You are a female student nurse assigned to care for Mr. Habib, a male patient who is Muslim. He is recovering from surgery for prostate cancer and has a suprapubic incision. He is from Iran and has some difficulty speaking English. You know very little about the Muslim faith. You have been told that his wife is always at the bedside, and she seems very nice. One nurse tells you that she cared for the patient yesterday and that he has “something on a string around his neck.”

1. How would you familiarize yourself with Muslim beliefs as they affect health care?
2. As a female, what questions might you ask the patient about the care you plan on providing?
3. How would you best meet his spiritual and cultural needs while you care for him?

Children often come to the ambulatory care setting reporting hip or knee pain and walking with a limp. Compare and contrast the three common hip disorders in children.

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Anita Alvarez, a nurse, is providing care to Mark Walton, a 27-year old man who has just been diagnosed with irritable bowel syn. drome (IBS). Anita is teaching Mr. Walton about the dietary changes that he will need to make to manage his condition. Anita asks a series of questions quickly, changing the subject rapidly and not allowing Mr. Walton to provide answers or ask clarifying questions. During the session, she reads directly off a computer screen. When Mr. Walton does get a chance to ask questions, Anita takes several seconds to respond because she is busy look ing at her phone. She focuses on herself for several minutes when Mr. Walton asks one question about her work. When Mr. Walton leaves, Anita says, "Everything's going to be all right" as she slams the door.

Critical Thinking Questions

1. Which mistakes or barriers to communication did Anita engage in?

2. What could Anita have done better or differently to ensure that Mr. Walton retained the information and to promote the therapeutic relationship?

Even after accounting for patient’s severity of illness and population demographics, there are significant variations in hospital outcomes. What are some of the actions that can be taken in order to reduce the outcome variation? Provide at least one example of a policy (state or national level) in recent history (passed in the last 15 years) which was introduced to reduce these variations. Provide a brief history of the policy and a brief summary of it, as well as key aspects of the policy.  

Draw conclusions about where we need to go in measuring "patient experience." Assume that budget was not an issue here. Strategize what measure or device you would like to use. Think beyond, “We have always done it this way”.

You have been invited to give a guest lecture on healthcare ethics to an undergraduate class at a local college. Your primary theme is the interplay among the four biomedical ethical principles of autonomy, beneficence, nonmaleficence, and justice. In preparing your talk, describe how each principle may be derived from the others. Choose one of the principles, and discuss the potential impact on healthcare practice if that principle were consistently violated. Discuss how the four principles comprise a working unit and present a case study that features application of all of the principles.

KT, a 46 yo male, has been disabled for 4 years due to an injury sustained to his lower back at work. He complains of insufficient pain relief throughout the day with bouts of lethargy and constipation most of the time.

Current med list:

Oxycodone/APAP 10/325mg 1 tab tid prn pain

Hydrocodone/APAP 5/325mg 2 tabs 4 times daily prn pain

Alprazolam 1mg 1 tab tid prn anxiety

Gabapentin 600mg 1 tab bid

Surgical history:

several vertebral fusions

Social history:

Smokes 2ppd

Occasional EtOH

How would you manage this person’s pain regimen?

Chapter one in the textbook Professional Nursing Eight edition by Beth Perry Black discusses nursing today and the evolving health care environment.

Apart from Telehealth and informative Identify two evolving practice opportunities for nurses..

The nurse is assessing the clients gastrointestinal tract. Which subjective assessment should be included?

1. Rebound tenderness
2. Diarrhea
3. Generalized red abdominal rash
4. Hematuria

contractions occur when thin what?filaments slide past thicker what filament, causing the sacomere unit to shorten

6.   What safety measures should all healthcare workers practice when using and storing hazardous substances? Select all that apply.