QUESTION 5

1. There’s an undercurrent of dissatisfaction with the nursing scheduling system. Senior leadership decides it’s an OFI. You will staff a PIT. What’s your plan?

   		Use the senior management meeting minutes to describe the charge.
   		Ask the CNO how the charge should be worded.
   		Identify by unit the number of shifts where staffing was below standard, at standard, and above standard, and recover comments about scheduling in nursing personnel satisfaction surveys. Review this with the PIT’s chair before the first meeting.
   		Identify by unit the number of shifts where staffing was below standard, at standard, and above standard, and recover comments about scheduling in nursing personnel satisfaction surveys. Present this at the PIT’s first meeting.

QUESTION 1

1. The chief of your new and highly successful ACO says, “Prescription drug costs for some of our outpatients can bankrupt them. They don’t fill their scrips, and then they turn up in the ED, where we either get Medicaid or write it off. Can we set up a PIT to find the best solution?” “Sure, doctor,” you reply…

   		A “What’s your thinking about membership? It sounds like pharmacy and social service should be involved.”
   		B “You will have to ask the PIC for approval.”
   		C “What’s your thinking about membership?”
   		D “What’s your thinking about membership? It sounds like pharmacy, social service, and accounting should be involved.”

Evaluate ALTERNATIVES and SOLUTIONS to the issue of indoor air/home water pollution through research utilizing reputable sources.

200 words

enviromental science

In 150-200 words, please tell me why Electronic Health Records is important or not important in healthcare today.

1. In 50-100 words, provide a detailed example of how administration can train and support staff to effectively use knowledge management.

2. Explain "meaningful use."

3. What does the acronym HIPAA stand for? AND what is the purpose of HIPAA?

how has technology in healthcare made jobs easier and perhaps harder?

A patient has a long history of chronic obstructive pulmonary disease (COPD). During the assessment, the nurse will most likely observe which of these? Group of answer choices

Anterior-to-posterior diameter ratio of 1:1 (Barrel chest)

Unequal chest expansion

Chest-tube insertion

Atrophied neck and trapezius muscles

Case scenario:

Ms. Castro, a patient on the medical-surgical unit, was admitted 2 days before with a diagnosis of exacerbation of heart failure. This morning her BP is 175/80 mm Hg. She denies chest pain, but state that she has been experiencing shortness of breath. She tells the nurse she uses three pillows to be able to breathe at night while sleeping. Her baseline weight at admission was 170 lb., but this morning’s scale indicates a 4-lb weight gain, and +3 pitting edema to the lower extremities is evident. The nurse telephones the doctor and receives an order for furosemide 40 mg by mouth twice daily and metoprolol 25 mg PO daily to start immediately.

1. Which lab should the nurse review prior to administering furosemide and metoprolol?

2. When she attempts to administer the furosemide, the patient states. “I don’t want the water pill”. What is the nurse’s next action?

3. What important information should the nurse document into MS. Castro’s medical record 30 minutes after administering the medication?

The critical care nurse is mentoring a new nurse on hemodynamic mentoring at the bedside of a critical ill patient. the patient has a right radial intra arterial line and a right sub clavian pulmonary artery pressure monitoring system with a thermodilution catheter. the critical care nurse meet with new nurse demonstrates proper management of the invasive hemodynamic monitoring lines to the new nurse and obtains the order paramiter (mean arterial pressure (map) central venous pressure (cvp) oulmonary artery systolic (pas) pulmonary artery diastolic (pad) pulmonary artery wedge pressure (pawp) cardiac output (co) and cardiac index (ci) measurement)   the critical care nurse the critical care nurse meet with the new nurse afterwards at the nurses station and encourage the new nurse to share what the new nurse understand in eegards to the invasive hemodynamic monetering .the new nurse is currently taking critical care classes on hemody namic monitering                                                                
                                                                                          A. what are the indications for the carious homodynamic monitering methods ( intra artirial line) and the pulmonary arteryd pressure monitoring system.                                                         

B.   what are the various ordered perameters use for in the case study
              
C. what are the nursing responsibilities when caring for the patient with hemodynamic monitoring.

of what potential complication
should the nurse be aware when caring for thre patient with hemodynamic monitoring

Artificial Sweeteners

Explain which part of the autonomic nervous system is being activated. Discuss what other symptoms the patient may experience and which drugs could cause this effect

Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.

History - Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).

Social - Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.

HPA - Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.

PE/ROS - Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the patient's health history is WNL.

** How would you diagnose and treat this patient, please? Thank you.  

CHCCCS006 Facilitate individual service planning and delivery

Question 6: Suggest three ways of checking that the client (and carer) understands options and information that you have explained to them. For each, explain how you would do this and how it works. (80-100 words)

Question 7: Describe two factors that you need to consider in relation to the client's readiness for the development of a care plan. (30 - 40 words)

Question 8: Explain how you would confirm plan details with the client concerned. Why is this effective? (40-50 words)

Question 9: Name four aspects of involvement that members of the support network should have.

Question 10: Identify five strategies that may be used to effectively communicate information for the understanding of relevant stakeholders.

Question 11: Identify three different types of assessment that could be conducted with a client before a meeting.

Question 12: Give an example of how you could do the following in a planning session:
> Respect the client's perspective
> Foster their strengths and capacities
> Promote their participation. (80-100 words)

Question 13: Consider a specific goal which could be set for a person under your care. Outline the ways in which this goal is:
> Specific
> Measurable
> Attainable
> Realistic
> Timely. (80-100 words)

Question 14: Specify three details that should be highlighted in the integrated care plan.

Question 15: How clients? circumstances may affect how risks are applied to them. (20-40 words)

Question 16: Write three appropriate responses to conflict or differences of opinion that may arise the care environment.

Question 17: Provide details of three problems that may be encountered in the care setting and three strategies for dealing with the problems. (40 ? 50 words)

Question 18: Provide the details of four significant others when deciding upon the need for adjustments to the personal care plan.

Question 19: What types of assistance may these significant others in question 18, be able to provide? (30-40 words)

Question 20: Detail three ways of supporting the person?s self-determination when making changes to care plans. (30-40 words)

Question 20: Detail three ways of supporting the person?s self-determination when making changes to care plans. (30-40 words)

Question 22: Provide details of four decisions that should be recorded by care organisation for a client.

Question 23: Provide details of two events which should be reported in accordance with organisational requirements.

Question 24: Why is it important to follow organisational procedures when reporting the events? (30- 40 words)

Question 25: Briefly describe the roles and responsibilities of the following people in the planning process:
> Persons assessor
> Carers and other support workers
> Health professionals
> Other service providers
> Service delivery workers. (100- 150 words)

Question 26: Describe the physical factors relevant to the client that impacts on service delivery. (50- 75 words)

Question 27: Describe the importance of a strength-based approach to service delivery. Consider the following processes while writing your answers:
> Assessment process
> Collaborative approach
> Documentation and reporting requirements (100- 150 words)

Question 28: Describe the key features and modes of service delivery. (100-150 words)

Question 29: Why is it important to perform a risk assessment prior to the implementation of a care plan? Provide an example of an environment, physical, and physiological risk. (80-100 words)

Question 30: Describe the strategies used when responding to client issues and implementing continuous improvement. (70- 100 words)