Which of the following scenario is related to Florence Nightingale?

a)A public health nurse facilitated adaptive abilities to the teenage pregnant woman in the community.

b)Nursing care becomes necessary when client is unable to fulfill biological, psychological, development, or social needs.

c)An ICU nurse insuring a sterile suction tube for his patient.

Which of the following roles was not identified in the theory of Peplau as a primary role played by the nurse at same point within the nurse-patient relationship?

a)Leader

b)Mediator

c)Friend

According to Joyce Travelbee, patient and nurse perceiving each other as unique individuals. What link of relationships begin to form.

a)Emerging identities

b)Original encounters

c)Sympathy

The eight-subsystem of behavior that is concerned with rest, sleep, comfort and freedom from pain.

a)Sexual subsystem

b)Achievement subsystem

c)Aggressive subsystem

Margaret Newman emphasized that nursing is

a)Involved with human beings who have reached choice points and found that their old ways are no longer effective.

b)Is to assist individual, family in preventing or coping with illness, regaining health, c)finding meaning in illness or maintaining maximal degree of health.

Is an existential experience.

It is achieved through the frugal, economic, contained and controlled use of the environment resources by the individual in his or her best interest.

a)Wholeness

b)Adaptation

c)Integrity

Focuses on strengthening the flexible line of defense through preventing stress and reducing risk factor.

a)None

b)Tertiary

c)Secondary

The nursing students is studying the question “what do nurses do?” which nursing theorist focused on answering this questions?

a)Dorothy Johnson

b)Imogene King

c)Dorothea Orem

Bea, a 24 years old sales lady is confined in the hospital because of depression by the break-up of her boyfriend. Actions that lessen the Maria’s distress have been implemented by Nurse Maria, thus, gaining a trusting relationship. According to Travelbee’s Human to Human Relationship Theory, the nurse established____.

1. Sympathy
2. Meeting
3. rapport

Pat is nurse who is caring for Mary who is recovering from a recent hysterectomy. Which of the following is an example of a way in which Pat may support her client’s interdependence adaptation according to Roy’s Model?

1. By listening to marry about her grand daughter
2. By giving marry the number of a local support group
3. By offering to find some new magazines for mary

Deliberate nursing theory explained by:

1. Hidelgard Ppelau
2. Patricia benner
3. Dorethea orem

Bea, a 24 years old sales lady is confined in the hospital because of depression by the break-up of her boyfriend. Actions that lessen the Maria’s distress have been implemented by Nurse Maria, thus, gaining a trusting relationship. According to Travelbee’s Human to Human Relationship Theory, the nurse established____.

1. Sympathy
2. Meeting
3. rapport

Pat is nurse who is caring for Mary who is recovering from a recent hysterectomy. Which of the following is an example of a way in which Pat may support her client’s interdependence adaptation according to Roy’s Model?

1. By listening to marry about her grand daughter
2. By giving marry the number of a local support group
3. By offering to find some new magazines for mary

Deliberate nursing theory explained by:

1. Hidelgard Ppelau
2. Patricia benner
3. Dorethea orem

According to Watson, this begins developmentally at an early age with values shared with the parents but can be influenced by healthy educators.

1. Cultivation of sensitivity to one’s self and to others
2. Formation of humanistic-altruistic human care relationship
3. Promotion of acceptance of the expression of positive and negative feelings

All are example of structural integrity except:

1. Provide range of motion
2. Availability of adequate rest and sleep
3. Change of diaper and good parenial care

5. A client has a history of chronic obstructive pulmonary disease.

A. atrophy of neck and trapezius muscles

B. unequal chest expansion

C. dullness on percussion

D. anteroposterior-to-transverse diameter ratio 1:1

6. Which of the fallowing would the nurse asses for at the 5th intercostal space midclavicular?

A. mitral stenosis

B. S3

C. aortic stenosis

D. erbs point

E. S4

7. A nurse is assessing a client who has chronic respiratory insufficiency.

A. restlessness

B. retractions

C. dependent edema

D. clubbing

8. The nurse would describe lesions that are elevated, SOLID, circumscribed lesion< 1cm in diameter

A. papules

B. wheals

C. scales

D. vesicles

9. The component of the conduction system is referred to as the pacemaker of the is the?

A. bundle of his

B. SA node

C. AV node

D. bundle of branches

10. A client is hospitalized for a left pneumothorax.

A. bulging

B. midline

C. shift to the right

D. shift to the left

1. What nursing interventions are appropriate to reduce risk/complications of the identified medical concerns of a person with Traumatic Stress Disorder with Suicidal Ideation?
2. What psychosocial concerns do you have? Why?
3. What nursing interventions are appropriate to reduce risk/complications of the identified psychosocial concerns?
4. What issues/concerns take priority? Why?

What would be the proper way to document an assessment from this case study?   

Answer the following questions. Your answers should address all parts of the question and be approximately 300-400 words each. Make sure to thoroughly support all answers with accurate details and relevant evidence from the textbook and other resources.

1. Search the Internet and find a company that offers medical professional liability (MPL) policies in your state for your area of practice.
   1. Provide a link to the company. Summarize their available coverage and limits of coverage. What optional coverage is available for an additional premium? Do they offer occurrence or claims-made coverage? Do they offer a period of “tail” coverage that extends coverage for a set amount of time—e.g., five years—after the policy ends?
   2. View their application and summarize the kind of information you would have to provide. What types of specialties do they want to know about? What kinds past history factors must you declare?
2. Jackson is a 25-year-old male who fell through the ice while playing hockey with his friends at a local pond. Although he had been under the ice for at least 10 minutes, he was resuscitated by first responders. After 5 days on life support at the hospital, his attending physician declares Jackson in a persistent vegetative state. Jackson’s wife agrees to discontinue life support, but she is surprised to discover that Jackson had signed up to be an organ donor when he renewed his driver’s license. After reviewing the benefits of organ donation, the hospital’s organ donor specialist explains that in this state, Jackson’s signed driver’s license is a legal document expressing his wishes. Jackson’s wife, however, cannot tolerate the thought and demands his body remain intact. She insists that while they never spoke about the issue, she is certain it must be a mistake. What should be done in this case? Explain the legal issues. How could this situation have been prevented?
3. You’ve been asked by the senior physician at your clinic to put together a list of resources patients can use to get information about advance directives, including living wills, durable powers of attorney, healthcare proxies, and DNR orders. Describe each of these in clear layman’s terms (your own words). Choose 6 resources you’d include and write a 4-6 sentence description of each one underneath its link.
4. Every 10 minutes, another name goes on the list of Americans waiting for an organ transplant, according to Dr. Todd Pesavento, of The Ohio State Wexner Medical Center. One provision of the Revised Uniform Anatomical Gift Act ( 2006) permits the use of life support systems at or near death for the purpose of maximizing procurement opportunities of organs medically suitable for transplantation. The Act overrides advance directives about withholding and withdrawing end-of-life support. Although this may help procure more organ donations, there are ethical factors to consider. Think back to the ethical decision-making models we discussed. Evaluate the ethical good of using life support systems to increase organ donations versus the ethical harm of denying appropriate palliative end-of-life care. Note: You will find the pertinent recommended article in this week’s reading and preparation helpful for this question.
5. Investigate pros and cons about physician-assisted suicide/euthanasia. Which argument or arguments do you find most compelling? Summarize each and explain your thinking. Note: The pertinent recommended website in this week’s reading and preparation is a good place to start.
6. A patient’s daughter is upset and worried about her mother’s declining health. The health care team has determined that Mom’s illness can no longer be controlled. She is no longer benefitting from treatment. They have recommended stopping medical testing, intervention, and active treatment in favor of hospice. The daughter is in tears and shares that this “feels like giving up on mom.” She confides that she has heard hospice is “pushed” by the health insurance companies as an excuse to discontinue expensive treatment. Explain what the daughter needs to know about hospice, including its benefits, goals, and common misconceptions.

Patients with different diagnoses will have different nutritional requirements. Contrast the nutritional requirements of a patient with a diagnosis of severe COPD with the requirements of a patient with third degree burns over 40% of his body surface.

In order to maintain practice standards how should Sarah ensure she respects Ms Clapton’s home and personal space while providing her with support?

TELEMEDICINE AND INFORMATION TECHNOLOGY IN ALTERNATIVE MSDICINE please write from 2-3 pages about application, Areas and trends in which telemedicine and information technology is used

As you complete your reading on the fats in your diet, there are some issues I would like you to address.

First, fats are found in many foods but some are better for you than others.

Secondly, what is a monounsaturated fat and why do you need to know which foods to eat to get this fat into your diet? Think blood chemistry.

Lastly, heart disease is the leading cause of death in this country. Heart disease has maintained its status as the Number One cause of death and while the news points to the decline in numbers, it is still a critical issue.

What are the risk factors? Check the American Heart Association Website and share with each other what you think is the most important means of preventing this problem!! How has it impacted your life?

Please remember to post by Wednesday and then respond to three other people in the class over two different days. Check the rubric by clicking on the three dots in the upper right hand corner of this discussion.

Case Study about Carbohydrate -Related Medical Problem (Diabetes Mellitus)
Patient History: RX, a 6-year-old girl in previously good health, has noticed that, in the past
month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself
gulping down large amount of water. At the dinner table, she seems to be eating twice as much
as she used to, yet she has lost 4 kilograms in the past month. In the past three days, she has
become nauseated, vomiting on three occasions, prompting a visit to her pediatrician.
Laboratory Results:
 Fasting blood glucose level = 445 mg/dl
 blood pH level = 7.23
 Hb A1C = 9.5%
 C-Peptide Test = 0.4 ng/ml
 urine = tested positive for glucose and for acetone / acetoacetate/ beta hydroxybutyric
acid
Based on the given case, answer the following guide questions:

1. Explain why RX is urinating so frequently.
2. How is RX's condition like that of starvation? Address the role of glucagon in your
answer.
3. Based on your answer in no. 2, what foods will be highly recommended to the patient?
Explain.
4. Do you believe that you can adjust your diabetes drugs to ‘Cover’ whatever you eat?
Why?

Case Study about Protein-Related Medical Problem (Kwashiorkor’s Disease)

Patient BF, an exclusively breastfed boy infant developed Atopic Dermatitis at the age of
4 months. In the beginning, the eczema was treated with antibiotics, topical steroids and brief
courses of oral steroids. The mother was dissatisfied by the outcome of the pediatrician’s advice
so she consulted a naturopathic doctor who prescribed a restricted diet. At 6 months the child’s
daily diet consisted of rice milk, fruits, rice poultry and vegetable broth.

After about 2 months of this diet, the child began to reject the food, in particular solid foods and
to suffer from dysphonia and dysphagia due to the occurrence of laryngeal edema. Because of
this the child was given only rice milk. After a few days the edema appeared on his feet, legs and
upper extremities followed by a reduced urine output. He had no symptoms of gastroesophageal
reflux, but he had forceful vomiting. When hospitalized, he was in a poor clinical condition with
generalized edemaand low urine output. He weighed 7.600 Kg from the age of six months up to
1 year. Blood and urine findings were normal except for the following results: total protein
3 g/dl; albumin 1.365 g/dl (45.5 %); total serum IgE 30 KUA/L; specific serum IgE: milk 0.64
KUA/L; albumin 1.74 KUA/L. Protein was not found in the urine. He required central access due
to difficulty obtaining peripheral rice milk, fruits, rice poultry and vegetable broth access due to
severe edema. He was also found to be anemic with a hemoglobin 5.7 g/dl.

Based on the given case, answer the following guide questions:

1. What is the relationship between Kwashiorkor and Proteins? How is protein contributing
to the patient’s diagnosis of Kwashiorkor?
2. Among the biomedical importance of Proteins, what is most likely related to
Kwashiorkor and Proteins? Explain.
3. How was the patient diagnosed with Kwashiorkor? Discuss the biochemical tests used in
the patient.

4. Based on the case, should the patient have high protein, or low protein intake as his
treatment? What foods would you recommend? Explain.

Sam, a 32-year-old male who works on a construction site visits his family physician three days after suffering a puncture wound in his foot from a nail gun. The site of the injury is painful, red, warm and swollen with evidence of pus. There are reddish streaks extending up his ankle and lower leg. His temperature is 38.3°C. Describe the molecular details on how the above signs and symptoms occurred.

The ankle brachial index or ABI associated with a lower extremity wound most likely to heal after debridement is?