does not engage in physical violence or nonsexual aggression. Wayne would be categorized as a(n) ____ aggressor.
A) physiological
B) cognitive
C) affective
D) developmentally related
# 1.25
(1 pts.) Several of the patients with mental retardation portrayed in the 1970s documentary “Willowbrook: The Last Great Disgrace” walk around the ward with no clothes on. Which of the following statements might best characterize this behavior?
A) In addition to being diagnosed with mental retardation, they might be diagnosed with exhibitionism.
B) In addition to being diagnosed with mental retardation, they might be diagnosed with voyeurism.
C) These individuals would be dually diagnosed with mental retardation and hypoactive sexual desire disorder.
D) Because their behavior is likely due to brain damage, their behavior would not be considered paraphilic.
# 1.26
(1 pts.) When Jimmy was a child, he used to hide out in his closet, sit on the floor amid shoes, and masturbate. He now has a shoe fetish. The development of his disorder would be of no surprise to a
A) psychoanalyst.
B) humanist.
C) behavioral theorist.
D) psychiatrist.
# 1.27
(1 pts.) Five-year-old Timmy has older sisters who dress him up occasionally and call him “Timbelina” since they really wanted a little sister instead of a little brother. If this pattern continues it is possible that Tim might develop
A) sexual masochism.
B) sexual sadism.
C) pedophilia.
D) transvestic fetishism.
# 1.28
(1 pts.) Why is it difficult to determine whether or not individuals with gender identity disorder have a heterosexual or a homosexual orientation?
A) because defense mechanisms are very strong and do not allow the unconscious tendencies to surface
B) because most report having bisexual tendencies so they really don’t express a preference
C) because the definition of their orientation could be based on either their assigned sex or their gender identity
D) because their gender identity confusion also makes them feel confused about their sexual orientation as well
# 1.29
(1 pts.) Carol is extremely interested in sex but does not experience the vaginal changes that ordinarily precede sexual intercourse. Carol may have
A) sexual aversion disorder.
B) hypoactive sexual desire disorder.
C) inhibited female orgasm disorder.
D) female sexual arousal disorder.
# 1.30
(1 pts.) Pattie is extremely frustrated because every time she has sex with her husband she has painful muscle spasms in her vagina which prevent her husband from penetrating. Pattie may very well have
A) dyspareunia.
B) anorgasmia.
C) frigidity.
D) vaginismus.

Assignment: Therapeutic group classes
Assignment: Therapeutic group classes
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Practice Quiz for Napsrx
How are drugs sorted into therapeutic group and classes?
First by the conditions that they are used to treat, and then by their mechanisms of action
First by their mechanisms of action, and then by their therapeutic effects
First by their side effects, and then by their therapeutic effects
First by their toxicity, and then by their effectiveness
How are drugs sorted into therapeutic group and classes?
First by the conditions that they are used to treat, and then by their mechanisms of action
First by their mechanisms of action, and then by their therapeutic effects
First by their side effects, and then by their therapeutic effects
First by their toxicity, and then by their effectiveness
What section of a drug’s package insert describes situations in which the drug should not be used because the risks outweigh the therapeutic benefits?
Adverse reactions
Contraindications
Overdosage
Warming/precautions
Which of the following is NOT one of the stages in the classic approach to band development strategy covered in your manual?
Band personality
Band positioning
Band quality
Band values
What is the name of the condition that occurs after a specific dose of a drug is given at such regular intervals that absorption and elimination (and therefore drug plasma concentration) have become fairly constant?
homeostasis
steady state
titration
tolerance
Which entity/entities invest/s the most money in pharmaceutical R&D?
Canadian pharmaceutical companies
The NIH
The U.S Government
U.S pharmaceutical companies
Over the last few decades, what has happened to legal limitations sales’ reps discussions about off label uses?
Limitations have decreased.
Limitations have increased significantly.
Limitations have increased slightly.
Limitations have remained about the same.
7. Why are novice sales representatives often placed in charge of negotiating MCO formularies?
A. to become more familiar with the healthcare industry
B. to be more familiar with their territories
C. P&T committees are more receptive to new experienced reps.
D. They are not. This job is usually reserved for more experienced reps.