Case Study: You are a student attending your first clinical rotation in a large hospital. You have been assigned a preceptor with whom you are having trouble working with. She will not let you do anything except observe, and therefore, you are not learning much or logging the cases that you need to graduate. You know that something has to be done to improve the situation, but what?

                Questions
Q1. Apply the principles of communication. How might you effectively communicate with your preceptor while explaining the problem?

Q2. What if she doesn't respond? what will be your next step?

Q3. You know that communicating and working as a team is essential in the OR. What can you do to work well with someone after there has been a conflict and or confrontation?

What needs to be in place to enhance therapeutic communication at all levels of care?

DISCUSSION WEEK 3

Please write a paragraph for each question (total 3 paragraphs)

• Answer ALL PARTS of each question to earn a full points.
• Support your response with the appropriate citation from your textbook.

Discussion Topic:

1. How does the ANA’s Code of Ethics address a nurse’s responsibility to health care quality?
2. Describe why the nursing shortage is a major national issue in the United States. How could a nursing shortage in other countries around the world affect the nursing shortage in the United States?
3. Did California take the right approach in passing the law that mandated minimum nurse staffing ratios? Explain your answer.

Discuss how re-entrant arrhythmias are initiated and explain what is happening in the first and second beats in the arrhythmia.

2. The Doppler ultrasonic stethoscope is used to:

A. Assess lower extremity skin condition

B. Detect a weak pulse

C. Rate the force of a peripheral pulse

D. Assess pitting edema

3. Where will the nurse palpate the posterior tibial pulse?

a. In the groove between the medial maleolus and the Achilles tendon

b. Just lateral to and parallel with the extensor tendon of the big toe

c. In the groove between the external maleolus and the Achilles tendon

d. Just medial to and parallel with the extensor tendon of the big toe

4. What does upper extremity capillary refill time of greater than 1 or 2 seconds indicate?

a. vasoconstriction or decreased cardiac output

b. Systolic Hypertension

c. Decreased force of ulnar pulses

d. elevated body temperature

5. What is the most likely etiology of unilateral upper extremity non pitting brawny edema?

a. Lymphedema

b. arterial ischemic diseas

c. Venous insufficiency

d. Deep vein thrombosis

1. Who is often recognized as being the first hospital administrator?

2. Which invention attributed to Van Leeuwenhoek had a pronounced influence on the creation of the sciences of cytology, bacteriology, and pathology?

3. What issue did Florence Nightingale identify in the 1800s as being a major source/vehicle for the spread of infection and continues to be so today?

4. What data did Semmelweis collect? What was the significance of that data as related to performance improvement in the present-day hospital?

5. What were two of the greatest influences in the development of present-day hospitals?

6. Describe how you think history is repeating itself in today’s health care system.

1.Describe the objectives of tort law.

2.Discuss the distinctions among negligent torts, intentional torts, and strict liability.

3.What forms of negligence are described in this chapter?

4.How does one distinguish between negligence and malpractice?

5.What elements must be proven in order to be successful in a negligence suit? Illustrate your answer with a case (the facts of the case can be hypothetical).

6.Can a "duty to care" be established by statute or contract? Discuss your answer.

7.Describe the categories of intentional torts.

8.How does slander differ from libel? Give an example of each.

9.What is products liability? Describe what legal theories an injured party may use in proceeding with a lawsuit against a seller, manufacturer, or supplier of goods.

10.Describe the defenses often used in a products liability case.

My question is "do you think that specialization of services is positive aspect of health care or do you feel that it has gotten too specific causing a person to have to see numerous physicians for an illness?

Do you see a trend towards more specialization or possibly back to the general practitioner within your area?

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

•The role genetics plays in the disease.

• Why the patient is presenting with the specific symptoms described.

• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

• The cells that are involved in this process. • How another characteristic (e.g., gender, genetics) would change your response.

need scholar articles to support answers and at a cellular level

When you assess and respond to the needs of at least 3 different people and their carers or family members in the context of your job role and use strengths-based solutions to respond to both routine and unpredictable problems related to care relationships, you are to keep a journal. There are 3 journal templates in the following pages that you can use to record the relevant information while you are working with these three people.

JOURNAL 1 Client Name:    Client A Situation:

Please describe your response below:

The strategies you use to work in a positive manner with the family.

The family patterns and structures and how they impact each person T

he types of lifecycle transitions and the positive and negative impacts these create

The impact of the caring role on family member(s)

The pathways the family take to enter the service and the implications for all stakeholders

The attitudes, stereotypes and false beliefs that family members and other stakeholders have about the person and the service

The carer support services and resources used by each person and their support team

How carer and family members supported the person

What changes occurred in the care relationship and how you respond to those changes

How you promote the carer rights, health and wellbeing during your work with each client.

The patient has an order for cephalexin (Keflex) 350 mg orally. The medication available is cephalexin 250 mg/2 mL. How many mL will the nurse administered

Discuss ways that nursing informatics could be applied to all areas of professional nursing practice, including clinical practice, administration, education, and research. Provide examples of each. What do you see as the biggest significance of nursing informatics, and why?