Liam is the facility manager at a residential aged care facility. The service provides independent living units, community nursing and home care packages, day centre visits, respite care, palliative care, and dementia specific care, to older people. Liam is responsible for managing legal and ethical compliance within the organisation, ensuring the facility’s AHPRA registration and accreditation are up to date, and maintaining collaborative and effective relationships with all multidisciplinary team members.

Lucy, a casual nurse, comes to work with symptoms of gastroenteritis. She knows that she should have stayed home but she knew the service was going to be short staffed. After carrying out her duties for three hours, Lucy talks to her manager, Janice, in the tea room. She explains her symptoms and that she is feeling weak and unsteady.

Janice tells her to go home immediately as gastroenteritis is highly contagious and could pose a severe health risk to residents and other staff members.

That evening, four residents develop gastroenteritis. Liam has left work for the day but receives a phone call from the night nursing unit manager alerting him to the spread of virus (herein called ‘the incident’). Liam responds immediately by ordering the service into lock down. One of the residents who contracted the virus is taken to hospital for treatment and is in a critical condition. Liam organises refresher training for all staff with regard to duty of care. Liam receives an incident report form from Janice regarding Lucy’s illness.

He thinks that because of Lucy’s failure to comply with organisational work health and safety procedures relating to infection control, the organisation has breached its duty of care to provide residents with a safe and healthy care environment.

a. Describe the consequences or penalties Liam’s organisation might face as a result of breaching its duty of care to residents. (Approx. 60 words)

b. Identify the specialist legal experts Liam could contact to obtain advice on the rights and responsibilities of the organisation, workers and the residents involved in the incident. (Approx. 100 words).

As countries develop economically, what are the most important changes that occur in their burden of disease? Why do these changes occur?

A. Present and discuss a case-study illustrating an ethical dilemma in healthcare that you have encountered in your own experience or one of current relevance. What are the ethical theories best suited to address the case. How would you solve it? Explain.

Discuss two strategies in which health information technology could be utilized to improve healthcare quality that could result in improved patient safety. (Example: E-prescribing, Pay For Performance, etc.). What have you observed in professional practice and/or does the literature state regarding these strategies?

D.V. is a 34-year-old woman who had a ruptured appendix 10 days ago with subsequent peritonitis. She
was discharged to home care yesterday, on postoperative day 9, with a left peripherally inserted central
catheter (PICC) for IV antibiotic therapy. You work for the home care department of the hospital. You have
been assigned to D.V.'s case, and this is your first home visit. You are to do a full assessment on D.V. During
the assessment you notice a large ecchymotic area over the right upper arm. You ask her whether she fell
and hit her arm. She tells you, "The nurses took my blood pressure so many times it bruised."

Can you help me write SBAR for this case study

How did the New Deal link the idea of freedom to the expanding power of the national state?

Discuss the percussion sounds heard on the abdomen

an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

QUESTION 1
.
The average daily value of the intake of nutrients necessary to satisfy the needs of 50% of healthy people according to age group and gender is:
.
AI level
UL level
EAR level
RDA level
.

QUESTION 2
.
The average level of nutrient intake that meets the nutritional requirement of almost all healthy people is:
.
AI level
UL level
EAR level
RDA level
.

QUESTION 3
.
A woman consumes pasta, grains, and other carbohydrates to achieve:
.
Weight gain
Energy
Weightloss
Fiber source
.

QUESTION 4
.
What vitamin is synthesized with an adequate supply of carbohydrates?
.
Vitamin A
Vitamin D
Vitamin E
Vitamin K
.




QUESTION 5
.
An athlete wants to increase his complex carbohydrate intake and asks the nurse about potential sources. Which of the following foods is considered a complex carbohydrate?
.
Molasses
Syrup
Brown sugar
Bread
.

QUESTION 6
.
A 40-year-old man has eaten a breakfast consisting of cereal, milk, orange juice, and coffee. Your blood sugar level in 2 hours should be
.
60–80 mg / dL
100–120 mg / dL
140–180 mg / dL
200–220 mg / dL
.

QUESTION 7
.
What nutrient is most important for wound healing?
.
Carbohydrates
Protein
Fats
Vitamins
.

QUESTION 8
.
Which of the following foods provides complete protein?
.
Wheat bread
Milk
Jelly
Carrots




QUESTION 9
.
An elderly client with immobility who consumes less than 300 calories a day, has an ulcer and dysphagia is considered to be in a state of:
.
Positive nitrogen balance
Anabolism
Negative nitrogen balance
Digestion
.

QUESTION 10
.
Which of the following is a fat soluble vitamin?
.
Vitamin C
B12 vitamin
Vitamin E
Vitamin B6
.

QUESTION 11
.
The nurse is teaching a patient with high levels of triglycerides and cholesterol. Which of the following oils is low in saturated fat?
.
Sunflower
Coconut
Palm
Palm kernel
.

QUESTION 12
.
The nurse is teaching a client with high levels of triglycerides and cholesterol. Which of the following oils is high in saturated fat and should be avoided by the customer?
.
Coconut
Fish
Chicken
Sunflower
.

QUESTION 13
.
You are educating a group of teenagers growing in bones and teeth. What fat soluble vitamin helps build bones and teeth?
.
Vitamin A
Vitamin E
Vitamin C
Vitamin B1
.

QUESTION 14
.
Which of the following problems is the result of a vitamin D deficiency?
.
Night blindness
Bleeding disorder
Rickets
Scurvy
.

QUESTION 15
.
What injectable vitamin does a newborn baby need due to a lack of bacteria in the intestinal tract?
.
Vitamin K
Vitamin A
Vitamin C
Vitamin D
.

QUESTION 16
.
A client who has bleeding tendencies has a deficiency in what vitamin?
.
Vitamin A
Vitamin B
Vitamin C
Vitamin K
.




QUESTION 17
.
What vitamin is found only in animal food?
.
Vitamin C
B12 vitamin
Vitamin A
Vitamin D
.

QUESTION 18
.
A woman complains of cracks in the corner of her mouth. The nurse orders you to consume:
.
Eggs and milk
Brussels sprouts and strawberries
Nuts and legumes
Potatoes and milk
.

QUESTION 19
.
The obstetric nurse should instruct the woman in the first trimester of pregnancy to:
.
Eliminate high-fiber foods
Eat foods rich in folic acid
Consume saturated fat
Consume dairy products in the last trimester
.

QUESTION 20
.
Inadequate calcium intake can lead to the following disease:
.
Dental cavities
Anemia
Osteoporosis
Dry eyes





QUESTION 21
.
What nutritional deficiency is related to an enlarged thyroid?
.
Potassium
Sodium
Magnesium
Iodine
.

QUESTION 22
.
Which of the following foods should be avoided when a client is taking Coumadin (anticoagulant) after a myocardial infarction?
.
Spinach
Milk
Orange juice
Wheat bread
.

QUESTION 23
.
Which of the following is a prime number?
.
4
5
6

Question 4: In 400 words choose three ethical principles from the following list and give a detailed discussion about the Case Study below, Autonomy, Justice, Consequentialism, Prima Facie Duties, Mature Minor, Principle of Utility, Mills principle of liberty. Case Study: Benny is 15 years old. He was born with an enlarged, malfunctioning liver and an enlarged spleen. When he was eight years old he had his first liver transplant and for the following five years Benny took a drug called cyclosporin to prevent his body from rejecting the new organ. When the medication no longer worked, doctors performed a second transplant and prescribed an experimental anti-rejection drug that affected his normal activities due to side effects of headaches and irritability. Without this drug, his system would reject the new liver and Benny would ultimately die. Against his doctor’s and parent’s wishes, Benny decreased his dosage and eventually stopped taking the medication altogether. Although Benny's mother initially disagreed with him, she eventually supported his decision. When his doctors discovered this, the hospital filed a petition under Florida's child neglect statute and Benny was removed from his home and taken to the hospital. Benny has continued to refuse the medication and fought off the staff when any treatments or tests are attempted. Should Benny be allowed to refuse his medication? Why or why not?

The nurse should apply a topical medication to:

A. cutaneous surfaces.

B. one consistent spot.

C. the arm.

D. the shoulder.

What does a Lean organization value the most?

1. Job security over service

2. Tools first, then people

3. People first, then tools

Which statement best describes the term Lean?

1. A flavor of the month fad that will likely soon be forgotten

2. A broad cachphrase that describes a holistic and sustainable approach to using less of everything to give you more

3. An improvement approach focused primarily on applying tools to eliminate waste

The logic of Lean includes the following assumptions:

1. You know best what customers need, so you define value. Waste is a natural part of all processes. Pursuing perfection is unrealistic and ultimately unattainable.

2. Your mission is if it ain't broken don't fix it

3. You provide products/services to customers who define value. You create in a process, and waste in a process diminishes value. The perfect process has no waste, so you can maximize customer value by pursuing the perfect process.

When analyzing the value stream, you:

1. Focus only on the flow of information

2. Ensure the authorized colors of sticky notes are use for each process map.

3. Identify all the activities and events that occur to get the product or service to your customer, along with corresponding information flow.

To achieve flow, you must:

1. Conduct a benchmark

2. Reduce variation and eliminate defects, equipment breakdowns, rework and outages.

3. Establish a committee to study the sources of flow blockages.

So far, we have seen that diuretics are used to treat multiple disorders. Please describe the positive effects that diuretics have on the body, and then explain the types of diseases they are used to treat, and why they have an impact on these diseases. Remember to use your own words. (NOTE: 200-400 words)