Nursing

Assignment: contributors to illness
Assignment: contributors to illness
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Question 1 While caring for a patient from the Chinese culture, the nurse learns that the patient has a specific practice that follows yin and yang What impact will this have on the patient’s dietary intake?
1. The patient will eat only specified combinations of food.
2. Some foods are only eaten at different times of the year.
3. There are specific foods for specific purposes.
4. Identifies if foods should be eaten hot or cold
Question 2 What would the nurse identify as contributors to illness?
Select all that apply
1. Imbalance of body, mind, or spirit
2. Imbalance with the family
3. Imbalance with the community
4. Imbalance with the forces of the natural world
5. Imbalance with socioeconomic status
Question 3 While performing a home assessment, the home care nurse identifies traditional practices that the patient uses to protect healthWhich are practices used to protect health?
Select all that apply
1. Picture of a saint hanging on the wall in the bedroom
2. String of garlic hanging in the kitchen
3. Burning a candle on the kitchen table
4. Wearing a purple scarf
5. Chanting prayers
Question 4 Which actions would the nurse categorize as traditional mental HEALTH maintenance?
1. Activities to concentrate and stimulate the mind
2. Avoiding physically demanding hobbies
3. Using medications to preserve chemical balance in the brain
4. Wearing head covering in the cold to preserve head warmth
Question 5 Which action do most people take when experiencing a mild illness?
1. Rely on self-treatment or do nothing.
2. Ingest herbs specific to how they are feeling.
3. Consult a local faith HEALER.
4. Immediately seek medical attention.
Question 6 A patient wants to use a complementary medicine approach for a chronic health problem Which approaches would the nurse suggest the patient use?
Select all that apply
1. Hypnotherapy
2. Qi gong
3. Biofeedback
4. Reiki
Question 7 During an assessment, a patient tells the nurse, “An onion a day keeps everyone away” How does this philosophy protect health?
1. An onion protects the person from coming in contact with those who might be ill.
2. This philosophy affirms the belief in the power of onions to prevent disease.
3. This philosophy recognizes the special antibiotic properties contained within onions.
4. This philosophy advertises that onions have special healing abilities.
Question 8 Which action does the nurse recognize as essential for maintaining health?
1. Having a strong familial and social support system
2. Practicing moderation in all activities
3. Ensuring proper balance in all aspects of life
4. Taking a daily multivitamin
Question 9 During a health history, a patient tells the nurse about following traditional epidemiological practices What is the purpose of these practices?
1. Preserve a heritage
2. Used as a part of the patient’s religion.
3. Cure an illness
4. Uses folk medicine herbal remedies
Question 10 Which activities does the nurse recognize as being used by a patient to restore health?
Select all that apply
1. Drinking herbal tea
2. Using massage
3. Prayer
4. Meditation
5. Purging
Question 11 A patient tells the nurse that an illness was caused by the evil eye What are common beliefs about this cause of illness?
Select all that apply
1. Power comes from the eye and strikes a victim.
2. The onset of illness is sudden.
3. The person who cast the evil eye may not be aware of the power.
4. The illness may be cured with rituals.
5. The illness will become chronic.
Question 12 Which statement would the nurse utilize to define HEALTH?
1. The balance of a person within the outside world
2. A continuous struggle between balance and imbalance
3. Recovering from an illness
4. Physical wholeness for activity
Question 13 While assessing a patient from the Jewish culture, the nurse learns that the patient believes that an illness is being caused by another soul What is this health belief considered?
1. Aberglobin
2. Kayn aynhoreh
3. Szatan
4. Dybbuk
Question 14 While working with community members of different cultures, the nurse learns a variety of beliefs about the evil eye What are the consistent variables of this cause of illness?
Select all that apply
1. How it is cast
2. Who can cast it
3. Who receives it
4. Degree of power it has
5. What body part is afflicted
Question 15 The nurse is trying to determine if a treatment that a patient has been taking for an illness is considered a homeopathic remedy Which are criteria of homeopathy?
Select all that apply
1. The person, and not the disease, is being treated.
2. Does not conform to scientific standards
3. A substance used would cause symptoms in a healthy person.
4. Spinal manipulation realigns mental impulses.
Question 16 The nurse notes that a patient’s religion is identified as being Christian Science How will this religious belief impact the health care that the patient will want?
1. The patient will choose the method of health care that is the most effective.
2. The patient will use similar treatments for healing disease.
3. The patient uses aromas for healing.
4. The patient will ask for spinal manipulation.
Question 17 The nurse notes that a patient’s religion is identified as being Christian Science. How will this religious belief impact the health care that the patient will want?
1. The patient will choose the method of health care that is the most effective.
2. The patient will use similar treatments for healing disease.
3. The patient uses aromas for healing.
4. The patient will ask for spinal manipulation.
Question 18 In some cultures, spitting is a health protection activity done after giving someone else a compliment What is the purpose of this action?
1. Prevents the recipient of the compliment from receiving an evil spell
2. Avoids direct speech afterwards with the person who receives the compliment
3. Prevents the recipient of the compliment from being too flattered
4. Makes the air better to take in the compliment
Question 19 Which patient statement reflects a spiritual belief that defines illness?
1. “I am being punished for breaking a religious code.”
2. “It is a necessary part of my religious culture.”
3. “I failed to wear special amulets to ward it off.”
4. “I am sick because I violated dietary practices.”
Question 20 The nurse learns that a patient used to follow homeopathic medicine but now only uses allopathic medicine approaches What is the significance of allopathic medicine?
1. Espouses empiric methods for treating disease
2. Accepts other forms of therapy as valid for treating disease
3. Is practiced only where it is accepted
4. Encompasses different treatment modalities within its framework

Assignment: Diagnosis of cystic fibrosis
Assignment: Diagnosis of cystic fibrosis
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Question 1
A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as:
a. Visceral
b. Somatic
c. Parietal
d. Referred
Question 2
An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected?
a. Insufficient bile production
b. Gastric atrophy
c. Hypersecretion of stomach acid
d. Nutrient malabsorption
Question 3
In alcoholic cirrhosis, hepatocellular damage is caused by:
a. acetaldehyde accumulation.
b. bile toxicity.
c. acidosis.
d. fatty infiltrations.
Question 4
Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension?
a. Sinusoids
b. Bile ducts
c. Hepatic portal vein
d. Hepatic artery
Question 5
Kwashiorkor is a severe dietary deficiency of:
a. fat-soluble vitamins.
b. carbohydrates.
c. protein.
d. calcium and magnesium.
Question 6
A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has?
a. A
b. B
c. C
d. D
Question 7
Prolonged diarrhea is more serious in children than adults because:
a. children have lower adipose reserves.
b. fluid reserves are lower in children.
c. children have a lower metabolic rate.
d. children are more resistant to antimicrobial therapy.
Question 8
A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as:
a. Intussusception
b. A volvulus
c. A hernia
d. Adhesions
Question 9
A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is:
a. Increasing subepithelial bicarbonate production
b. Accelerating the H+ (proton) pump in parietal cells
c. Inhibiting mucosal prostaglandin synthesis
d. Stimulating a shunt of mucosal blood flow
Question 10
Acute pancreatitis often manifests with pain to which of the following regions?
a. Right lower quadrant
b. Right upper quadrant
c. Epigastric
d. Suprapubic
Question 11
A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease?
a. Reflux esophagitis
b. Intestinal parasites
c. Ingestion of salty foods
d. Frequent use of antacids
Question 12
The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding?
a. Fecal impaction
b. Pancreatic insufficiency
c. Hyperactive peristalsis
d. Ileal atresia
Question 13
The most common cause of chronic vascular insufficiency among the elderly is:
a. Anemia
b. Aneurysm
c. Lack of nutrition in gut lumen
d. Atherosclerosis
Question 14
The most common clinical manifestation of portal hypertension is _____ bleeding.
a. rectal
b. duodenal
c. esophageal
d. intestinal
Question 15
A 54-year-old male is diagnosed with peptic ulcer disease.This condition is most likely caused by:
a. Hereditary hormonal imbalances with high gastrin levels
b. Breaks in the mucosa and presence of corrosive secretions
c. Decreased vagal activity and vascular engorgement
d. Gastric erosions related to high ammonia levels and bile reflux
Question 16
The cardinal sign of pyloric stenosis caused by ulceration or tumors is:
a. Constipation
b. Diarrhea
c. Vomiting
d. Heartburn
Question 17
A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is:
a. Bacterial infection
b. Viral infection
c. Alcoholism
d. Drug overdose
Question 18
Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:
a. hyperbilirubinemia and jaundice.
b. fluid and electrolyte imbalances.
c. impaired ammonia metabolism.
d. decreased cerebral blood flow.
Question 19
The most common disorder associated with upper GI bleeding is:
a. diverticulosis.
b. hemorrhoids.
c. esophageal varices.
d. cancer.
Question 20
A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow’s milk. The best explanation for her symptoms is:
a. Deficiency of bile that stimulates digestive secretions and bowel motility
b. Excess of amylase, which increases the breakdown of starch and causes an osmotic diarrhea
c. Overgrowth of bacteria from undigested fat molecules, which leads to gas formation and de creased bowel motility
d. Excess of undigested lactose in her digestive tract, resulting in increased fluid movement into the digestive lumen and increased bowel motility
Question 21
A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the:
a. Intrahepatic bile canaliculi
b. Gallbladder
c. Cystic duct
d. Common bile duct
Question 22
A 1-week-old female is brought to her pediatrician for abdominal distention and unstable temperature. Physical examination reveals bradycardia and apnea. Tests reveal hypoxic injury to the bowel resulting in bacterial invasion and perforation. This condition is referred to as:
a. Infective enteropathy
b. Necrotizing enterocolitis (NEC)
c. Mucoviscidosis
d. Ileus
Question 23
For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning?
a. Pyloric
b. Lower esophageal
c. Upper esophageal
d. Gastric
Question 24
Cholecystitis is inflammation of the gallbladder wall usually caused by:
a. accumulation of bile in the hepatic duct.
b. obstruction of the cystic duct by a gall-stone.
c. accumulation of fat in the wall of the gallbladder.
d. viral infection of the gallbladder.
Question 25
A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as:
a. Prolapse
b. Pyloric stenosis
c. Intussusception
d. Imperforation
Question 26
A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer.
a. Infectious
b. Cushing
c. Ischemic
d. Curling
Question 27
Chronic gastritis is classified according to the:
a. severity.
b. location of lesions.
c. patient’s age.
d. signs and symptoms.
Question 28
Reflux esophagitis is defined as a(n):
a. Immune response to gastroesophageal reflux
b. Inflammatory response to gastroesophageal reflux
c. Congenital anomaly
d. Secretory response to hiatal hernia
Question 29
The cardinal signs of small bowel obstruction are:
a. Vomiting and distention
b. Diarrhea and excessive thirst
c. Dehydration and epigastric pain
d. Abdominal pain and rectal bleeding
Question 30
The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation?
a. Anemia
b. Jaundice
c. Hypobilirubinemia
d. Ascites
Question 31
A 20-year-old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea.
a. Motility
b. Hypotonic
c. Secretory
d. Osmotic
Question 32
Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease?
a. Pattern of remission/exacerbations
b. Abdominal pain
c. Malabsorption
d. Diarrhea
Question 33
A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has:
a. Pyloric stenosis
b. Hiatal hernia
c. Gastric cancer
d. Achalasia
Question 34
The exocrine portion of the pancreas contains:
a. alpha cells.
b. beta cells.
c. acinar cells.
d. islets of Langerhans.
Question 35
Outbreaks of hepatitis _____ often occur in young children attending day care centers and can be attributed to poor hand washing.
a. A
b. B
c. C
d. D

Assignment: Habitat heterogeneity
Assignment: Habitat heterogeneity
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A hot t, tropical grassland with scattered trees is a:
Savanna
Tundra
Boreal forest
Desert
Permafrost is a defining characteristic of which biome?:
Steppe
Desert
Taiga
Tundra
The dominant plant type in temperate forest is:
Forbs
Coniferous trees
Deciduous trees
Succulents
The chaparral biome can be found in:
California
Australia
All answers are correct
The Mediterranean
Trees in the Boreal forest are adapted to conserve:
Carbon
Phosphorus
Nitrogen
Magnesium
What is an endemic species?
A species native to only one area
A species dying from an unknown disease
A robust group of organisms that dominate an ecosystem
A broad group of pollinating insects
Which of the following is a driver of species creation?
Climatic stability
All answers are drivers
Temporal stability
Habitat heterogeneity
Pollinator ecosystem services are provided by which organism?
Birds
All are pollinators
Bees
Bat
Why have scientists, farmers and politicians stored the world’s seed heritage on a remote island in the Arctic?
Consistent temperatures and humidity for seed survival.
If the facility’s climate control fails, the seeds will only freeze.
All of these answers are correct.
Polar bears and remoteness are great deterrents for terrorists.
Scientists consider which of the following an important aspect of “biodiversity”?
Ecosystems
Genes
Species
All are important
What percentage of the timber imported by the United States is potentially illegally harvested?
75%
50%
1%
10%
What is the present day extinction rate?
About 10 times faster than the background rate
About 100 times faster than the background rate
About equal to the background rate
About 1000 times faster than the background rate
What percentage of river lengths in the United States have been modified through damming and bank modification?
50%
20%
90%
10%
Which of the following statements is TRUE about extinction?
Extinction occurs when speciation rates increase dramatically
The only large extinction event was 65 million years ago when the dinosaurs were killed.
Extinction of more than half of the existing species on the planet has occurred roughly five times
Plants, but not animals, have been known to recover from extinction
Which of the following threats has had a large impact on biodiversity?
Overharvesting
All three are correct
Exotic species
Habitat loss
When an invasive species is introduced, what is the potential consequence of that introduction?
Increased predation on some native species
All of the listed consequences can occur
Extinction of economically important species
Reduced predation on some native species
The relationship between the populations of wild lynx and snowshoe hare is an example of what ecological interaction?
Birth rates dynamics
Nutrient cycling
Territorial dominance
Predator-prey interactions
Energy is _________ as you move up the trophic levels.
Lost
Gained
Created
Conserved
Where one species benefits from prolonged interaction with another species, while the other species neither benefits nor is harmed is called:
Parasitism
Commensalism
Mutualism
Advantagism

Assignment: Diagnosis of juvenile arthritis
Assignment: Diagnosis of juvenile arthritis
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Question 15
A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant) What special instructions should the nurse include in the patient teaching for this situation?
A) Wash hands before and after taking the medicine
B) Keep track of any gastrointestinal tract infections
C) Monitor glucose levels closely
D) Note the time the medicine is taken each day
Question 16
A 13-year-old patient has juvenile arthritis He has recently had oral surgery and was told by the surgeon to take aspirin for the pain The nurse will monitor for which of the following?
A) Bronchoconstriction
B) Hepatotoxicity
C) Aplastic anemia
D) Agranulocytosis
Question 17
A nurse has been invited to speak to a support group for persons with movement disorders and their families Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies?
A) “Drug therapy can consist of one or more drugs to eliminate the symptoms of these diseases.”
B) “Drugs do not cure these disorders; they instead enhance quality of life.”
C) “Persons of all cultures are treated similarly and respond in similar ways to treatment.”
D) “Drugs used to treat these disorders always pose a risk of severe liver and kidney dysfunction.”
Question 18
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

Case study: Meeting health needs
Case study: Meeting health needs
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Directions:
1. To complete this assignment:
· Read the case study above.
· Assume the role as the Public Relations Director for Purple Cross of North Carolina.
o The CEO directs you to interview the Telehealth Director regarding the use of Telehealth with Mrs. Smith. The CEO directs you to create one thought-provoking question for each of the following topics:
· Meeting the health needs of Mrs. Smith
· Decision-making process for technology selected for Mrs. Smith
· Benefits and risks in using Telehealth technology for Mrs. Smith
· Cost and staff involved in using Telehealth technology for Mrs. Smith
o Note: Your questions must be original; not copied or modified from any source, including your textbook. Your questions cannot simply rephrase the topic.
o For each question, the CEO requires that you provide your rationale. Describe how the question will yield a thorough response, and not simply a “yes” or “no” answer.
· Any cited sources to support your rationale statements must be identified, using APA formatting.
· Prior to submission, review your responses to ensure that they contain no spelling or grammatical errors.
2. Submit the Week 4 Assignment via Blackboard by clicking on the “Week 4 Assignment” link.
3. Include the proper file naming convention:
· CMP105_wk4_assn_jsmith_mmddyyyy.
For each topic, write your question and rationale.
Topic: Meeting the health needs for Mrs. Smith
Your question:
[Write your response here.]
Rationale:
[Write your response here.]
Topic: Decision-making process for technology selected for Mrs. Smith
Your question:
[Write your response here.]
Rationale:
[Write your response here.]
Topic: Benefits and risks in using Telehealth technology for Mrs. Smith
Your question:
[Write your response here.]
Rationale:
[Write your response here.]
Topic: Cost and staff involved in using Telehealth technology for Mrs. Smith
Your question:
[Write your response here.]
Rationale:

Assignment: skin check up
Assignment: skin check up
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Question 1
A 22-year-old advertising copywriter presents for evaluation of joint pain The pain is new, located in the wrists and fingers bilaterally, with some subjective fever The patient denies a rash; she also denies recent travel or camping activities She has a family history significant for rheumatoid arthritis Based on this information, which of the following pathologic processes would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
Question 2
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up She has just returned from her annual dig site in Greece She has fair skin and reddish-blonde hair She has a family history of melanoma She has many freckles scattered across her skin From this description, which of the following is not a risk factor for melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
Question 3
A 15-year-old high school sophomore and her mother come to your clinic because the mother is concerned about her daughter’s weight You measure her daughter’s height and weight and obtain a BMI of 195 kg/m2 Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic
B) Reassure the mother that this is a normal body weight
C) Give the patient information about exercise because the patient is obese
D) Give the patient information concerning reduction of fat and cholesterol in her diet because she is obese
Question 4
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his anterior chest and abdomen for the past several monthsThey are not painful and he has not noted any bleeding or bruising He is concerned this may be consistent with a dangerous condition What should you do?
A) Reassure him that there is nothing to worry about
B) Do laboratory work to check for platelet problems
C) Obtain an extensive history regarding blood problems and bleeding disorders
D) Do a skin biopsy in the office
Question 5
Jacob, a 33-year-old construction worker, complains of a “lump on his back” over his scapula It has been there for about a year and is getting larger He says his wife has been able to squeeze out a cheesy-textured substance on occasion He worries this may be cancer When gently pinched from the side, a prominent dimple forms in the middle of the mass What is most likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion
Question 6
A patient comes to you for the appearance of red patches on his forearms that have been present for several months They remain for several weeks He denies a history of trauma Which of the following is likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas
Question 7
A 19-year old-college student presents to the emergency room with fever, headache, and neck pain/stiffness She is concerned about the possibility of meningococcal meningitis Several of her dorm mates have been vaccinated, but she hasn’t been Which of the following physical examination descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full range of motion
Question 8
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest The lesion appears to be “stuck on” and is oval, brown, and slightly elevated with a flat surface It has a rough, wartlike texture on palpation Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
Question 9
A patient presents for evaluation of a cough Which of the following anatomic regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine
Question 10
A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of hearing loss He has noticed some decreased ability to hear what his wife and grandchildren are saying to him He admits to lip-reading more He has a history of noise exposure in his young adult years: He worked as a sound engineer at a local arena and had to attend a lot of concerts Based on this information, what is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds
Question 11
MrsAnderson presents with an itchy rash which is raised and appears and disappears in various locations Each lesion lasts for many minutes What most likely accounts for this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura
Question 12
A new mother is concerned that her child occasionally “turns blue” On further questioning, she mentions that this is at her hands and feet She does not remember the child’s lips turning blue She is otherwise eating and growing well What would you do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story
Question 13
An 89-year-old retired school principal comes for an annual check-up She would like to know whether or not she should undergo a screening colonoscopy She has never done this before Which of the following factors should not be considered when discussing whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient
Question 14
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution
Question 15
A 79-year-old retired banker comes to your office for evaluation of difficulty with urination; he gets up five to six times per night to urinate and has to go at least that often in the daytime He does not feel as if his bladder empties completely; the strength of the urinary stream is diminished He denies dysuria or hematuria This problem has been present for several years but has worsened over the last 8 months You palpate his prostate What is your expected physical examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy
Question 16
A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years It seems to be worse in the winter and improves with some sun exposure On examination, you notice scabbing and crusting with some silvery scale, and you are observant enough to notice small “pits” in his nails What would account for these findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection
Question 17
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and nonproductive cough Which is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular
Question 18
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard He has several more of these scattered on the forehead, arms, and legsBased on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
Question 19
An 8-year-old girl comes with her mother for evaluation of hair loss She denies pulling or twisting her hair, and her mother has not noted this behavior at all She does not put her hair in braids On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation There are no hair shafts visible Based on this description, what is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia
Question 20
A 19-year-old construction worker presents for evaluation of a rash He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck It itches a lot He does sweat more than before because being outdoors is part of his job On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Question 21
Which of the following booster immunizations is recommended in the older adult population?
A) Tetanus
B) Diphtheria
C) Measles
D) Mumps
Question 22
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
Question 23
MsWhiting is a 68 year old who comes in for her usual follow-up visit You notice a few flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but nowhere else She doesn’t mention them They are tender when you examine them What should you do?
A) Conclude that these are lesions she has had for a long time
B) Wait for her to mention them before asking further questions
C) Ask how she acquired them
D) Conduct the visit as usual for the patient
Question 24
You have recently returned from a medical missions trip to sub-Saharan Africa, where you learned a great deal about malaria You decide to use some of the same questions and maneuvers in your “routine” when examining patients in the midwestern United States You are disappointed to find that despite getting some positive answers and findings, on further workup, none of your patients has malaria except one, who recently emigrated from Ghana How should you next approach these questions and maneuvers?
A) Continue asking these questions in a more selective way
B) Stop asking these questions, because they are low yield
C) Question the validity of the questions
D) Ask these questions of all your patients
Question 25
On routine screening you notice that the cup-to-disc ratio of the patient’s right eye is 1:2 What ocular condition should you suspect?
A) Macular degeneration
B) Diabetic retinopathy
C) Hypertensive retinopathy
D) Glaucoma
Question 26
MrsHill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus) She has noticed a raised, dark red rash on her legs When you press on the rash, it doesn’t blanch What would you tell her regarding her rash?
A) It is likely to be related to her lupus
B) It is likely to be related to an exposure to a chemical
C) It is likely to be related to an allergic reaction
D) It should not cause any problems
Question 27
A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent for several years He normally takes over-the-counter medications to ease the pain, but this time they haven’t worked as well and he still has discomfort He recently wallpapered the entire second floor in his house, which caused him great discomfort The pain resolved with rest He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck Based on this description, what is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
Question 28
A 28-year-old patient comes to the office for evaluation of a rash At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back Based on this description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Question 29
Which of the following changes are expected in vision as part of the normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Question 30
You are examining an unconscious patient from another region and notice Beau’s lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold What would you do next?
A) Conclude this is caused by a cultural practice
B) Conclude this finding is most likely secondary to trauma
C) Look for information from family and records regarding any problems which occurred 3 months ago
D) Ask about dietary intake

Discussion: Gestalt psychology
Discussion: Gestalt psychology
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Text: Psychology Core Concepts: Zimbardo, Johnson and Hamilton 7TH EDITION (978-0-205183463) I cant found the text online maybe you can
Or You can access The Discovering Psychology video series on the internet for free!
Go to
Click on the blue tab near the top that reads “view programs”
Many film series will be listed. They are in alphabetical order. Scroll down to Discovering Psychology: Updated Edition. Click on it.
All 26 episodes from the series are listed in order. Double click on the box that says “VoD” next to the episode you wish to view. That’s it!Type 1 page for each ½ hour video unit where you submit bullets outlining the content of each ½ hour lecture (not more than one page in length) AND, SEPARATELY, ANSWER ALL LEARNING OBJECTIVE QUESTIONS FROM THE ATTACHED/ENCLOSED PACKET( state each question before each of your responses. Make sure you cite page references from the text for each of your answers).
ANSWERS TO THESE QUESTIONS CAN BE FOUND IN VIDEO AND TEXT INSIDE FRONT AND BACK COVER OF TEXT WILL TELL YOU WHAT CHAPTERS CORRELATE WITH WHICH VIDEOS).
Week 8 Nov. 4 videos/Obj. units 15,16
Week 9 Nov.11 videos/Obj. units 17,18
Week 10 Nov. 18 videos/Obj. units 19,20
Week 4 Oct. 7 videos/Obj. units 7,8 Week 11 Nov. 25 videos/Obj. units 21/22
Week 5 Oct. 14 videos/Obj. units 9,10 Week 12 Dec. 2 videos/Obj. units 23/24
Week 6 Oct. 21 videos/Obj. units 11,12 Week 13 Dec. 09 videos/Obj. units 25/26
Week 7 Oct. 28 videos/Obj. units 13,14
Objective 7
After viewing the television program and completing the assigned readings, you should be able to:
1. Define and compare sensation and perception.
2. Describe how a visual stimulus gets translated into “sight” in the brain.
3. Describe the field of psychophysics.
4. Be able to distinguish distal and proximal stimuli.
5. Explain why illusions provide clues to perceptual mechanisms.
6. Describe Gestalt psychology.
7. Describe the phenomenon of perceptual constancy.
8. Describe the psychological dimensions of sound and the physiology of hearing.
9. Describe the difference between top-down and bottom up processing.
10. Discuss the senses of smell, taste and touch.
Objectives 8
After viewing the television program and completing the assigned readings, you should be able to:
1. Define learning.
2. Describe the process of classical conditioning and show how it demonstrates learning by association.
3. Cite examples of extinction, spontaneous recovery, generalizations, and discrimination.
4. Describe the process of operant conditioning.
5. Know the distinction between positive and negative punishment and between positive and negative reinforcement.
6. Describe how observational learning occurs.
7. Discuss the varieties of reinforcement schedules, including fixed ratio, variable ratio, fixed interval and variable interval.
8. Describe cognitive influence on learning.
9. Describe biological constraints on learning and some possible effects that learning can have on the functioning of the body.
Objective 9
After viewing the television program and completing the assigned readings, you should be able to:
1. Define memory.
2. Compare implicit and explicit memory.
3. Compare declarative and procedural memory.
4. Describe the processes of encoding, storage, and retrieval.
5. Describe the characteristics of short-term, long-term, and sensory memory.
6. Define Schema.
7. Describe the accuracy of memory as a reconstructive process.
8. Define amnesia.
9. Describe processes of encoding and retrieval in Long Term Memory (LTM).
10. Describe short term memory (STM), note its limited capacity, and discuss two ways to enhance STM.
11. Compare semantic and episodic memory.
12. Discuss proactive and retroactive interference.
13. Describe chemical and anatomical factors involved in memory.

Assignment: Medical application of cortisone
Assignment: Medical application of cortisone
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Pharmacology
What is the medical application of cortisone? Cortisone is used to treat:
A. Rheumatoid arthritis, asthma, gastrointestinal disorders, and a variety of skin conditions.
B. Kidney disease, high blood pressure, and osteoporosis.
C. Muscle disorders, tuberculosis, and thyroid disorder.
D. All of the above
Anatomy
Oxygen saturation is likely to be lowest when an asthmatic with a diagnosis of pneumonia is positioned:
A. In a high Fowler position
B. Lying on the left side
C. Lying on the right side
D. Lying supine with the head of the bed flat

Chemistry
Laboratory test results indicative of thrombocytopenia, in addition to a low platelet count, would be:
A. Increased PT
B. Prolonged bleeding time and poor clot retraction.
C. Increased aPTT
D. Decreased RBC count.
Pharmacology
The purposes of epinephrine injection include all of the following except:
A. Stabilizing mast cell membranes.
B. Relaxing bronchial smooth muscle.
C. Supporting arterial blood pressure.
D. Blocking histamine receptors.
Pharmacology
Therapeutic interventions focused on increasing the oxygen supplied to the heart and decreasing the heart’s demand for oxygen include:
A. Antiplatelet drugs
B. Anticoagulants
C. Morphine sulphate
D. Thrombolytic drugs
Pharmacology
An intervention that would contribute toward the healing of a peptic ulcer is:
A. Steroid administration
B. Blocking or neutralizing of acid secretion
C. Surgical removal of the ulcer
D. Intravenous nutritional support
Pharmacology
Aspirin and NSAIDs are causative factors for the development of peptic ulcer disease because they:
A. Increase acid secretion
B. Allow proliferation of H. pylori
C. Damage the mucosal barrier
D. Alter platelet aggregation
Pharmacology
Your patient is interested in trying medication to improve low mood/depression. All of the following medications might be appropriate except:
A. Selective serotonin reuptake inhibitors
B. Amitriptyline
C. Serotonin and norepinephrine reuptake inhibitors
D. Benzodiazepines

Assignment: Nursing Intervention
Assignment: Nursing Intervention
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Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin

Discussion: nursing education assignment
Discussion: nursing education assignment
As faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic learners, and the rest are auditory learners. Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose. Compose a 1,000-1,250-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following: 1. An outline of the course content and agenda that will be covered. 2. Descriptions of the learning activities and the rationale for the learning activities selected 3. Strategies to assess learning, based on the learner objectives 4. Use at least three scholarly, peer-reviewed sources less than 5 years old in addition to the course materials. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required. Refer to “Learning Styles Rubric,” prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Please use the -A-B-C-D Approach to Objective provided. SEE A-B-C-D APPROACH BELOW.
A-B-C-D Approach to Objective Writing
Writing objectives is much like writing outcomes in the nursing process. Objectives must be measurable, contain action verbs, be specific, include timelines, and indicate the degree to which you expect the learner to achieve. A helpful formula to write objectives is the A-B-C-D approach: Audience: Who is the audience for the class? Is it a student nurse? A staff nurse? A participant in a class? Behavior: What do I want the audience to accomplish by the end of the class? An example of a behavior is being able to identify the signs and symptoms of infection. Condition: How will students demonstrate mastery and be assessed in their learning? An example could be that students will demonstrate their knowledge of a lab or clinical area by taking a written test. Degree: How well will students perform their new knowledge? Should students be able to identify all signs and symptoms of infection, or would it be satisfactory if they identified only two symptoms? A sample objective that illustrates these points is: “After reading this lecture (condition), the graduate student in the nurse educator track (audience) will be able to write an objective (behavior) using the A-B-C-D approach (degree).” The above objective dictates that the student will be able to write an objective, as opposed to discussing or identifying it. Since the objective says “write,” the student must write an objective to meet this objective. If the objective instead said: “List the components of a complete learner objective,” the appropriate evaluation would require that the student list the A-B-C-D; whereas the objective “describe the components” would have students describe the meaning of each A-B-C-D step. Well-written objectives will dictate the evaluation process.