In your own words, describe the primary difference between consequentialist and non-consequentialist approaches to ethics. Choose one of the major theories associated with consequentialism: what objections might be made to this theory? Choose one of the major theories associated with non-consequentialism: what objections might be made to this theory?

In this course wrap-up discussion, please reflect on your experience in the course and address the following items:

• Identify one of your major takeaways from this course.
• What aspect of the course helped you achieve this?
• How will you apply this knowledge to your practice and career?

provide an example of considerations the disability support provider must have when working with a client relating to client's culture

• Identify harmful stereotypes used to marginalize groups of people.
• Examine the impact of inequality among groups of people.
• Analyze historical and contemporary cultural texts related to "othering."

identify the change politics surrounding support service or services relating to disability that would have impacted the clients. describe the change can be identified and why it impacted the vlient

The client is an elderly man admitted for a COPD exacerbation. He appears cachectic and is having difficulty breathing at rest. He reports cough productive of thick yellow-green sputum. His vital signs are: T 102 F, P 124, RR 36, BP 162/84, SpO2 88% on room air.

• Identify the primary nursing goal at this time and discuss 3 priorities for nursing care and explain the rationale for each.
• Develop a teaching plan for the use of a metered dose inhaler (MDI) and a small volume nebulizer.
• Identify 2 methods to administer oxygen to the client, including the nursing considerations for each. Which method of delivery is appropriate for a COPD client and why?
• Compare and contrast the manifestations and treatment for an asthma exacerbation versus a COPD exacerbation.
• The client is ordered Azithromycin 500 mg IVPB to be given over 45 mins. Pharmacy supplies Azithromycin 500 mg in 250 mL of D5W. The IV tubing has a drop factor of 15 gtt/mL. At what rate will the nurse set the pump?  

The client has been brought to the Emergency Room with a pleural effusion, complaining of shortness of breath, a dry irritating cough and chest wall pain 6/10. His vital signs are T 102.1 F, P 118, RR 32 and shallow, BP 142/82, SaO2 90% on RA. The provider has ordered a chest tube to be placed due to fluid collection in the pleural space.

• Compare and contrast spontaneous, iatrogenic and tension pneumothoraxes, including their etiologies, manifestations, and treatments.
• Describe 2 nursing interventions that could be provided to help maintain the chest tube and chest drainage system and provide rationale for each.
• The client calls out with shortness of breath. The chest tube has become disconnected from the drainage system and is now contaminated. Write a nurse’s note to describe the situation and what actions were taken to correct it.
• The provider orders Zosyn 3.375 gm to be infused every 6 hours. The pharmacy sends the ordered dose up in a 250 mL bag of NS. The provider orders the dose to be infused over 3 hours. What is the rate to be set on the IV pump? How many grams of Zosyn will the clientreceive each day?

What medical and nursing management may be anticipated for a geriatric patient with heat exhaustion and/or dehydration?

A client presents to the Emergency Room after a motor vehicle accident. The client denies hitting their head; however, they do report pain in the left upper quadrant of their abdomen, and their breathing is labored with a respiratory rate of 28. Normal bowel sounds are auscultated. During the interview, the client states he has black, sticky stools weekly. (20 points)

• Discuss how the nurse will assess the client’s abdomen, including any significant landmarks and techniques.
• Describe the expected bowel sounds that are auscultated during the assessment and their meaning.
• Upon assessment, a mass in the upper left quadrant is palpated and the client states there is sensitivity when this is done. Discuss how the potential cause of this mass and how the nurse should proceed with the assessment
• Identify additional assessment questions the nurse ask regarding the client’s statement of black, sticky stools.
• The provider orders for the client to get 1. 5 L of normal saline via intravenous infusion over 8 hours. How many mL total will the client receive?

An elderly client presents to the clinic with complaints of shortness of breath, inability to lay flat in bed, and swollen feet bilaterally. He has a history of congestive heart failure and poor eating habits. He weighs 325 pounds and is 66 inches tall. (20 points each)

• Describe the cardiac assessment that the nurse would perform on this client, including key sounds and landmarks.
• Identify the assessment findings the nurse will expect to find.
• Discuss the respiratory questions should the nurse ask the client and why.
• Describe the technique and the rationale for auscultating the carotid artery in this client.
• How many kilograms does the client weigh? Show your work.

The nurse is assigned to a young adult brought to the clinic by her father for her angry demeanor, agitation and outbursts at home. The nurse notes that the client is dressed in all black, including make-up and hair. No eye contact is made, and appears restless and jittery. (20 points each)

• Identify the key components of the mental status examination.
• Describe the steps to the mental health examination the nurse should perform with rationale.
• Discuss how a client’s decision-making and judgment is evaluated during the mental health examination.
• Identify how a nurse could interpret the client’s agitation, angry demeanor and lack of eye contact.
• During the eye assessment the nurse notes that the client’s eyes are constricted. How does the nurse interpret this finding?

Morrison-Valfre: Foundations of Mental Health Care, 6th Edition

Chapter 31: Schizophrenia and Other Psychoses

Study Guide

Student Name             Date ________________________

Fill-In-The-Blank

Identify the terms that most closely describe the behaviors characterized in the following statements:

1. __________________ Disorders marked by a loss of contact with reality

2. __________________ Lack of energy or motivation

3. __________________ Abnormal involuntary movement disorders caused by a drug-induced imbalance between two major neurotransmitters in the brain

4. __________________ False sensory inputs with no external stimulus

5. __________________ The idea that people in the media are talking about oneself

6. __________________ Inability to recognize familiar environmental objects or people

7. __________________ False perceptions of real objects or persons

8. __________________ Inability to tell where one’s body ends and the environment begins

9. __________________ Lack of ability to produce new thoughts or follow a train of thought

10. Sam is delusional. Describe his behavior.

___________________________________________________________________

___________________________________________________________________

11. Lisa is sitting in the corner with her hand covering her mouth. She is whispering and giggling, and she appears to be deeply involved in a conversation, but no one is around. She is experiencing:

___________________________________________________________________

12. A potentially fatal extrapyramidal side effect of antipsychotic medications is:

___________________________________________________________________

The three major responsibilities when caring for clients who are receiving antipsychotic drug therapy are:

13. __________________________________________________________________

14. __________________________________________________________________

15. __________________________________________________________________