Nursing

Family Assessment Assignment
Family Assessment Assignment
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Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:
Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
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 LopesWrite. Please refer to the directions in the Student Success Center.
Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:
Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.

Assignment: Suffering from depression
Assignment: Suffering from depression
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# 1.31
(1 pts.) Which of the following facts led Dr. Tobin to hypothesize that Janice Butterfield was suffering from depression even during their initial phone conversation?
A) Janice’s rapid speech and grandiose thinking
B) Janice’s faint and slow-paced speech
C) Janice’s melodramatic tone
D) Janice’s delusional thinking
# 1.32
(1 pts.) John is in a period of intense disruptive and heightened thinking, behavior, and emotionality. John is experiencing a(n) ____ episode.
A) depressive
B) euphoric
C) dysthymic .
D) manic
# 1.33
(1 pts.) Howard suffers from mild mood swings that range from dysphoria to hypomania. His mood can change rapidly and at times his behavior borders on eccentric, but he still holds down a job at the neighborhood hardware store, and his marriage although a bit strained is on good ground. Howard might be diagnosed as having
A) bipolar disorder.
B) major depressive disorder.
C) hypomania.
D) cyclothymic disorder
# 1.34
(1 pts.) Based on Seligman’s ideas regarding depression, which of the following attributions would be made by an individual likely to become depressed?
A) I failed this exam because I am stupid.
B) I missed the game-tying foul shot because I was nervous.
C) I broke up with my girlfriend because of a difference of opinion.
D) I was fired because my boss was a jerk.
# 1.35
(1 pts.) Brad’s therapist is treating his depression by helping Brad evaluate the rationality of his automatic thoughts, and identify and alter the silent dysfunctional assumptions he makes about things that happen to him. Based on this information, it sounds as if Brad’s therapist may be _____ in her orientation.
A) psychodynamic
B) behavioral
C) cognitive
D) interpersonal
# 1.36
(1 pts.) Beth is suffering from major depressive disorder. Which of the following facts might lead her therapist to be highly concerned about the possibility of her committing suicide?
A) the fact that she is middle-aged.
B) the fact that her GABA levels are so high .
C) the fact that two of her relatives have committed suicide
D) the fact that she has lost her job.
# 1.37
(1 pts.) Although Juanita has been severely depressed, her motor activity has been frantic. The term for this type of motor activity is
A) psychomotor agitation.
B) somatic hysteria.
C) psychomotor hyperactivity.
D) somatic mania.

Assignment: cancer treatment
Assignment: cancer treatment
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Question 10 A nurse is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient’s laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered?
A) Coumadin
B) Alteplase
C) Ticlopidine
D) Protamine sulfate
Question 11 A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following?
A) Nausea and vomiting
B) Respiratory difficulty
C) Inability to drink fluids for 6 hours
D) Reddish urine
Question 12 A nurse is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following?
A) Diabetes mellitus
B) Hypertension
C) Leukopenia
D) Hypoglycemia
Question 13 A patient’s current course of cancer treatment involves the administration of a conjugated monoclonal antibody. What characteristic of the drug is specified by the fact that it is classified as a conjugated drug?
A) The drug is derived from nonhuman sources.
B) The targeted therapy is combined with another substance that causes cell death.
C) The targeted therapy is combination of a monoclonal antibody, a kinase inhibitor, and an inorganic cytotoxin.
D) The drug is able to adapt its pharmacokinetics to the etiology of the patient’s cancer.
Question 14 An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient’s chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs?
A) Cells with a long generation time
B) Cells that lack contact inhibition
C) Cells that have a rapid mitotic rate
D) Cells that lack a blood supply
Question 15 A patient receiving high-dose cisplatin therapy exhibits symptoms of hypomagnesemia. Which of the following should the nurse suggest to help offset the magnesium losses from the cisplatin therapy?
A) Consuming dairy products
B) Consuming chocolates
C) Drinking 2 to 3 liters of fluid a day
D) Consuming potassium-rich foods
Question 16 An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient’s current health status may preclude the use of imatinib?
A) The patient has type 2 diabetes mellitus that is controlled using diet and oral antihyperglycemics.
B) The patient has chronic heart failure resulting in significant peripheral edema.
C) The patient experienced a mild ischemic stroke several years ago and had transient ischemic attacks last year.
D) The patient had a total knee arthroplasty several months earlier.

Assignment: diagnosis with hypothyroidism
Assignment: diagnosis with hypothyroidism
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Question 12 A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed.Before the drug therapy is started, the nurse will assess for which of the following?
A) History of taking anticoagulant drugs
B) Allergy to seafood
C) Hirsutism
D) The patient’s age
Question 13 A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin?
A) Rotate injection sites by using the arm one day, the stomach the next day, and the thigh the day after and then repeating the cycle
B) Select one injection site for regular insulin injections and use it exclusively
C) Administer the medication 30 to 60 minutes after a meal
D) Select one anatomic area for regular insulin injections and then use serial locations within that area.
Question 14 A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor which of the following?
A) Prothrombin time and partial thromboplastin time
B) Urine specific gravity
C) Alanine aminotransferase and total bilirubin levels
D) Follicle-stimulating hormone levels
Question 15 The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout.What is the primary purpose of this drug?
A) To balance urate concentration and prevent gout attacks
B) To promote the remodeling of damaged synovium
C) To potentiate the metabolism of dietary purines
D) To achieve pain relief in joints affected by gout
Question 16 A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?
A) Dietary habits
B) Work environment
C) Typical daily fluid intake
D) Ethnicity

Benchmark Assignment: Professional Capstone
Benchmark Assignment: Professional Capstone
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Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
New practice approaches
Intraprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
APA style is 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.
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
New practice approaches
Intraprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
APA style is 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.

Assignment: Psychotherapy Interventions
Assignment: Psychotherapy Interventions
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Person-centered therapy uses several interventions to facilitate client change beyond its foundational interventions of unconditional positive regard, reflective listening skills, and a focus on empathy. The role of a person-centered therapist is one of a “partner” or “equal” who sets the conditions whereby clients can reach within themselves and change their lives, bringing their “real” and “ideal” selves closer together. However, beyond setting these conditions, there are interventions that person-centered psychologists use to facilitate client change. In this Discussion, you research and evaluate these interventions with respect to their effectiveness at facilitating positive client change.
Person-centered therapy uses several interventions to facilitate client change beyond its foundational interventions of unconditional positive regard, reflective listening skills, and a focus on empathy. The role of a person-centered therapist is one of a “partner” or “equal” who sets the conditions whereby clients can reach within themselves and change their lives, bringing their “real” and “ideal” selves closer together. However, beyond setting these conditions, there are interventions that person-centered psychologists use to facilitate client change. In this Discussion, you research and evaluate these interventions with respect to their effectiveness at facilitating positive client change.
To prepare for this Discussion:
• Review the journal article, “The Phoenix of Empirically Supported Therapy Relationships: The Overlooked Person-Centered Basis.” Focus on Rogers’ “necessary and sufficient” therapeutic conditions.
• Review the journal article, “Showing Clients the Doors: Active Problem-Solving in Person-Centered Psychotherapy.” Pay particular attention to applying a problem-solving approach within a person-centered framework.
• Review the basic tenets of person-centered therapy.
• Conduct a brief (2–3 articles) literature search for person-centered psychotherapy interventions that facilitate positive client change.
• Select one intervention and evaluate its empirical support. Think about how person-centered theory draws from or contributes to evidence-based practice.
With these thoughts in mind:

write a description of one intervention specific to person-centered theory. Include an analysis of the intervention’s empirical support. Is the intervention tailored toward specific populations or problems?
no more than 400 words
apa format
references

Psychiatric Advance Nursing Practicum
Psychiatric Advance Nursing Practicum
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Learning Objectives Students will: •Assess clients presenting for psychotherapy • Develop genograms for clients presenting for psychotherapy
To prepare: • Select a client whom you have observed or counseled at your practicum site. • Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.
The Assignment
Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (without violating HIPAA regulations): •Demographic information •Presenting problem •History or present illness •Past psychiatric history •Medical history • Substance use history •Developmental history •Family psychiatric history •Psychosocial history •History of abuse/trauma •Review of systems •Physical assessment •Mental status exam •Differential diagnosis •Case formulation •Treatment plan
Part 2: Family Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).
Required Readings:
(1) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Learning Objectives Students will: •Assess clients presenting for psychotherapy • Develop genograms for clients presenting for psychotherapy
To prepare: • Select a client whom you have observed or counseled at your practicum site. • Review pages 137–142 of the Wheeler text and the Hernandez Family Genogram video in this week’s Learning Resources. Reflect on elements of writing a Comprehensive Client Assessment and creating a genogram for the client you selected.
The Assignment
Part 1: Comprehensive Client Family Assessment With this client in mind, address the following in a Comprehensive Client Assessment (without violating HIPAA regulations): •Demographic information •Presenting problem •History or present illness •Past psychiatric history •Medical history • Substance use history •Developmental history •Family psychiatric history •Psychosocial history •History of abuse/trauma •Review of systems •Physical assessment •Mental status exam •Differential diagnosis •Case formulation •Treatment plan
Part 2: Family Genogram Prepare a genogram for the client you selected. The genogram should extend back by at least three generations (great grandparents, grandparents, and parents).
Required Readings:
(1) Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Assignment: Fluid and Electrolytes
Assignment: Fluid and Electrolytes
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Chapter 13, Fluid and Electrolytes: Balance and Disturbance
Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning Objective 4)
a. What are possible causes of a low potassium level?
b. What action should the nurse take in relation to the serum potassium level?
c. What clinical manifestations might the nurse assess in Mrs. Dean?
Question 14:
Chapter 14, Shock and Multiple Organ Dysfunction Syndrome
Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient is confused, afebrile, and hypotensive with a blood pressure of 82/44 mm Hg. His respiratory rate is 28 breaths/min and the pulse oximeter reading is at 88% room air, so the physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. The patient has diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for inflammation, is elevated. The patient is being treated with broad-spectrum antibiotics and norepinephrine (Levophed) beginning at 2 mcg/min and titrated to keep systolic blood pressure greater than 100 mm Hg. A subclavian triple lumen catheter was inserted and verified by chest x-ray for correct placement. An arterial line was placed in the right radial artery to closely monitor the patient’s blood pressure during the usage of the vasopressor therapy. (Learning Objectives 6 and 7)
a. What predisposed the patient to develop septic shock?
b. What potential findings would suggest that the patient’s septic shock is worsening from the point of admission?
c. The norepinephrine concentration is 16 mg in 250 mL of normal saline (NS). Explain how the nurse should administer the medication. What nursing implications are related to the usage of a vasoactive medication?
d. Explain why the effectiveness of a vasoactive medication decreases as the septic shock worsens. What treatment should the nurse anticipate to be obtained to help the patient?

Assignment: Colonialism and Neutral Parties
Assignment: Colonialism and Neutral Parties
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Question/Prompt: Choose one of the five prompts below on which to discuss.
The Colonialist model is intent on proclaiming the superiority of theology over psychology (nearly to the exclusion of psychology, in some cases). What aspects of the relationship of theology and psychology can you affirm in this model, and what do you think is in need of critique?
The Colonialist model ostensibly recognizes the value of psychology, but it does not typically result in deep engagement with the findings or methods of psychology. How might this be applied to a topic such as eating disorders or depression? What would be some of the advantages and disadvantages of this approach?
Entwistle distinguishes between scriptural authority and theological interpretation. Do you agree? Why might this distinction be important? Support your view with an example.
Why do people who adopt a Neutral Parties model think that we should keep theology out of psychology, and why do their critics contend that it is dangerous to keep theology out of psychology? Which is the stronger position? Use an example to support your view.
The Neutral Parties model is intent on proclaiming the independence of psychology from any ideology, including Christian theology. What about the relationship of theology and psychology can you affirm in this model, and what do you think is in need of critique?
At least 500 words in response to the provided prompt. You must support your assertions with at least 3 citations in current APA format. You may use the course textbook Chp 10 Entwistle and Chp 2, 4, 6 Johnson and scholarly articles only and the Bible as sources.
Entwistle, D. (2015). Integrative approaches to psychology and Christianity: An introduction to worldview issues, philosophical foundations, and models of integration (3rd ed.). Eugene, OR: Wipf and Stock Publishers. ISBN: 9781498223485.
Johnson, E. (2010). Psychology and Christianity: Five views (2nd ed.). Downers Grove, IL: InterVarsity Press. ISBN: 9780830828487.

Assignment: Case Quantitative Research
Assignment: Case Quantitative Research
Assignment: Case Quantitative Research
Module VII Discussion Select a quantitative research design and formulate a research question that is congruent with that design. Explain your choice. Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.
Quantitative research design relates to the design of a research project which uses quantitative research methods. The design varies depending on the method used, which could be telephone interviews, face-to-face interviews, online surveys, or surveys by post for instance. Other methodologies include SMS / Test Message surveys, or physical counts.
Quantitative research design is aimed at discovering how many people think, act or feel in a specific way. Quantitative projects involve large sample sizes, concentrating on the quantity of responses, as opposed to gaining the more focused or emotional insight that is the aim of qualitative research. The standard format in quantitative research design is for each respondent to be asked the same questions, which ensures that the entire data sample can be analysed fairly. The data is supplied in a numerical format, and can be analysed in a quantifiable way using statistical methods. Surveys can, however, be tailored to branch off if the respondent answers in a certain way – for instance people who are satisfied or dissatisfied with a service may be asked different questions subsequently.
Quantitative research design tends to favour closed-ended questions. Providing respondents with a set list of answers, they will not normally be able to give lengthy open-ended responses. This design ensures that the process of quantitative research is far more efficient than it would be if qualitative-style open ended questions were employed. It is more efficient because it is then not necessary to carry out the time-consuming process of coding vast quantities of open-ended responses. However, quantitative research design does often allow the inclusion of an ‘Other’ category in the list of possible responses to questions, where appropriate. This allows those respondents who do not fit directly into the main categories to still get their precise responses recorded and used in the analysis of the research project results.