Nursing

Assignment: Functions of testosterone
Assignment: Functions of testosterone
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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
Chemistry
What is the physiological function of gluconeogenesis?
A. Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.
B. Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are high. This ensures proper function of brain and white blood cells, which only use glucose as fuel.
C. Gluconeogenesis is production of glucose from carbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.
D. None of the above

Assignment: Recovering from schizophrenia
Assignment: Recovering from schizophrenia
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# 1.66
(1 pts.) Martha is a recovering from schizophrenia. She has been taking high doses of antipsychotic medications for a very long period of time and has begun to experience uncontrollable movements of her mouth and tongue that make her appear as if she were chewing food in a very exaggerated way. Martha is experiencing the symptoms of
A) tardive dyskinesia.
B) Parkinson’s disease.
C) Graves’ disease.
D) Tourette’s syndrome.
# 1.67
(1 pts.) Judy has schizophrenia and walks around the hospital ward constantly rubbing her hands together and twisting her hair for no apparent reason. This behavior is illustrative of
A) catatonic excitement.
B) catatonic stupor.
C) catatonic rigidity.
D) residual catatonia.
# 1.68
(1 pts.) Jerry has schizophrenia, but no single symptom seems to be dominant in his case. He exhibits a variety of symptoms such as disturbances in sense of self, stereotyped movements, flat affect, and delusional thinking. Jerry might be diagnosed as having which type of schizophrenia?
A) catatonic
B) disorganized
C) hebephrenic
D) undifferentiated
# 1.69
(1 pts.) Ellen has forsaken the religious beliefs of her own mainstream upbringing and has started to adhere to the strange delusional religious beliefs of her very dominant husband, who believes that he is the direct descendant of an ancient Greek god. She now has no qualms about her husband sleeping with other women since, according to her husband’s interpretation of the Bible, it is a man’s given right. Ellen might be diagnosed as having
A) a brief psychotic disorder.
B) shared psychotic disorder.
C) schizoaffective disorder.
D) delusional disorder, jealous type.
# 1.70
(1 pts.) The case of the Genain quadruplets, who developed schizophrenia, provided evidence regarding the
A) difference between the paranoid and disorganized types of schizophrenia.
B) role of dopamine in development of schizophrenia.
C) interaction of genetic and environmental factors in the development of schizophrenia.
D) cross-fostering of schizophrenic traits among siblings.
# 1.71
(1 pts.) Why might it be difficult to utilize psychological methods to treat a client with schizophrenia in the active phase of the disorder?
A) During the active phase, many individuals with schizophrenia need to be restrained because of violent outbursts.
B) During the active phase, the individual is very much out of touch with reality and may not respond to reason.
C) During the active phase, the individual is so exhausted from the intensity of the symptoms that it is difficult to stay awake. ‘
D) During the active phase, the personality changes experienced by the people with schizophrenia are very rapid.
# 1.72
(1 pts.) Dr. Carson defines sexual deviations as
A) practices and behaviors that are of harm to the individual or to others.
B) aberrations from what society considers normal.
C) behaviors diverging from a common biological pathway for human sexual behavior.
D) societal taboos.

Cognitive Behavioral Therapy
Cognitive Behavioral Therapy
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POST 2
Cognitive Behavioral Therapy is one of the most effective psychotherapy approaches, whether it be used in group, family, or individual treatment. It is important to understand the purpose of it what its process consists off. It can be used to treat different mental health conditions, ranging from addiction to more severe illnesses. Its approach is to work with the patient into strategizing ways to change unhealthy thoughts and behaviors. Throughout the process, the patient not only learns solving skills, but also to re-evaluate and learn how to understand other’s perspectives, skill that helps build their confidence.
Some believe group therapy is more effective than individual therapy, as established by Kellett, Clarke, and Matthews (2007, p. 211). It has been established that CBT in general can be effective, but based on the Johnson Family Session video, it leads me to believe that either group/family or individual would be effective depending on the condition that is being treated. It is clear from the video that the girl who had been sexually assaulted at the fraternity does not believe talking or sharing her experience, even if it is with other girls who went through the same experience, will help in any way. She still has some internal issues that need to be addressed individually in order to make progress and get her to a place where she can participate in group/family therapy with an awareness that it will help her and purpose to it. Another important aspect of having a client be committed to the treatment is that research has showed “Poor compliance can adversely affect the remaining group members who may become worried or insecure” (Söchting, Lau, Ogrodniczuk, 2018, p. 185).
An example during practicum that supports my belief is the case of a terminally ill patient who had been recommended comfort care through hospice. She was ready to do so, understood and accepted her prognosis, but her daughters and husband were in denial. Every time they participated in a family session the patient held back on her wishes and verbalized whatever their wishes were as if they were her own. When treated as an individual client, she would express her concerns of not being able to “disappoint and abandon my family”. She had suffered all her life from anxiety, insecurities, severe depression, and low self-esteem. Those were issues that should have been addressed individually before she could fully engage in a family session in a healthy and productive way, if she would’ve had the time. CBT would have still been the choice of treatment for individual therapy for this client, as evidenced by Driessen et al. who stated it “is the psychotherapy method with the best evidence-base in the treatment of depression” (2017, p. 654). Not being fully engaged in the program, or believing the treatment will not help, or having other issues that need to be addressed on an individual basis, are all challenges presented in a family setting when relying on CBT.
References
Kellett, S., Clarke, S., & Matthews, L. (2007). Delivering Group Psychoeducational CBT in
Primary Care: Comparing Outcomes with Individual CBT and Individual
Psychodynamic-Interpersonal Psychotherapy. British Journal of Clinical Psychology,
46(2).
Söchting, I., Lau, M., & Ogrodniczuk, J. (2018). Predicting Compliance in Group CBT Using the
Group Therapy Questionnaire. International Journal of Group Psychotherapy, 68(2).
Driessen,E., Van, H. L., Peen, J., Don, F. J., Twisk, J. W. R., Cuijpers, P., & Dekker, J. J. M.
(2017). Cognitive-Behavioral Versus Psychodynamic Therapy for Major Depression:
Secondary Outcomes of a Randomized Clinical Trial. Journal of Consulting Clinical
Psychology, 85)7).

Health Promotion and Environmental Factors
Health Promotion and Environmental Factors
To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link:
Part I: Pamphlet
Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.
Use the “Pamphlet Template” document to help you create your pamphlet. Include the following:
Select an environmental factor that poses a threat to the health or safety of infants.
Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.
Part II: Pamphlet Sharing Experience
Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.
Provide a written summary of the teaching / learning interaction. Include in your summary:
Demographical information of the parent and child (age, gender, ethnicity, educational level).
Description of parent response to teaching.
Assessment of parent understanding.
Your impressions of the experience; what went well, what can be improved.
Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation 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. Please refer to the directions in the Student Success Center.

Benchmark: Patient’s Spiritual Needs
Benchmark: Patient’s Spiritual Needs
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Details:
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.
In 200-250 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.
In 400-500 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 nonmaleficence in James’s care?
In 200-250 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 support your responses with the topic study materials.
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.
This benchmark assignment assesses the following competencies:
BS Nursing (RN to BSN)
5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Communicating with patients challenges
Communicating with patients challenges
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In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).
Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the health care field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and health care professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds.
Case 1
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”
Case 2
TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion. She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.
Case 3
MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.
To prepare:
· Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
· Select one of the three case studies. Reflect on the provided patient information.
· Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
· Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
· Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Links:
https://cccm.thinkculturalhealth.hhs.gov/
https://npin.cdc.gov/pages/cultural-competence

Assignment: Nursing Practice Theories
Assignment: Nursing Practice Theories
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Part One:
“Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice. (I work on a medical surgical unit) Describe the importance of increased nursing collaboration with other disciplines.
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.
Part two:
Assignment:
Your assignment this week will be an APA paper to include title page, level headings, and a reference page.
Case Study
The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.
Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?
What challenges exist for healthcare institutions to switch to this nursing approach?
How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)
The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

Assignment: diagnosis of relapsing
Assignment: diagnosis of relapsing
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Question 6 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
Question 7 A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize
A) the need to rotate the injection site of the drug
B) the need to avoid crushing the tablet
C) the need to place the tablet under the tongue
D) the need to use only the thigh muscle for the drug injection site
Question 8 A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for?
A) Hypothermia
B) Hypotension
C) Renal dysfunction
D) Bleeding
Question 9 A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?
A) Liver function tests
B) Blood sugar levels
C) Blood pressure
D) Body temperature
Question 10 Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)?
A) Do not walk or drive after taking the drug
B) Discontinue the use of alcohol
C) Learn to self-administer the drug
D) Take a laxative when needed
Question 11 A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse’s immediate attention?
A) Decreased libido
B) Increased blood glucose
C) Dry eyes
D) Jittery feeling

Assignment: Counterargument Paper
Assignment: Counterargument Paper
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This paper assignment expands upon your Week One Assignment and prepares you for the Final Paper. The expansion is to learn to improve one’s argument after investigating and fairly representing the opposite point of view. The main new tasks are to revise your previous argument created in Week One, to present a counterargument (an argument for a contrary conclusion), and to develop an objection to your original argument.
Here are the steps to prepare to write the counterargument paper:
Begin reviewing your previous paper paying particular attention to suggestions for improvement made by your instructor.
Revise your argument, improving it as much as possible, accounting for any suggestions and in light of further material you have learned in the course. If your argument is inductive, make sure that it is strong. If your argument is deductive, make sure that it is valid.
Construct what you take to be the strongest possible argument for a conclusion contrary to the one you argued for in your Week One paper. This is your counterargument. This should be based on careful thought and appropriate research.
Consider the primary points of disagreement between the point of view of your original argument and that of the counterargument.
Think about what you take to be the strongest objection to your original argument and how you might answer the objection while being fair to both sides. Search in the Ashford University Library for quality academic sources that support some aspect of your argument or counterargument.
In your paper,
Present a revised argument in standard form, with each premise and the conclusion on a separate line.
Present a counterargument in standard form, with each premise and the conclusion on a separate line.
Provide support for each premise of your counterargument. Clarify the meaning of the premise and supporting evidence for the premise.
Pay special attention to those premises that could be seen as controversial. Evidence may include academic research sources, supporting arguments, or other ways of demonstrating the truth of the premise (for more ideas about how to support the truth of premises take a look at the instructor guidance for this week). This section should include at least one scholarly research source. For guidance about how to develop a conclusion see the Ashford Writing Center’s .
Explain how the conclusion of the counterargument follows from its premises. [One paragraph]
Discuss the primary points of disagreement between sincere and intelligent proponents of both sides. [One to two paragraphs]
For example, you might list any premises or background assumptions on which you think such proponents would disagree and briefly state what you see as the source of the disagreement, you could give a brief explanation of any reasoning that you think each side would find objectionable, or you could do a combination of these.
Present the best objectionto your original argument. Clearly indicate what part of the argument your objection is aimed at, and provide a paragraph of supporting evidence for the objection. Reference at least one scholarly research source. [One to two paragraphs]
See the “Practicing Effective Criticism” section of Chapter 9 of your primary textbook for more information about how to present an objection.
For further instruction on how to create arguments, see the and documents as well as the video .
For an example of how to complete this paper, take a look at the following Week Three . Let your instructor know if you have questions about how to complete this paper.
In this class, you have three tutoring services available: , , and Tutor E-mail. Click on the Ashford Writing Center (AWC) tab in the left-navigation menu to learn more about these tutoring options and how to get help with your writing.
The Counterargument Paper
Must be 500 to 800 words in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (for more information about using APA style, take a look at the webpage).
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least two scholarly sources in addition to the course text.
The offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
Must document all sources in APA style as outlined in the Ashford Writing Center (for more information about how to create an APA reference list, take a look at the webpage).
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.
Attached is the textbook

Medical Coding Questions
Medical Coding Questions
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1) Assign CPT code(s) and appropriate modifiers to each statement.
The physician performed a complex repair during resection of the diaphragm and closed the residual defect with synthetic graft material.
2) Mediastinotomy to remove foreign body using transthoracic approach, including median sternotomy.
3) Patient underwent repair, laceration of diaphragm.
4) Physician inserted a mediastinoscope through an incision in the sternal notch and performed a mediastinal lymph node biopsy.
5) Physician repaired an acute traumatic diaphragmatic hernia.
Patient underwent alveoloplasty to remove sharp areas or undercuts of alveolar bone, one quadrant.
Surgeon used a scalpel to slice off a cancerous portion of the vermillion border of the patient’s lip: mucosal advancement was performed after excision.
Surgeon made an incision through submucosal tissue and removed a lesion in the vestibule of the mouth. Wound repair was not required.
Patient underwent simple incision of the lingual frenum to free the tongue.
Patient underwent incision in the parotid gland to remove calcified stone.
Surgeon repaired a tear at the pharyngeal esophageal junction.
Physician drained and abscess near the tonsil.
Surgeon removed an 8 year old patient’s tonsils and adenoids.
Physician controlled secondary oropharyngeal hemorrhaging, status post tonsillectomy, by using cellulose sponges that expanded when placed in the tonsillar cavity.
Physician performed a tonsillectomy on a 12 year old male patient.
Physician inserted a flexible esophagoscope into the esophagus and destroyed a lesion, using snare technique.
Surgeon made an incision in the left posterior chest wall into the esophagus to remove a foreign body from the esophagus.
Physician inserted a balloon endoscopically for tamponade of bleeding esophageal varices.
Dr. Smith performed a partial cervical esophagectomy while Dr. Jones performed a jejunum transfer with microvascular anastomosis.
The physyician passed an endoscope through the patient’s mouth and visualized the entire esophagus, stomach, duodenum, and jejunum. One lesion was removed using biopsy forceps. Another was remove using snare.
Patient underwent incision of the pyloric muscle.
The physician performed an open revision of a previously performed gastric restrictive procedure and reversed the previously partitioned stomach to restore normal gastrointestinal continuity.
Using fluoroscopic guidance, the physician repositioned a gastric feeding tube through the duodenum.
The physician performed a laparoscopic surgical gastric restrictive procedure with gastric bypass and roux-en-Y gastroenterostomy.
The physician percutaneously place a gastrostomy tube into the stomach under fluoroscopic guidance including contrast injection(s), image documentation.