Write one summary reflective journal entry. APA format is not required. This is intended to be affective and creative. The journal builds upon the experience of the course and what has been learned from the self-assessment to the end of the course. Journal (Minimal 500 words)Select a caring moment in which you were engaged and write about your experience. Why was this caring moment significant? How did you express the holistic philosophy and caritas process? Observe a place in the facility you are in and assess the environment as a healing space. How would you describe that space in terms of its potential to heal? How would you enhance this healing space with what you have learned in this course?

List two factors that can influence the body's ability to absorb minerals found in food. Briefly describe and provide an example of each.

Discuss how HIPAA protects the privacy and confidentiality of patient information

.What do you value personally and professionally? Articulate your beliefs and values into your personal philosophy of nursing.

Trauma is a major healthcare and economic concern because of the loss of life, the societal burden in terms of lost productivity, increased disability of persons, as well as the consumption of healthcare resources. MVCs and homicide are the leading cause of death for individuals 15-24 years of age. A second peak in trauma related incidence occurs at the age of 35-54 and is related to poisonings from prescriptions and/or illegal drugs are the leading cause of unintentional death followed by MVCs for this age group. The third peak is for individuals 65 years related to falls and MVCs.

Individuals with traumatic injury need a lot of support from many individuals.

• Explain the meaning of the "golden hour"?
• Explain the role pastoral services on a trauma team?
• Why is it important to have security officers as part of the trauma team?
• Why is it important to participate in debriefings after significant trauma events or disasters?

Trauma is a major healthcare and economic concern because of the loss of life, the societal burden in terms of lost productivity, increased disability of persons, as well as the consumption of healthcare resources. MVCs and homicide are the leading cause of death for individuals 15-24 years of age. A second peak in trauma related incidence occurs at the age of 35-54 and is related to poisonings from prescriptions and/or illegal drugs are the leading cause of unintentional death followed by MVCs for this age group. The third peak is for individuals 65 years related to falls and MVCs.

Individuals with traumatic injury need a lot of support from many individuals.

• Explain the meaning of the "golden hour"?
• Explain the role pastoral services on a trauma team?

Task Description:  Create a referral letter for the following patient using Microsoft word & Full Block Style .

Patient: Lisa Duck

Dentist: Dr. Harry DDS, M.S  Address ...

Radiograph Findings: Impacted third molars, mild bone loss around max and mandibular molars. Fractured amalgam on the mandibular left first molar

Oral Examination Findings: Confirmed mild periodontitis, fractured amalgam, Class III Mobility on 37 electrical shock like pain that radiates to his lower lip when tooth clenched.

57. A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?

A.         Diphenhydramine

B.         Spironolactone

C.         Metoclopramide

D.         Desmopressin

58.       A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care?

A.         Apply an occlusive dressing,

B.         Turn and reposition the client every 4 hr.

C.         Support bony prominences with pillows.

D.         Massage the reddened areas three times daily.

47. A nurse is teaching a client how to use a quad cane for ambulation following a right-hemispheric stroke. Which of the following client actions indicates an understanding of the teaching?

1. Client moves the cane 2 feet ahead
2. Client takes a step before advancing the cane
3. Client holds the cane with the left hand
4. Client advances the weaker leg forward first

49. A nurse is planning care for a client who has a central venous access device for intermittent infusions. Which of the following actions should the nurse include in the plan of care?

A.         Change the dressing every 24 hr.

B.         Cleanse the site with povidone-iodine.

C.         Use clean technique when changing the dressing.

D.         Flush the catheter using a 10-ml. syringe.

62.       A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take?

A.         Keep the client on bed rest for 24 hr.

B.         Maintain the client's affected extremity in extension.

C.         Limit the client's fluid intake to 1 L per day.

53.       A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?

A.         Discard the radioactive device in the client's trash can.

B.         Instruct visitors to remain 3 feet from the client.

C.         Limit time for visitors to 2 hr per day.

D.         Keep so led bed linens in the client's room.

anticipatory guidance at each well chid visit?

I know at around 3 months you should tell the parent the infant will start to roll over and to be mindful of that. Anything else? Please give as much guidance as possible please.

Your sister is pregnant with triplet embryos. Because of her small frame ,she has been advised that she will be unable to carry all three children to term and has to undergo a fetal reduction to remove at least one of them. Your sister asks you for your advice oh how to choose which one should be reduced. How would you respond?

During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life.

Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

Explain the process of writing prescriptions, including strategies to minimize medication errors.