1. Discuss the adequacy of mental health services in the United States and provide examples to support your viewpoint.

Discuss the problems involved in medication reconciliation, and whether they think the EHRs can solve the problem.

Nursing education is adopting e-learning and simulation experiences for the students. Two junior-level nursing students, Gene and Linda, are discussing the merits of this type of nursing-focused learning.

1. What pros and cons will Gene identify associated with e-learning?
2. How will Linda identify the different types of simulations and the impact they have on nursing education?

• Apply principles of empowerment and give specific examples of how you would empower your staff.
• What ideas do you have about using performance appraisals to empower staff?
• How might you empower their decision-making?
• What other ideas do you have that would help staff reach their full potential?

In "a beatiful mind film", what are John Nash’s priority problems and appropriate nursing diagnosis to address these problems? What nursing actions should you take to address the client’s priority nursing diagnosis?

• How preventing childhood obesity relates to one of the Healthy People 2020 goals and/or objectives.
• Why is health promotion and disease prevention so important in nursing practice?
• Do you envision any future opportunities to expand your Community Health project?
• Give an overview of your community's health promotion or disease prevention offerings. Pick one of the Healthy People goals and evaluate your community's efforts towards this goal.

• Is it ethical for the nurse to shift from “patient-centered care” to emphasizing the “public good” during a crisis? Why or why not?
• How would you respond if you were caring for a patient with COVID-19 whose death was imminent? Would you enter the room? Why or why not?
• In a crisis, PPE is being used differently from manufacturers’ recommendation. Does the nurse have the right to refuse an assignment if they believe that the PPE may be inadequate because it may be used in an unsafe manner?
• What additional moral/ethical concerns does the nurse need to consider if a patient codes while being treated for COVID-19?

Patient S is a white woman, 43 years of age, and mother of three small children. She has a long-standing history of significant obesity with little success in dieting over the years. At 5'3", she is obese, weighing 220 pounds. Her fat distribution is "apple-shaped" and consequently, her waist-hip ratio is more than the 0.8 normal range. In addition, Patient S lives a fairly sedentary lifestyle and does not have a regular exercise program. Her dietary habits do not take into account basic recommendations for cardiac nutrition.

Patient S has a previous history of MI 1 year ago. Today she presents to the ER with complaints of chest pain and nausea. Her ECG is unremarkable, she has an elevated troponin with ongoing intermittent left side chest pain that she describes as "sharp and intermittent".

She reports that she did not comply to the cardiac rehab program post cardiac event 1 year ago stating, "I have been lethargic and unmotivated since then". The patient goes on to tell you that she has been unable to return to work due to ongoing symptoms of depression. Patient S is not seeing a psychiatrist in the community. She is not taking any medication currently. She reports her symptoms of depression that surfaced following her MI have been persistent but have not worsened over time.

What is the priority nursing intervention at this point?

1. Patient S is a white woman, 43 years of age, and mother of three small children. She has a long-standing history of significant obesity with little success in dieting over the years. At 5'3", she is obese, weighing 220 pounds. Her fat distribution is "apple-shaped" and consequently, her waist-hip ratio is more than the 0.8 normal range. In addition, Patient S lives a fairly sedentary lifestyle and does not have a regular exercise program. Her dietary habits do not take into account basic recommendations for cardiac nutrition.

   Patient S has a previous history of MI 1 year ago. Today she presents to the ER with complaints of chest pain and nausea. Her ECG is unremarkable, she has an elevated troponin with ongoing intermittent left side chest pain that she describes as "sharp and intermittent".

   She reports that she did not comply to the cardiac rehab program post cardiac event 1 year ago stating, "I have been lethargic and unmotivated since then". The patient goes on to tell you that she has been unable to return to work due to ongoing symptoms of depression. Patient S is not seeing a psychiatrist in the community. She is not taking any medication currently. She reports her symptoms of depression that surfaced following her MI have been persistent but have not worsened over time.

   What is the priority nursing intervention at this point?

2. Although patient S did not fully commit to the cardiac rehab program in the past what is one nursing intervention that may assist her currently?

   	1.	Offer individual and small group education and counseling regarding adjustment to heart disease
   	2.	Suggest she get more exercise in on a daily basis
   	3.	Encourage Mrs. M to return to work
   	4.	Teach Mrs M. how to assess her blood pressure and heart rate at home

1 points   

QUESTION 3

1. Cardiac rehab includes education, exercise and counseling for both patients whom have had a cardiac event and those at risk. Which category does this patient fall into?

   	1.	None of the cardiac categories
   	2.	Lower-risk following an acute cardiac event
   	3.	No prior event but unfavorable risk profile
   	4.	Patient with stable heart failure Cardiac rehab is contraindicated for patients 1. with severe residual angina 2. who have an elevated troponin 3. who are obese 4. post cardiac bypass 2 points    QUESTION 5 Identify the priority cardiac risk factor in this case study. 1. Patient S is 43 years of age 2. Patient S is obese with "apple-shaped" fat distribution 3. Patient S does not eat many vegetables 4. Patient S is a Caucasian female

2. Mrs. S is learning about how to exercise cardiac event. Which of the following statements is accurate?

   	1.	Exercise post cardiac event should commence once the patient is discharged home
   	2.	An exercise schedule will be prescribed based on the cardiac event.
   	3.	The exercise a patient is prescribed is largely based on their previous level of activity
   	4.	Exercise is not recommended for at least 1 month post bypass surgery.

3. 1 points   

   QUESTION 7

4. What are the two forms of exercise tests performed in patients following an acute cardiac event?

   	1.	Walking and running test
   	2.	Pace and Trace test
   	3.	Submaximal and symptom-limited exercise testing
   	4.	Stress test

5. What is the best definition of functional capacity?

   	1.	Maximum ability of the heart and lungs to deliver oxygen and the ability of the muscles to extract it.
   	2.	The patients ability to exercise on a regular basis
   	3.	The patients ability to complete prescribed exercise without assistance
   	4.	The patients capacity to reduce overall cardiac risk

6. 1 points   

   QUESTION 9

7. What is the definition of Myocardial Ischemia?

   	1.	A cardiac event involving an area of the myocardium
   	2.	A heart attack
   	3.	A cardiac event that may limit a patients exertional capacity by causing limiting angina, dyspnea, or fatigue.
   	4.	Chest pain not yet diagnosed What is the purpose of risk stratifcation? 1. To identify those in need of cardiac rehab services. 2. Assists patients in understanding how to function optimally post cardiac event. 3. Serves as the basis of individualizing the prescription of exercise training and for assessing the need and extent of supervision required. 4. Helps the patient return to work safely.

Nursing education is adopting e-learning and simulation experiences for the students. Two junior-level nursing students, Gene and Linda, are discussing the merits of this type of nursing-focused learning.

1. What pros and cons will Gene identify associated with e-learning?
2. How will Linda identify the different types of simulations and the impact they have on nursing education?

1. People consume many liquids besides water: tea, soda, sports drinks, coffee. There is often debate about whether these beverages are good hydration, or if they only dehydrate? What does the book have to say on this issue? What factors must be considered when drinking non-water hydrating beverages?
2. Sodium is overabundant in the typical American diet because salt is often added in excessive quantities to processed foods. Find a food label that has an outrageous amount of sodium per serving. Then find a low sodium substitute food and post that label as well. Make sure the foods are essentially equal in calories & Serving size.   What is the most shocking value of sodium we can find as a class?
3. The book states “there is no miracle food or supplement”. This is so true. Find 3 foods or supplements that are generally touted as “good”, then provide at least one nutritional, cultural, or environmental problem with that food or supplement.   For example, eggs are a great source the vitamin choline, but eggs are also one of the foods most likely to cause a food allergy.   (you must do this for 3 foods).
4. The book points out that less than 10% of Americans get the recommended number of fruit and vegetable servings per day. And that potato (French fries and hash browns) was the most reported veggie. Why is American vegetable intake so low? What can be done to increase veggie consumption in your diet, your family’s diet, and in those around you? (see the tools for change section in chapter 8)

Question?

How would a public health nurse participate in building healthy public policy for identified nutrition issues for young children aged (0-6years) and their breastfeeding parents in early year schools? (e.g., support development of healthy policies or practices in community placement).

• The goal is to build healthy public policy.
• The identified health issue is nutrition.

Discuss the role of having a detailed timeline in place when implementing a new plan into an organization. How often should the implementation plan be revisited? Will ongoing changes occur during an implementation? How could you plan for unforeseen changes?