You conducted research on annual salary for randomly-selected college graduates five years after their graduation dates. There were three groups of graduates:
type salary (in thousands per
year)
1.00 22.00
1.00 15.00
1.00 28.00
1.00 64.00
1.00 35.00
1.00 31.00
1.00 20.00
1.00 46.00
1.00 21.00
1.00 13.00
1.00 11.00
1.00 12.00
1.00 30.00
1.00 27.00
1.00 29.00
1.00 23.00
1.00 21.00
1.00 20.00
1.00 25.00
1.00 23.00
2.00 29.00
2.00 60.00
2.00 50.00
2.00 75.00
2.00 84.00
2.00 31.00
2.00 32.00
2.00 40.00
2.00 45.00
2.00 23.00
2.00 61.00
2.00 55.00
2.00 26.00
2.00 28.00
2.00 39.00
2.00 44.00
2.00 42.00
2.00 51.00
2.00 41.00
2.00 58.00
3.00 50.00
3.00 52.00
3.00 31.00
3.00 90.00
3.00 99.00
3.00 82.00
3.00 71.00
3.00 40.00
3.00 31.00
3.00 28.00
3.00 46.00
3.00 49.00
3.00 52.00
3.00 19.00
3.00 45.00
3.00 54.00
3.00 38.00
3.00 38.00
3.00 59.00
3.00 27.00
In: Nursing
. The immune system is regulated by soluble mediators called ______.
2. Because cytokines mediate signals between leukocytes, they are
called _____________.
3. These cytokines “interfere” with viral replication. They are
called____________.
4. Define chemotaxis:
5. Let’s think about how each cytokine functions. There are 5
groups of functionality. List them:
6. _________act on lymphs but do not bind antigen.
7. Interleukins have widely overlapping _____________.
8. IL molecules modulate inflammation and immunity by regulating
_____, ______, and ________
of lymphoid cells.
9. Each IL is a distinct _________ and functions through a separate
_____ _____.
In: Nursing
Hospitals are never liable for: a. negligent torts b. malpractice c. intentional torts d. unintentional torts e. None
In: Nursing
In: Nursing
CASE STUDY
Jon is a psychiatric mental health nurse in a large
metropolitan clinic, which is connected to a research hospital. Jon
likes the fact that it’s a walk-in clinic.
One day he is just getting ready to eat his sack
lunch, when a slender young woman who looks exhausted and timid
knocks at his open door.
“Excuse me,” she says. “Can I get into a research
project?”
Jon puts down his bologna sandwich. “What’s that?” he
says. He’s confused. “Research?”
“Yes,” she says, stepping inside and slipping into the
chair beside his desk.
Jon wraps up his sandwich for later.
“I want to know if I can be part of a study for
depression,” the woman says. Her mouth trembles. “This is a
research hospital, right?”
Jon hesitates, trying to take in what she wants. As he
pauses, he does a visual assessment. The woman is in her late 20s
or early 30s, attractive, but somewhat bedraggled. She looks as if
she’s been on a long, difficult road trip.
“Well,” he says. “I don’t know of any studies going on
off hand, but does that matter? I’m sure we can get you the help
you need without a study. What seems to be the problem? And what’s
your name, by the way? Mine’s Jon.”
“I’m Erika,” she says when her face crumples and she
begins to cry. “I’ve screwed up big time!” she says. “I’ve just
ruined my life and my son’s life!” And just like that, she is
sobbing.
“I’m sure you haven’t ruined anything,” Jon says. He
glances at the clock behind Erika, wondering what time the
psychiatrist will be back from her luncheon meeting. “Why don’t you
tell me what’s happened?”
“I ran away,” she says, still sobbing. “I ran away,
walked off my job, and hit the road with my little boy
Oscar!”
She lowers her hands from her face. “We just now got
back into town. We’ve been sleeping in the car for 3
days.”
“Are you homeless? Do you need a shelter?”
“No,” she cries. “That’s just it! We had a perfectly
decent life, and now I’ve blown it.”
“There’s usually something that can be done,”
Jon says, handing her a box of tissues. “Why don’t you start at the
beginning, and let’s see what we can do.”
“Thank you,” she says, blowing her nose and really
looking Jon in the eye for the first time.
Jon smiles. “You’re welcome. Now. Just start
anywhere.”
Erika tells Jon that she is a 28-year-old mother who
was a “wild teen,” saying that she had a tumultuous relationship
with her parents. At age 20, Erika gave birth to her son Oscar, who
is now 8. “Oscar,” she says “is the sweetest, most supportive son
ever.”
Shortly after Oscar’s birth Erika suffered from severe
postpartum depression that plunged her into what she calls “a
hellish paranoia. I was some kind of hormonal, psychotic witch for
a while. No wonder my fiancé broke it off with me.” She says this
with a sad smile and starts to cry again.
Erika has come into the clinic because, she says,
“sometimes I think I never recovered from my postpartum depression.
I mean, I’ve always been hyper and bad-tempered, which I freely
admit. But now I just can’t seem to pull out of it. I can’t sleep;
I’m angry all the time; I can’t concentrate on anything, and I’m so
depressed I can’t function.”
But things are even worse than Erika is letting
on.
“Okay,” she says. “There’s something else. Something
even worse.”
She has trouble pulling her tears under control, and
it takes her a moment to struggle with that.
“I flipped out at work last week,” she says. “I
slapped my supervisor because she was very unfair. She had it in
for me. Then I stormed out of work, grabbed my son out of school,
and got in the car and just drove, furious and feeling hopeless. We
drove and drove and then it was like I woke up and realized I was
in another state. I drove all the way to Wyoming, two states away
to Oscar’s dad’s house, and all he said was, ‘You walked out on a
good job? Well, you can’t stay here and freeload! Get back to
Denver and get your job back!’”
“We slept in the car, and I was crying and yelling,
and Oscar was crying. It was awful. I’m the worst mother ever. So
now I’m back in Denver, with no job and overdue on my rent and no
money left in the bank to pay it.”
“No money?”
She shakes her head. “I blew it all on the trip. I was
so mad about work, I told Oscar, ‘We’re going on a road trip.’ I
thought maybe we’d go to Yellowstone, or maybe Disneyland. And at
first he thought it was fun till he saw I was a mess, and then he
was just scared. And now we’re back, and I’m broke and unemployed.
I never sleep, and I know I talk too much and too fast, but my head
is always full of more thoughts and ideas than I can keep track of,
and they rush through me like the Indianapolis 500, and sometimes
they just come bursting out of my mouth.”
Jon is able to complete an intake assessment of Erika,
and when the doctor comes back from her meeting and sees the state
Erika is in, she meets with her immediately. She gets Erika help
with her most immediate needs, and when Erika refuses
hospitalization, concerned about uprooting Oscar any further, the
doctor makes a diagnosis and writes her a small, temporary
prescription—but only after Erika agrees to come back and start
treatment. Erika readily agrees. The doctor subsequently diagnoses
Erika with bipolar I disorder. Assuming that the doctor is right,
what evidence do you see of this disorder?
In addition to her diagnosis of bipolar I disorder,
which signs of mania does Erika displays the most?
In: Nursing
Whether in a skilled nursing facility, a private medical practice, a hospital, or a health care company, a health care manager plays an essential role. Health care managers deal with the business side of medicine, providing the support their employers need in order to deliver the best health care available.
Health care administrators are entrusted with numerous major responsibilities which often include; recognizing the trends and challenges in health care delivery, managing human resources, identifying and resolving staffing issues, and motivating employees and managing issues of conflict.
This Assessment has two parts (Part 1 and Part 2) which must be completed:
Part 1
Write an 850-word report that evaluates the role of a health manager in promoting the delivery of health services in one of the following health care settings:
From the perspective of a health manager, the following must be included in the report:
Format the document per APA guidelines. Include at least three scholarly references and in-text citations.
Part 2
Using the provided template complete each section of the chart for the health setting you selected in Part 1. An example is supplied to give an idea of the expectations, do not include the provided example as part of the completed chart assignment.
In: Nursing
PHC281
|
“Historically, people have always tried to answer their health questions at home and made personal choices about whether and when to consult a clinician. Many have now added the internet to their personal health toolbox, helping themselves and their loved ones better understand what might be ailing them.” Fox, S., & Duggan, M. (2013). Health online 2013. Health, 2013, 1-55. Discuss why some people go online to get diagnoses instead of going to a doctor/health professional. |
In: Nursing
What are the nursing implementation considerations for a patient receiving nitroprusside for blood pressure?
In: Nursing
1. The Accountable Care Act (ACA) led to hospitals:
| A. |
Refusing to treat Medicaid patients. |
|
| B. |
Focusing more on volume than on the quality of care. |
|
| C. |
Increasing preventable readmissions. |
|
| D. |
Participating in the Value-Based Purchasing Program. |
2. State regulation and accreditation requirements for quality reporting by Managed Care Organizations help address potential problems with:
| A. |
Over-care |
|
| B. |
Rising costs |
|
| C. |
Under-care |
|
| D. |
Outliers |
3. True or False: Because there are few close substitutes for medical services, the demand for health care services is relatively inelastic.
4. True or False: Consumers have a demand for health but cannot directly purchase it. Therefore, the demand for health care is considered a derived demand calculated by a quantity of services -inpatient days, outpatient services, number of prescriptions - consumed.
5. True or False: The demand for healthcare services is NOT influenced by cost sharing and out of pocket costs.
6. If three (3) RNs and two (2) CNAs are scheduled for an eight (8) hours shift, the skill mix is:
| A. |
60% RNs and 40% CNAs |
|
| B. |
Considered to be a safe staffing level |
|
| C. |
Considered to be an unsafe staffing level |
|
| D. |
A 1:5 nurse-patient ratio |
In: Nursing
What are the indications and pharmacokinetics for metoprolol?
In: Nursing
- Diabetes Insipidus and Syndrome of Inappropriate Antidiuretic Hormone (SIADH) In table format, compare and contrast Diabetes Insipidus and SIADH. Include the following elements in your table: Causative Agent Risk Factors Pathophysiology Manifestations Treatment
In: Nursing
Write a 1,000-word answer about one of the health disparity in the United States. For example, cardiovascular disease, cancer, diabetes, HIV/AIDS, infant mortality, asthma, or mental health. Give a synopsis of the article as well as your thoughts on how we as healthcare providers can improve the quality of care.
In: Nursing
Select one program either local, federal or state that provides services to the special need’s population.
A.) Name of program
B.) How do persons qualify for this specific program?
C.) What services are available in this specific program?
D.) What (if any) services are available for the support of the entire family in this specific program. References should be included at the end of each answer and in a reference page for complete credit
In: Nursing
case study:
Denise is a 45-year-old American female who has been admitted to the medical ward after having symptoms of food poisoning and skin rash. Her temperature has been over 38°C and she has been complaining of diarrhea and vomiting. Denise also presented with nasty looking skin rash on her upper and lower extremities. According to Denise, the skin rash has started since she swam in the Owens Lake (in California) 3 days ago. She stated that the rash started as small “red bumps” but started to get worse, deeper and more painful around a cut skin that she had sustained a week ago. She admits that she is not sure whether her current health conditions were caused by her swimming in the lake or because of the takeaway food that she also had on the same day. When Denise was asked about the takeaway food, she recalled that she thought the chicken was not fully cooked when she started eating it. Denise had a skin swab taken and a stool sample was sent for culture and sensitivity. The stool sample analysis confirmed food poisoning with Salmonella enterica and the skin swap results revealed Vibrio Cholerae skin infection.
Q1:
Discuss the mechanism that enables Salmonella enterica to survive the gastric acidity to causing Salmonella infection?
Q2:
Patients infected with Salmonella enterica usually recover within few days without antibiotics. Based on the factors affecting their growth, suggest one reason why this happens and give two ways of prevention from Salmonella infection.
In: Nursing