a.How fast does Current/ signals move in a human vs computer circuit

b. Explain specifically/details Part a

3 a. What are purposes of the heart

c. What is the sinoatrial node, details

4.Periodic Table a. How are the vertical columns organized functionally?

b. Specifically, why are certain elements better conductors’ (related to the periodic table)

Describe the nurse’s role in the pharmacologic management of coagulation disorders (please explain)

SBIRT (Screening, Brief Interview, Referral to Treatment) is an intervention often used in Emergency Departments to identify and refer persons with addictions.

True

False

Read the following case study:
A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.
A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.
As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:
•   Identify two or more issues with the existing system
•   Provide staff with appropriate “work-around” for using the existing system
•   Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
o   One standard language should pertain only to nursing
o   One standard language should be multidisciplinary.
•   Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.

how can psoriasis be treated using holistic, Chinese, western medicine

Part A: Critical Thinking Read the following case study and answer the questions

Mr. Bird, age 70, reports that he has difficulty seeing at night and has given up driving. When questioned further, he also states, “I used to be an avid reader, but I guess I’m getting too old to read. The words aren’t very clear.” The nurse checks his eyes and finds that he is sensitive to light, has opacity of both lenses, and has no pain. The nurse informs the health care provider of these findings who plans further testing.

1. What might the nurse suspect is occurring with Mr. Bird?

2. For which diagnostic tests should the nurse prepare Mr. Bird?

3. After the health care provider (HCP) has made a definitive diagnosis of cataracts, the nurse develops a teaching plan. What should the nurse include in the teaching plan?

What are 3 potential legal issues and 3 solutions that must be discussed and analyzed in this passage?
A 40-year-old female patient requested examination by a family physician after she discovered her husband had hidden from her that he had multiple STDs, including venereal warts, caused by human papillomavirus (HPV). On the patient’s first visit, a pap smear and STD tests were performed. The STD tests came back positive for both HPV and chlamydia. In addition, the pap smear showed cervical abnormalities.
The patient was referred to a specialist for follow-up care, and a biopsy confirmed the presence of cervical cancer. Both the specialist and the family physician reached out to the patient to discuss the results. Additionally, the family physician reported the chlamydia result to the local health department.
After ignoring multiple calls and messages, the patient returned the calls of both physicians and informed them she would treat the chlamydia but was not interested in pursuing any treatment for the cancer. Both physicians were highly uncomfortable with this decision, as the patient was only 40 and the cancer was treatable. They contacted a local judge to discuss options for making the patient pursue treatment because they felt the she was making the wrong decision.
Simultaneously, a medical assistant in the family physician’s office noticed the patient’s biopsy results come through on the fax machine. The medical assistant revealed information about the patient’s condition to some of her friends, all of whom knew the patient from church. The patient found out that her medical information had been disclosed when her name ended up on her church’s prayer list in the weekly bulletin, listing her as battling cervical cancer.
The patient was eventually able to identify the source of the leak, and she subsequently filed a HIPAA privacy complaint with the Office of Civil Rights of the U.S. Department of Health and Human Services naming the medical assistant and the family physician’s office.
The family physician’s office learned of the privacy complaint and promptly sent the patient a letter terminating her from any future services.

Consider what you have learned about the developmental stages of the learner. If you were preparing an educational unit to teach the same content to elementary school children, young adults and senior adults, what changes to the program would need to be made for each group? (The behavioral objectives will remain the same for all 3 age groups.)

1. Choose a topic for your program and write 2 ABCD behavioral objectives in two different domains of learning. (Label your objective with which domain is represented). Deliverable = Topic/short description of program, 2 labeled objectives appropriate for program and audience. Do not reuse objectives submitted for a previous assignment.

2. List 3 unique characteristics of each age group related to their physical, cognitive & psychosocial development and give short description of why that characteristic will be significant when preparing your program. Deliverables: Descriptions of 3 characteristics of the 3 age groups (9 total) and how those characterics relate to your educational plan.

List 3 teaching strategies for each age group that you consider key to making your program a success and explain why that strategy is so important for that age group and within the context of your behavioral objectives.

3. List 2 ways you would evaluate the learner for each of your two behavioral objectives (4 total evaluations) for each age group. Explain why those evaluations are appropriate for those objectives and for that age group. Deliverables: 12 total evaluations (2 per objective per age group) with rationale.

Why is psychological safety a prerequisite for carrying out QI activities? (Min 200 words)

1. In the US, a large number of individuals are overweight and many are considered to be obese.  It is conventional wisdom that to lose weight, one needs to eat less and move more. However, it doesn’t appear to be so simple in practice.  Pharmaceutical companies have been searching for weight loss pills for some time but the currently approved medications are very limited.
   1. Compare and contrast the FDA approved orlistat and lorcaserin.
2. 2. A number of weight loss drugs have been pulled from the market.  Investigate one of these drugs and provide its mechanism of action and reason for being removed from the market.

1. Mr Goodman has stage 2 hypertension and has been prescribed chlorothiazide and Lisinopril for several years.  His blood pressure reads 155/97. Upon questioning, he admits that she usually only takes the diuretic and skips the other drug since it is so expensive.
   1. What should you tell Mr Goodman?
2. 2. Is there anything that could be done to increase his drug compliance?

1. There are many different types of diuretics.  Please answer the following in regards to these diuretics.
   1. How does the mechanism of action of the osmotic diuretics differ from that of other diuretic drugs?  
2. 2. What adverse effects are common to both thiazides and the organic acid [loop] diuretics?
3. 3. How can acetazolamide produce metabolic acidosis?

Briefly describe the neural control of eye movement. How can be this tested?

Briefly describe the major differences between immediate, working and long-term memory. How is it related to forgetting? Explain in your own words

K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end stage renal disease (ESRD). Your initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with poor skin turgor, and her mucous membranes are dry. Her vital signs are 140/88, 116, 18, 99.9 ° F (37.7 ° C). She tells you she has been nauseated for 2 days so she has not been eating or drinking. She reports severe diarrhea. The following blood chemistry results are back. Chart View Laboratory Test Results Sodium 145 mEq/L Potassium 6.0 mEq/L Chloride 93 mEq/L Bicarbonate 27 mEq/L BUN 48 mg/dL Creatinine 5.0 mg/dL Glucose 238 mg/dL

1. Explain any laboratory results that might be of concern.

The rest of K.B.'s physical assessment is within normal limits. You note that she has an arteriovenous (AV) fistula in her left arm.

2. What is an AV fistula? Why does K.B. have one?

K.B. is sent for an HD treatment. Over the next 24 hours, K.B.'s nausea subsides, and she is able to eat normally. While you are helping her with her morning care, she confides in you that she doesn't understand her diet. "I just get blood drawn every week and meet with the dialysis dietitian every month—I just eat what she tells me to eat. It's so hard!"

3. Because K.B. is on HD and has DM, what are her special nutritional needs? Name at least four specific components of the diet recommended for K.B