True or False. Athletes will gain no physiologic advantage by breathing pure oxygen.

True or False. Gradually increasing frequency, intensity, and duration of physical activity is a safe way to improve physical fitness.

True or False. It is possible to be physically fit but in poor health.                         

True or False. Scientific studies have found that gravity inversion equipment offers significant therapeutic benefits.                

True or False. The health food industry traditionally opposes consumer protection laws.  

True or False. Energy bars and sports drinks offer an easy and inexpensive way to provide energy during physical activity.                  

True or False. Experts now advise obese people to emphasize physical fitness rather than "dieting."                       

True or False. The terms natural, organic, and health food are often used interchangeably.                             

True or False. Glucose is the basic form of food energy for life.

True or False. Fat substitutes have not been proven effective for the treatment of obesity

True or False. Weight loss of more than one to two pounds a week can be hazardous to health.         

True or False. Calcium supplements may be advisable for postmenopausal women.

True or False. Supplements may be appropriate for individuals who are unable or unwilling to eat a balanced diet.

In healthcare, issues involving patient care can be complex and the 'right' answer to a problem may either be difficult to discern or may simply be the 'least bad' choice of possible alternatives. For this assignment, you will identify and present an ethical dilemma. You will conduct research and present both sides of the issue in a point/counterpoint format to demonstrate that both sides of some ethical issues can be defended based on ethical theories or principles.

1. Identify an area in healthcare management that presents an ethical dilemmas.

2. Research perspectives on the dilemma identified.

3. Provide a counter-point argument; explain the conflicting perspectives on the identified dilemmas.

4. Once you have completed the point/counter-point, determine which ethical theory or principle is the best ethical choice for the dilemma. Defend your answer with supporting evidence, relevance of understanding your personal values framework, and sound logic.

1. A child with cerebral palsy is discharged from the hospital, where he has been receiving treatment for pneumonia. Home health care nurses through a local agency are to help the family administer intravenous antibiotic therapy and to monitor the child’s health status.
   1. As the home health nurse assigned to the child what should your nursing assessment include.
   2. In this situation what are some nursing interventions that will help ensure family centered care?
   3. When this child is stable and can go back to school what will be the role of the school nurse in caring for this child?

Ms. Espinoza is a 90-year-old Hispanic female admitted to the hospital from her assisted living facility. She has a history of hypertension and dementia and had a stroke and a myocardial infarction 3 years ago. She has also had insomnia for the past month. Ms. Espinoza is admitted due to an alteration in her mental status. She has had a cold and a cough for a week, for which she took Coricidin (acetaminophen and chlorpheniramine) and Tylenol PM (acetaminophen and diphenhydramine). Her home medications
include monthly Nascobal (vitamin B12) injections; Toprol-XL (metoprolol succinate), 100 mg daily; Plendil (felodipine), 10 mg daily; Allegra (fexofenadine), 180 mg daily; Ecotrin (aspirin EC), 325
mg daily; and Colace (docusate sodium), 100 mg daily. She also has a very unsteady gait.
Ms. Espinoza’s admitting diagnosis is pneumonia. The physicians order the following medications: Lasix (furosemide), 20 mg IV push, x1; Pepcid (famotidine), 20 mg bid; Ecotrin (aspirin EC), 325 mg daily; Toprol-XL (metoprolol succinate), 100 mg daily; Colace (docusate sodium), 100 mg daily; Allegra (fexofenadine), 180 mg daily; Levoquin (levofloxacin), 250 mg daily IVPB; Plendil (felodipine), 10 mg
po daily; and Ambien (zolpidem), 5 mg at bedtime as needed.

Questions

1. Which medication(s) may have contributed to Ms. Espinoza’s altered mental status? Make a drug study of all the medications taken by Ms. Espinoza.

2. In addition to the drug regimen, does Ms. Espinoza have other risk factors for altered mental status?

3. Would you alter her drug regimen? Does Ms. Espinoza have any risk factors for altered mental status?

Make up a holistic alter-ego "Ideal" alter-ego

give him or her a name, and then describe his or her qualities,looks,strenghts, and how he or she goes about living a healthy, well-balanced life.

. A 5-month-old infant who was born at 24 weeks gestation is ready to be discharged from the NICU. She will be going home on oxygen, gastrostomy tube feedings, and eight medications. Develop a teaching plan for the family

1. Why do individual and household level livelihoods matter when considering social vulnerability and capacity?

Twins Silvia and Lynette are now 6 years old. Time has flown for parents Brett and Brenna. Raising twins is an adventure for sure. While identical in appearance at birth, the twins have always had unique personalities, and now they're developing into their own little people. Silvia, who seemed to grow on air for a good chunk of her toddler years, is now the taller of the two, while Lynette is the one with the smaller appetite at the moment. Both girls have thinned out in the last few years, which Brenna and Brett attribute to their nonstop playing.

1. Silvia begins to put on a little more weight and, about a month later, Lynette follows the same trend. Their bodies are increasing in body fat percentage. It is not drastic, neither parent is alarmed, and they feel it is normal and want to support a healthy body image for both girls. The increase in body fat that occurs around 6 years of age and prepares the body for the changes of adolescence is known as ____________.

a. BMI rebound

b. weight rebound

c. structural maturation

d. adipose restructuring

e. developmental stores

2. Brenna and Brett are amazed at how fast the girls have grown. Since both parents work full time, they feel like sometimes they are not doing enough to provide proper nutrition for the girls. Brenna has the girls drink a cup of milk with dinner to ensure they are at least getting some calcium. However, a cup of milk has only about 300 mg of calcium, which Brenna feels is below the recommendation. What is the recommendation of dietary calcium per day?

a. 100 mg/day

b. 1000 mg/day

c. 1300 mg/day

d. 10 mg/day

3. Brenna comes home after a long shift at work. Not only did she have an employee quit unexpectedly, she also had to deal with stressors from her boss wanting her to get ahead of another project. At home, she walks in the front door to yet another unforeseen stressor: the girls run up to her asking to go out to lunch. Brett informs Brenna that the girls have seen multiple commercials for pizza and now are dying to go out and eat pizza.

True or False: Advertisements to children can have an impact on food preference.

a. True

b. False

4. At first, Brenna and Brett were happy to see that the girls had gained weight to be within a healthy weight range. Over the past year, however, they have noticed that the girls have been especially picky in foods that they will eat, mostly gravitating towards fast foods and processed foods.

True or False: Based on their recent weight gain, Sylvia and Lynette are exceeding total calories, which is common for children ages 6 to 11.

a. True

b. False

5. Oh no! Lynette has proven the statistic that one in two children ages 6 to 9 will develop dental decay in their primary or permanent teeth. She has a cavity at their latest dental appointment that requires a filling. Fortunately, it's not in a permanent tooth. What can Brett and Brenna do to help ensure that neither of the girls get any more cavities?

a. Brush teeth immediately after having gummy or sticky foods.

b. Choose snacks that are a combination of carbohydrates, proteins, and fats.

c. Have regular meal and snacks times instead of continual snacking throughout the day.

d. Rinse or brush teeth after eating.

e. All of these are correct.

6. While neither parent is worried about the girls' recent weight gains, they are being mindful to watch for any signs that the girls are gaining too much weight. While healthy food is the norm in their household, the girls are in control of their own intake while eating out, such as at school events and at their grandparents' house.

True or False: Beyond consumption of healthy and unhealthy foods, the American Academy of Pediatrics recommends that children have no more than 2 hours of screen time daily to reduce their amount of sedentary time.

a. True b. False

• Describe how formal and informal reporting methods are used for reporting adverse events in a health care organization.
• Think of a time when you were faced with an adverse event. As a leader, what method of reporting would you use? Why? Provide examples.

Pick only 2 questions and answer in depth .

1. Should sex education be taught in the nation’s public schools, and if so what kind of education should be provided? What topics do you think are appropriate for school-based sex education courses?
2. Describe some common myths and misconceptions about contraception. Additionally, select one method of birth control and describe the advantages and disadvantages of it as a contraceptive method.
3. What should you do, if anything, if you see a young mother smoking? What if she is drinking or not wearing a seatbelt? Should childbirth preparation be required for all women?

What are the difficulties, the likes, and dislikes of an interview of a variety of ages, ethnicities, races, and genders?

Questions are:

1)            Age

2)            Race

3)            Ethnicity

4)            Gender

5)            Where the subject grew up

6)            What is “old” to you? How do you know when you are old?

7)            How do you feel about old people? Why?

8)            Name two different ways that you were brought up that you think are different from most other people. For example, you may say you were raised on a farm, or your father was in the military.

9)            Were you part of social, religious, or other types of group growing up?

10)          Who were your role models when you were growing up? How did they influence you?

which key factors are important when gathering and presenting data for a community needs assessment?

CLINICAL SCENARIO

NURSING HEALTH HISTORY

A. Patient’s Profile

Name: JFK

Birthday: August 23, 1982

Age: 38 years old

Sex: Male

Nationality:Filipino

Religion:Roman Catholic

Marital Status:Married

Address: Pampanga

Date of Admission: September 02, 2020

Time of Admission: 2:30PM

Chief Complaint: productive cough with fever with slight difficulty of breathing

Final Diagnosis: Moderate Risk Community Acquired Pneumonia (CAP III)

History of Present Illness :

Patient came to the hospital complaining of productive cough, fever and slight difficulty of breathing. Client is having persistent productive cough with greenish phlegm and has had fever with 39.3 celcius for temperature when admitted. The client is ambulatory, coherent and v/s results showed an elevated RR of 37 cpm, pulse rate of 104. On DAT was prescribed, has a standing order of TSB for fever. WBC count is within range, CXR results showing consolidation and sputum culture and sensitivity shows S. pneumoniae with a medical diagnosis of CAP III.

Past Medical History :

Cough and fever has been noted to have onset 4 days prior to admission. Client has history of pneumonia and was admitted to the hospital when he was in high school. Client has suffered asthmatic attack when he was 3 years old and was admitted to the hospital and was given Ventolin for treatment but has no record of any onset after that.Immunizations were completed when he was one year old.Latest medicines prescribed are Cefuroxime, Albuterol, Montelukast, and Naproxen. The patient never undergone any type of surgery. He has no known allergy to food and medication.Family History(+) Hypertension-father(+) Diabetes Mellitus-father(-) Cancer(+) PTB-mother

Personal and Social History : Patient is a tricycle driver and a very joker person, he mingles with his co-tricycle drivers, friends, and neighbors. Patient is non-smoker, non-drinker and no history of taking illicit drugs. He prefers to eat rice, fish and vegetables, but sometimes eat in a sari-sari store. He enjoys talking to commuters and taking care of his children when his day-off, his leisure time is watching TV with his family. If the patient has free time from driving, he likes going to mall with hisfamily every Sunday after church. He is a sweet and loving husband to his wife and children.

Admission Order Medication: Cefuroxime (Zinacef) 750 mg every 8 hours TIV Levofloxacin (Levox) 500 mg 1 tab OD PO Paracematol1 amp TIV for temp of equal or greater than 38.6 and paracetamol 500mg tab PO for temp of 38.5 below Berodual nebulization (10gtts in 3 ml NSS) every 6 hour

Therapeutics: IVF PNSS 1L to run for 8 hours at 31-21 gtts per min at left arm

Bedside O2 of 3L/min via nasal cannula

Nebulization followed by CPT

Bedside Care: Vital signs every shift and watch out for any signs of dyspnea progression, bed rest, I and O monitoring, suction secretions when necessary, provide comfort, morning care done, side rails up for safety, assess every now and then and relayed any abnormal symptoms and complications

COURSE TASKS:

1. Make an Anatomy and Physiology of Community Acquired Pneumonia III.

2.Conceptualize the pathophysiological alterations distinct to the case.

✓Establish the pathophysiological triad of Host –Agent –Environment specific to the case.

✓Trace the pathophysiological changes and highlight problems that are experienced by the client.

✓Connect the pertinent nursing care and medical –surgical management to the various signs and symptoms presented by the client.