Nursing

Intraoperative Nursing Management Assignment
Intraoperative Nursing Management Assignment
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QUESTION 17:
Chapter 17, Preoperative Nursing Management
The nurse in a gynecology clinic is completing preoperative teaching for a patient scheduled for an abdominal hysterectomy next week. The patient states that she is currently taking 325 mg of aspirin daily for chronic joint pain, along with a multivitamin. The patient has type 2 diabetes; she closely monitors her blood glucose levels. Currently, she is taking an oral hypoglycemic agent. The nurse advises her to ask the anesthesiologist whether she should take this medication the morning of surgery. (Learning Objectives 2 and 4)
a. The nurse instructs the patient to stop taking the aspirin. What is the rationale for this action?
b. Why is it important to assess the patient for use of herbal products prior to surgery?
c. The patient asks how surgery could affect her blood glucose; how should the nurse respond?
QUESTION 18: Chapter 18, Intraoperative Nursing Management
Pearl Richards, 69 years of age, is a female patient who is in the operating room for a repair of an abdominal aortic aneurysm. The patient has a history of hypertension controlled with medications, osteoporosis, chronic obstructive pulmonary disease, and has smoked two packs of cigarettes per day for 40 years. (Learning Objectives 2, 6, and 9)
a. What nursing interventions are instituted to reduce the surgical risk factors related to the patient’s age?
b. Explain the role of the nurse in providing patient safety measures during the intraoperative period.
Chapter 17, Preoperative Nursing Management
The nurse in a gynecology clinic is completing preoperative teaching for a patient scheduled for an abdominal hysterectomy next week. The patient states that she is currently taking 325 mg of aspirin daily for chronic joint pain, along with a multivitamin. The patient has type 2 diabetes; she closely monitors her blood glucose levels. Currently, she is taking an oral hypoglycemic agent. The nurse advises her to ask the anesthesiologist whether she should take this medication the morning of surgery. (Learning Objectives 2 and 4)
a. The nurse instructs the patient to stop taking the aspirin. What is the rationale for this action?
b. Why is it important to assess the patient for use of herbal products prior to surgery?
c. The patient asks how surgery could affect her blood glucose; how should the nurse respond?

Assignment: Mental Health Practicum
Assignment: Mental Health Practicum
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– Termination Summary
Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary.
For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience.
Learning Objectives
Students will:
· Develop client termination summaries
To prepare:
· For guidance on writing a client termination summary, review pages 693–712 of
Wheeler (2014) in this week’s Learning Resources.
· Identify a client who may be ready to terminate therapy.
The Assignment
· Identifying information of client (e.g., hypothetical name and age)
· Date the client initially contacted therapist, date therapy began, duration of
therapy, and date therapy will end
· Total number of sessions, including number of missed sessions
· Whether termination was planned or unplanned
· Presenting problem
· Major psychosocial issues
· Types of services rendered (e.g., individual, couple/family therapy, group therapy)
· Overview of treatment process
· Goal status (goals met, partially met, unmet)
· Treatment limitations (if any)
· Remaining difficulties and/or concerns
· Recommendations
· Follow-up plan (if indicated)
· Instructions for future contact
· Signatures
With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
Chapter 17, “Psychotherapy with Children” (pp. 597–624)
Chapter 20, “Termination and Outcome Evaluation” (pp. 693–712)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
McGillivray, J. A., & Evert, H. T. (2014). Group cognitive behavioural therapy program shows potential in reducing symptoms of depression and stress among young people with ASD. Journal of Autism and Developmental Disorders, 44(8), 2041–2051. doi:10.1007/s10803-014-2087-9
Restek-Petrovi?, B., Bogovi?, A., Mihanovi?, M., Grah, M., Mayer, N., & Ivezi?, E. (2014). Changes in aspects of cognitive functioning in young patients with schizophrenia during group psychodynamic psychotherapy: A preliminary study. Nordic Journal of Psychiatry, 68(5), 333–340. doi:10.3109/08039488.2013.839738

Assignment: hands redness and irritation
Assignment: hands redness and irritation
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Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.
To prepare:
Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
Identify the pathophysiology of the disorders presented in the scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
To complete:
Write a 2- to 3-page paper that addresses the following:
Explain the pathophysiology of the disorders depicted in the scenarios, including their associated alterations. Be sure to describe the patients’ adaptive responses to the alterations.
Construct a mind map of your selected disorder. Include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations

Assignment: skin infection
Assignment: skin infection
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Question 1 A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin. The nurse will observe for which of the following?
A) Arthropathy
B) Colitis
C) Hepatitis
D) Hypotension
Question 2 A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient’s most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic?
A) Vancomycin
B) Penicillin G
C) Cefazolin
D) Doripenem (Doribax)
Question 3 Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds.The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication?
A) Apply a layer of silver sulfadiazine that is sufficiently thick to make the wound bed invisible.
B) Cleanse the wound of debris prior to applying the silver sulfadiazine
C) Apply a thin layer of the drug to Mr. Laird’s wound beds using clean technique.
D) Perform thorough wound care immediately after the application of silver sulfadiazine
Question 4 A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication
A) with high-fat meals
B) with orange juice
C) on an empty stomach
D) with high-protein meals
Question 5 A patient has endocarditis and is taking gentamicin. The nurse will be sure to monitor which of the following?
A) Potassium level
B) Creatinine clearance
C) Serum albumin level
D) Prothrombin time
Question 6 A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the patient’s pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis?
A) Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a nonpregnant patient
B) The use of ciprofloxacin is contraindicated in pregnancy
C) It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic
D) The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult patient
Question 7 A nurse has questioned why a patient’s physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient’s infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible?
A) Broad-spectrum antibiotics confound the results of subsequent culture and sensitivity testing.
B) Narrow-spectrum antibiotics normally require a shorter duration of treatment
C) The efficacy of most narrow-spectrum antibiotics has not been proven
D) The use of broad-spectrum antibiotics can create a risk for a superinfection
Question 8 A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug?
A) Lid margin crusting and pruritus
B) Cognitive changes
C) Nephrotoxicity and neurotoxicity
D) Tendon ruptures
Question 9 A patient has been prescribed oral tetracycline.The nurse will instruct the patient to take the drug
A) on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs.
B) with a meal.
C) with milk or fruit juice.
D) at bedtime only.
Question 10 A 20-year-old female patient is receiving topical clindamycin for acne vulgaris. She develops a rash and urticaria along with severe itching where the medication is applied. The nurse will formulate which of the following nursing diagnoses for the patient?
A) Diarrhea
B) Risk for Injury related to allergic reactions
C) Imbalanced Nutrition: Less than Body Requirements
D) Risk of Injury related to blood dyscrasia
drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results?
A) Serum alanine transaminase, aspartate transaminase, and bilirubin
B) Red blood count, white blood count, and differential
C) Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels
D) Fasting blood sugar and 2-hour postprandial blood sugar
Question 12 An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?
A) Hang the drug by piggyback with lactated Ringer’s and infuse over several hours to minimize the risk of infusion reaction
B) Infuse the drug over 2 to 4 hours into a central line using an infusion pump
C) Flush the patient’s central line with normal saline and infuse the amphotericin B by intravenous push over 5 to 7 minutes.
D) Place the patient on a constant infusion of amphotericin B at a rate determined by the patient’s body weight.
Question 13 A nurse is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity?
A) A drug harms microbes without harming human cells
B) A drug’s effect on microorganisms is proportionate to dose
C) Most microbes may be collected from a host and cultured on an alternative medium
D) A drug can be isolated and produced in a controlled manner in a laboratory setting
Question 14 An immunocompromised patient in a critical care setting has developed a respiratory infection that has been attributed to methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate that the patient will require treatment with
A) ciprofloxacin
B) clindamycin
C) vancomycin
D) an antistaphylococcic penicillin
Question 15 Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient’s physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician’s order if the patient has a history of
A) osteoporosis or low bone density
B) chronic obstructive pulmonary disease (COPD)
C) diabetes mellitus
D) cardiac arrhythmias
Question 16 A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life-threatening infection. Which of the following would be most important for the nurse to monitor?
A) Increased heart rate
B) Breathlessness
C) Infiltration, edema, or phlebitis at the infusion site
D) Nausea and vomiting
Question 17 A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi’s sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by
A) inhibiting tumor growth by enhancing inflammation
B) potentiating the effects of phagocytes and macrophages
C) causing mutations in the DNA of cancerous cells
D) increasing the production of B cells and T cells
Question 18 Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent
A) once a day
B) twice a day
C) three times a day
D) as needed
Question 19 Which of the following is critical to helping prevent development of resistant strains of microbes in patients?
A) Limit the exposure of bacteria to an antimicrobial agent
B) Keep the antimicrobial drug dosage high
C) Maintain the optimum duration of the antimicrobial agent
D) Maintain the maximum safe frequency of antimicrobial drug ingestion
Question 20 Which of the following nursing actions is most important in achieving successful antimicrobial therapy with vancomycin?
A) Provide maximum physical comfort to the patient
B) Monitor serum drug level
C) Taper down the drug dosage gradually
D) Promote adequate intake of fluids and nutrients
Question 21 A patient is being treated for Mycoplasma pneumoniae pneumonia. She is allergic to penicillin and is being given azithromycin (Zithromax) in capsule form. The nurse will inform the patient that she will need to take the capsule
A) with food
B) on an empty stomach
C) with or without food
D) immediately after she eats
Question 22 A patient is taking rifampin (Rifadin) for active TB. When discussing this drug with the patient, the nurse should stress that
A) the drug usually causes cardiac arrhythmias
B) the drug frequently causes seizure activity
C) facial flushing may appear but will go away once therapy is concluded
D) body fluids such as urine, saliva, tears, and sputum may become discolored
Question 23 A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to
A) take the tablets on an empty stomach
B) decrease the drug dosage if initial symptoms of nephrotoxicity appear
C) stay well hydrated by drinking at least eight 8-oz glasses of water daily
D) eat light meals every day
Question 24 A 9-year-old boy was bought to his primary care provider by his mother with signs and symptoms of hookworm infection and will be sent home with a prescription for mebendazole. When provided patient and family education, the nurse should teach the mother with which of the following measures to avoid reinfection following treatment?
A) The importance of vigilant hygiene for the boy and the other members of the family
B) The need for the boy to provide serial stool samples for 6 months following treatment
C) The need to supplement the anthelminthic drug with prophylactic antibiotics
D) The need to use prescription skin cleansers during treatment and for 6 weeks after
Question 25 A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse?
A) Encourage the patient to increase fluid intake
B) Use strict aseptic technique for drug administration
C) Keep the bed in a low position and the side rails up at all times
D) Reduce the drug dosage
Question 26 A nurse is providing education to a patient who is taking INH. The nurse will advise the patient to avoid which of the following foods?
A) Cheese, dairy products, and bananas
B) Potatoes and root vegetables
C) Citrus fruits
D) Chicken and fish
Question 27 A child is taking permethrin for head lice. The nurse will instruct her mother to
A) wash her hair daily with a good shampoo
B) increase her daily intake of milk
C) maximize the child’s fluid intake
D) stop using creams, ointments, and oils on the child’s skin and scalp.
Question 28 A patient is receiving cefazolin in combination with anticoagulants. To minimize the adverse effects during therapy, the nurse will
A) monitor the site of injection
B) monitor the patient for bleeding gums
C) continue therapy until 2 days after symptoms have resolved
D) administer the medication with small amounts of food and fluids
Question 29 Which of the following would a nurse assess for in a patient who is taking polymyxin B systemically?
A) Peripheral neuropathy
B) Nephrotoxicity and hepatotoxicity
C) Hyperkalemia and hyponatremia
D) Endocarditis and hypertension
Question 30 A 30-year-old African-American woman tested positive for TB and is prescribed isoniazid. The nurse will plan the patient’s care to include close monitoring of the drug therapy because
A) the process of drug elimination will be faster in this patient
B) the therapeutic effect of the drug may be too slow to be effective
C) the patient is at greater risk for high serum levels of the drug
D) the process of drug metabolism may be faster in this patient
Question 31 A patient is receiving long-term clindamycin therapy for a life-threatening infection. The nurse will begin by monitoring this drug therapy by obtaining
A) blood glucose levels daily for 1 week
B) establishing the patient’s auditory abilities
C) a baseline complete blood count
D) liver enzymes weekly until the drug therapy is completed
Question 32 A 45-year-old female patient is prescribed ciprofloxacin to treat a bronchial infection. A nursing assessment revealed that she started taking daily vitamin supplements about 2 years ago. To maximize the therapeutic effects of the ciprofloxacin therapy, the nurse should advise the patient to
A) take the vitamins at least 2 hours before or after taking ciprofloxacin
B) alternate the dosage of ciprofloxacin and vitamin supplements
C) reduce the dosage of vitamin supplements
D) reduce the dosage of vitamin supplements and double the dosage of ciprofloxacin
Question 33 A 7-year-old child has tonsillitis and is prescribed penicillin V, which is to be administered at home. The nurse will instruct the parents to administer the drug
A) with a sip of water 1 hour before mealtime
B) immediately before or with a meal
C) with a glass of water 1 hour before or 2 hours after a meal
D) intravenously with the assistance of a home health nurse
Question 34 A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor
A) blood sugar levels daily
B) liver enzymes monthly
C) plasma concentrations regularly
D) urine output daily
Question 35 A 49-year-old farmer who normally enjoys good health has become seriously ill in recent days and the results of an extensive diagnostic work up have resulted in a diagnosis of histoplasmosis. The patient has been admitted to the hospital and has begun treatment with amphotericin B. The nurse who is providing care for the patient should prioritize which of the following diagnostic results during his course of treatment?
A) Electrolytes, blood urea nitrogen, and creatinine
B) Hemoglobin, hematocrit, and red blood cells
C) PT, PTT, and platelets
D) C-reactive protein
Assignment: skin infection
Assignment: skin infection
Assignment: skin infection
Assignment: skin infection

Discussion: Social Work in Politics
Discussion: Social Work in Politics
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Social workers often have commitments to specific policies, laws, or funding of programs that are vital to the population they serve or an issue that they strongly support. Such commitments often lead social workers to become involved in political issues and the campaigns of specific candidates. Being a social worker, such campaign experiences, the outcomes of your efforts, and how effective you felt you were may affect your view of the political process and the likelihood of becoming involved in similar campaigns in the future.
For this Discussion, reflect on your experiences if you have ever participated in a political campaign. What was the outcome of your participation? If you have not participated in a campaign, choose a campaign topic you support or oppose and consider the ways you might like to participate in that campaign. Likewise, think about your experiences if you have ever lobbied on a topic. If you have not, choose a topic for which you might like to lobby in favor or against. Finally, consider how you think social workers might have a powerful and positive effect as elected officials.
· Post an explanation of the role of lobbying and campaigning in social work practice.

· Then, explain how you think social workers might have a powerful and positive effect as elected officials.

· Finally, explain of the impact, if any, the experiences and opinions of your colleagues have had on your own experiences and opinions.
Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
References
Rome, S., Harris, S., & Hoechstetter, S. (2010). Social work and civic engagement: The political participation of professional social workers. Journal of Sociology & Social Welfare, 37(3), 107–129.
Popple, P. R., & Leighninger, L. (2015). The policy-based profession: An introduction to social welfare policy analysis for social workers. (6th ed.). Upper Saddle River, NJ: Pearson Education

Assignment: dose of levothyroxine
Assignment: dose of levothyroxine
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Question 9
Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine?
A) The resident has not eaten breakfast because of a recent loss of appetite
B) The resident’s apical heart rate is 112 beats/minute with a regular rhythm
C) The resident had a fall during the night while transferring from her bed to her bathroom
D) The resident received her annual influenza vaccination the previous day
Question 10
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 11
A patient receives 25 units of NPH insulin at 7AM At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?
A) After breakfast
B) Before lunch
C) Late afternoon
D) Bedtime
Question 12
A male patient is to begin glyburide (Diabeta) for type 2 diabetes Before the drug therapy begins, a priority action by the nurse will be to assess the patient’s
A) blood pressure.
B) potassium level.
C) use of alcohol.
D) use of salt in his diet.
Question 13
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 14
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

Health Continum Assignment
Health Continum Assignment
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Research the Health-illness continuum and its relevance to patient care. In a 1250- word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:
1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).
Research the Health-illness continuum and its relevance to patient care. In a 1250- word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:
1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Assignment: Qualitative analysis phase
Assignment: Qualitative analysis phase
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For this assignment, assume the role of a researcher in the qualitative analysis phase of the study. The data are gathered imported into MAXQDA for analysis. At this point, there are parent codes and sub-codes. However, the software requires human intervention to move past codes to categories and subsequently themes. Clearly, a category of “interview guide topics” cannot be used in the presentation of research results. In this assignment, you will access MAXQDA and practice creating categories and themes.
General Requirements:
Use the following information to ensure successful completion of the assignment:
Refer to the document, “Using MAXQDA Assignment Resource,” located in the Course Materials for this topic.
This assignment requires the use of MAXQDA software available in the DC. A link to the software is in the Course Materials for this topic.
Refer to “Getting Started Video Tutorial” found in the Course Materials for this topic.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is 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.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Directions:
Complete this assignment according to the directions in the document, “Using MAXQDA Assignment Resource.”
For this assignment, assume the role of a researcher in the qualitative analysis phase of the study. The data are gathered imported into MAXQDA for analysis. At this point, there are parent codes and sub-codes. However, the software requires human intervention to move past codes to categories and subsequently themes. Clearly, a category of “interview guide topics” cannot be used in the presentation of research results. In this assignment, you will access MAXQDA and practice creating categories and themes.
General Requirements:
Use the following information to ensure successful completion of the assignment:
Refer to the document, “Using MAXQDA Assignment Resource,” located in the Course Materials for this topic.
This assignment requires the use of MAXQDA software available in the DC. A link to the software is in the Course Materials for this topic.
Refer to “Getting Started Video Tutorial” found in the Course Materials for this topic.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is 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.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Directions:
Complete this assignment according to the directions in the document, “Using MAXQDA Assignment Resource.”

Assignment: preventing nosocomial infections
Assignment: preventing nosocomial infections
discussion 1
Review the following research questions.
Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?
Identify an appropriate research design.
An appropriate research design for this research question is quantitative research with an experimental design.
Discuss the strengths and weaknesses of the design.
According to Roger Watson (2015), quantitative studies produce numbers that should be interpreted before conclusions may be drawn. This can be considered a strength for this design as numbers allows the researcher to draw conclusion easily. An area of weakness is the idea that the opportunity for error cannot be eliminated entirely. According to Watson (2015) “it is essential to store data carefully, once it has been entered into any package, since loss can jeopardize the study”.
Provide a rationale for the design you selected
This design allows the research to manipulate the independent variable in order to study the effect it has on the dependent variable. In this case, the researcher is able to identify the effect of soap and water on the prevention of nosocomial infections and the effect is alcohol-based rubs on the prevention if nosocomial infections. The number of occurrences will be compared to draw a conclusion
How effective are anti-depressive medications on anxiety and depression?
Identify an appropriate research design.
An appropriate research design for this research question is qualitative design.
Discuss the strengths and weaknesses of the design.
According to Leslie Gelling (2014), while utilizing qualitative research, nurses to understand health and illness experiences and offer ‘compassionate, person-centered care. This is considered to be a strength for this design. Gelling also stated that “a poorly worded question might lead the research in the wrong direction, wasting the researcher’s time and, more importantly, wasting the research participants’ time if the chosen methodology is unable to answer the question (Gelling, 2014). This is the weakness of this design.
Provide a rationale for the design you selected
Qualitative research is an approach to scientific inquiry that allows researchers to explore human experiences in personal and social contexts, and gain greater understanding of the factors influencing these experiences.
What is the difference in attitudes of male and female college students toward condoms?
Identify an appropriate research design.
An appropriate research design for this research question is a qualitative descriptive design. In a descriptive study without manipulating any variables.
Discuss the strengths and weaknesses of the design.
According to Pathak, Jena, and Kalra (2013), qualitative research is now recognized for its ability to add a new dimension to interventional studies that cannot be obtained through measurement of variables alone. This can be considered to be a strength of this design. Qualitative studies should be well-designed and the aims of the study should be meticulously adjudicated (Pathak, Jena, & Kalra, 2013). On the other hand, descriptive research also presents the possibility for error and subjectivity. Confidentiality is the primary weakness of descriptive research (Murphy, n.d.). Often subjects are not truthful as they feel the need to tell the researcher what they think the researcher wants to hear (Murphy, n.d.).
Provide a rationale for the design you selected
Qualitative method is used to understand people’s beliefs, experiences, attitudes, behavior, and interactions.
References
Gelling, L. (2015). Qualitative research. Nursing Standard, 29(30), 43. Retrieved from http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.7748/ns.29.30.43.e9749
Murphy, J. (n.d.). Strengths and weaknesses of descriptive research. Retrieved from, http://classroom.synonym.com/strengths-weaknesses-descriptive-research-2596.html
Pathak, V., Jena, B., & Kalra, S. (2013). Qualitative research. Perspectives in Clinical Research, 4(3), 192. Retrieved from http://doi.org/10.4103/2229-3485.115389
Watson, R. (2015). Quantitative research. Nursing Standard, 29(31), 44. Retrieved from http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.7748/ns.29.31.44.e8681

Discussion: Family Relationships
Discussion: Family Relationships
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The next genogram component is the family relationship to describe the union of 2 individuals, typically through marriage. Other family relationships are divorce, separation, cohabitation, engagement, etc. Each completed genogram needs a legend to describe the various symbols. This legend should include the emotional relationship and family relationship lines indicated on your genogram.
GenoPro uses this type of indicator for emotional and relationship lines. When there may be a discrepancy between this document and GenoPro, use GenoPro.
Legend of family relationships
Each type of family relationship is described in the table below:
This family relationship represents a married couple. There is no special symbol to distinguish a civil marriage and/or a religious marriage.
This is the generic symbol to describe a married couple no longer living together. A separation is displayed by a single oblique bar.
The married couple is separated and started legal procedure for an eventual divorce. If you know a couple is separated but you are not sure about the legal procedure, it is recommended to use the separation in fact symbol.
The married couple has divorced. No comments.
The marriage was annulled. This is a rare case, but it must be included.
One of the spouses died while married. Use this symbol only when the surviving spouse re-married. Otherwise, everyone in your ancestry will be widowed.
The two individuals are in the process of getting married.
Same as above except the individuals are living together before getting married.
There is a legal paper trail about the cohabitation. The two individuals have written contract about the cohabitation status, involving benefits such as parental responsibility, common ownership, and inheritance.
The two individuals no longer live together and are in the process of terminating their cohabitation contract.
The cohabitation contract has been terminated.
One of the partners is deceased. This situation is similar to widowed; the difference is the two individuals had a cohabitation contract rather than a marriage contract. Again, use this symbol if the surviving partner has had other partners, or every legal cohabitation will end by either a separation or a death.
Although there is no legal definition of cohabitation, it generally means to live together as a couple without being married. Use this relationship to define the generic common law spouse. There is no such thing as illegal cohabitation.
The generic symbol of two individuals no longer living together.
The two individuals lived together until one of the partner died. Same as legal cohabitation and decease, but no cohabitation agreement had been written.
A relationship where two individuals live together, but there is no affection towards another.
The action of seeing someone or dating. Be aware the terms boyfriend and girlfriend are often used for cohabitation, but not exclusively.
The two individuals are no longer dating. This could be called ex-boyfriend or ex-girlfriend. Be aware, the term ex-boyfriend and ex-girlfriend may also be used for cohabitation and separation, but not exclusively.
This is the polite term for having a mistress or a one night stand. Select this relation if children are the product of such a relationship.
One individual is abusing or has abused the other individual, including date-rape, drug-rape, and wife-rape. This type of relationship is mostly used in therapy or when a child was the product of such relationship.
A relationship not specified in the list above or is unknown to the creator of the genogram. Use this symbol to highlight an unusual type of relationship.
A blank value is used to describe an unspecified relationship when creating a new family. This is the symbol used to indicate that the user has not yet specified the type of relationship.