Tag Archive for: nursing

Data Analysis (graded)

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DNP Project – Final Phase – Weekly discussion

Week 2 – Data Analysis (graded)

The discussion for this week is focused on data analysis. Describe your plans for data analysis. How will descriptive statistics assist you in evaluating your outcome? Does your question require looking at the difference between two (or more) groups? What statistical test will you use which is consistent with your question and the type of data produced by your evaluation method/tool?

Week 4 – Dissemination (graded)

The discussion for this week is focused on your final plans for dissemination. You have considered this issue when you developed your project proposal but your plans have likely changed. Describe your plan for sharing the results of your project with the stakeholders at your practicum/project setting. Also, describe plans for conference poster or podium presentation and publication. Do you have a specific regional or national conference in mind? Which journal are you considering for submission of your manuscript? Which of these will be most crucial for you to focus on to assure dissemination of your DNP Project results?

Week 5 – Sustainability (graded)

The discussion for this week is focused on sustainability. Will the change that you initiated for your DNP Project be sustained, modified, or discontinued? How is that being determined? What plans have you made for your exit? Will you continue work related to your practice problem? What are your next steps?

Week 6 – Portfolio (graded)

The discussion for this week is focused on the experience of developing a professional portfolio. How do you anticipate using your professional portfolio? As you reflected on your career while developing your professional portfolio, you likely reviewed your strengths and opportunities for growth. Please share anything you are comfortable with as a result of that self-evaluation. Also, share your long-term career goals and your plan for achieving those goals.

Week 7 – Transformation (Required, not graded)

The discussion for this week is focused on your transformation. As you complete your DNP Project final paper and presentation, and your portfolio, share with your instructor and your peers how you have been transformed through your entire DNP program experience.

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vulnerable population

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For this assignment, you will apply critical thinking to what you have learned up to this point in this course regarding the successes and failures of the U.S. health care system as it relates to issues of cost, access, and quality. You are expected to address these topics from the perspective of a medical professional that is both ethical and respectful.

Select a vulnerable population as described in your textbook and complete a 1,000-1,250 word paper that addresses the following:

Describe elements that contribute to this population’s distrust of the health care system and/or medical treatments. Why is trust important? Can we effectively treat a patient whose trust we do not have? Why?
Discuss how the U.S. health care system has served this population both historically and today.
Three references (minimum) in addition to your textbook are required for this assignment.

Remember this word count does not include your title page or reference page.

Vulnerable populations, refer to those with health needs but inadequate resources to address those needs. For example, they include individuals who are poor and uninsured, those belonging to certain minority groups or of certain immigration status, or those living in geographically or economically disadvantaged communities.

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Psychotherapeutic Approaches to Group Therapy for Addiction

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Assignment 1: Psychotherapeutic Approaches to Group Therapy for Addiction

When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction.

To prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.
  • View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.

The Assignment

In a 2- to 3-page paper, address the following:

  • Identify the psychotherapeutic approach that the group facilitator is using, and explain why she might be using this approach.
  • Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group, and justify your decision.
  • Identify an alternative approach to group therapy for addiction, and explain why it is an appropriate option.
  • Support your position with evidence-based literature.

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health-care professions

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The ANA has stated, “Education for those in the health-care professions must increase in depth and breadth as scientific knowledge expands” (Catalano, 2012, p.91) According to Catalano, there has been a lack of adequate preparation for educating clients with self-management concerns, particularly clients with chronic illnesses, and this lack of education is a serious violation of ethical responsibilities by health care providers.

Do you agree or disagree with this statement and why? Is the failure to properly educate clients on the fault of the Nurse? Does the Nurse’s level of education matter? Why do you feel that way?

Please provide in-text citation and references

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physical assessments among school-aged children

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The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 1000-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

1. Compare the physical assessments among school-aged children. 2.Describe how you would modify assessment techniques to match the age and developmental stage of the child.
2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare assignment in APA Style Guide, NO plagiarism, 5 References in APA format.

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physician collaboration

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Review practice agreements in your state(texas)

Identify at least two physician collaboration issues in your state(texas)

1.Post a brief description of the practice agreements for NPs in your state(texas) and the two physician collaboration issues that you identified.

2.Explain what you think are the barriers to NPs practicing independently in your state(texas)

3.Finally, outline a plan for how you might address NP practice issues in your state(Texas)

APA format, 250 words and 4 reference(within the last 5 years)

Discussion: State o evaluate state practice agreements in your state(texas) and examine issues related to NP pracTo prepare:

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Commission on Collegiate Nursing Education

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The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. Summary of teaching plan
  2. Epidemiological rationale for topic
  3. Evaluation of teaching experience
  4. Community response to teaching
  5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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exponential model

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Use the data from the nursing scenario from the file I uploaded.

Create at least two visuals using your data from the data you chose in Week 2.

Create one scatter plot of the data, and apply a linear model (also known as a regression) in Excel®. Include the equation, R2 value, and prediction value on the visual.
Create one scatter plot of the data, and apply an exponential model in Excel®. Include the equation, R2 value, and prediction value on the visual.
Determine whether the linear or the exponential model is a better representation of your data to base your prediction on. Explain why the model you chose is a better representation of your data.
Hints for Making an Effective Chart:

Decide why you are making a chart from this data.
Title each chart so that it aligns with the data and selected model.
Create descriptive labels for both the x- and y axes.
Resize the chart as needed so it can be viewed easily.

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Lifestyle Changes for Weight Loss

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Case Study 9-2: Lifestyle Changes for Weight Loss

 

 

 

Sally is a 43-year-old mother of two who has gained 50 pounds over the past five years. She is 64 inches tall and weighs 180 pounds with a BMI of 30.8. Her waist circumference is 37 inches. She acknowledges that she is not as physically active as she would like to be. She also notes how recent stresses in her life have affected her sleep and seem to have triggered her appetite for sweets. Sally’s father recently died from complications of type 2 diabetes and her mother and sisters are overweight. Sally says she is very motivated to “not get diabetes” and is disturbed that her recent physical exam revealed mildly elevated blood pressure, glucose, and cholesterol levels.

 

1.   How does Sally’s family history influence her weight and risk for diabetes? What lifestyle choices may influence her genetic predisposition to be overweight?

 

2.   Using information in this chapter, what is a reasonable goal weight for Sally? How long would you estimate it would take her to safely lose this amount of weight?

 

3.   What weight-loss strategies may help curb Sally’s stress-related eating?

 

4.   Sally has determined that—to lose weight—she needs to limit her daily caloric intake to 1400 kcalories. Use Table 9-2 and show a one-day plan for meals and snacks that meet her nutritional needs within this calorie level.

 

5.   What are some advantages to Sally keeping a food and exercise record? What other factors besides food intake and physical activity may be useful for Sally to record?

 

6.   Why might strength training be an important addition to Sally’s exercise regimen?

 

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code

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Please answer all questions CORRECTLY, and return back to me.

 

1.   A 38-year-old patient is admitted to the hospital due to a lesion in her right breast, and a painful lump and nipple discharge from the left breast. The physician places a percutaneous needle localization device in the right breast under ultrasound guidance, excises the right breast lesion, and then excises the lactiferous duct fistula in the left breast. What CPT codes should be assigned?

A. 19129-RT, 19284-RT, 19122-LT   B. 19125-RT, 19285-RT, 19112-LT   C. 19127-RT, 19283-RT, 19132-LT   D. 19122-RT, 19275-RT, 19142-LT
 

2.   A 92-year-old female patient experiences difficulty hearing in her left ear. She is prescribed a BICROS hearing aid that she can wear behind the ear. What HCPCS code is assigned?

A. V5250   B. V5320   C. V5220   D. V5240

 

3.   A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What CPT code should be assigned?

A. 01612-P1   B. 01402-P1   C. 01202-P1   D. 01312-P1

 

4.   An 80-year-old patient is admitted to the hospital with congestive heart failure. What ICD-10-CM code should be assigned?

A. K15.0   B. L50.5   C. K52.9   D. I50.9

 

5.   A 44-year-old female patient comes to the hospital for removal of a 4 cm malignant lesion from the arm. During the course of the procedure, the patient undergoes a 14 sq. cm adjacent tissue transfer from the right leg, as well as a 20 sq. cm split-thickness skin graft from the left arm. What CPT codes are assigned?

A. 14021, 15100-51   B. 14045, 15400   C. 14032, 15207   D. 14044, 15350

 

6.   A patient has a breast localization device placed through the skin using stereotactic guidance in order to treat two lesions. What codes would be assigned?

A. 19285, 19286   B. 19287, 19288   C. 19283, 19284   D. 19296, 19297

 

7.   A 19-year-old patient is diagnosed with acne vulgaris. The physician performs laser dermabrasion of the facial skin. What codes are assigned?

A. L50.5, 0HB1XZZ   B. L70.0, 0HD1XZZ   C. L70.5, 0HA1XZZ   D. L70.6, 0HQ1XZZ

 

8.   Implantation of a patient-activated cardiac event recorder is assigned to code

A. 33286.   B. 33282.   C. 33285.   D. 33284.

 

9.   A 27-year-old patient is diagnosed with a chalazion on the upper left eyelid, which is excised using an external approach. What ICD-10 diagnosis and procedure codes are assigned?

A. H04.16, 08BQXZZ   B. H02.14, 08BTXZZ   C. H00.14, 08BPXZZ   D. H07.19, 08BRXZZ

 

10.   A 77-year-old patient is diagnosed with an ear infection. She receives an injection of 40 mg of gentamicin sulfate. What HCPCS code should be assigned?

A. J1452   B. J1472   C. J1675   D. J1580

 

11.   A patient undergoes a transcanal labyrinthectomy. What code would be assigned?

A. 69930   B. 69915   C. 69955   D. 69905

 

12.   A 92-year-old patient is diagnosed with senile cataracts and bilateral sensorineural hearing loss. The physician performs a bilateral cataract extraction. What ICD-10 codes are reported?

A. H27.9, H90.3, 08KJ3ZZ, 08MK3ZZ   B. H26.9, H90.3, 08EJ3ZZ, 08LK3ZZ   C. H25.9, H90.3, 08DJ3ZZ, 08DK3ZZ   D. H21.9, H90.3, 08PJ3ZZ, 08NK3ZZ

 

13.   Mr. Oliver is an elderly gentleman who has been having problems with his vision for the previous three weeks. He is diagnosed with keratoconus, as well as hypertension with stage III chronic kidney disease, and diabetes mellitus, for which he takes long-term insulin. The anesthesiologist provided general anesthesia for this patient with severe systemic disease. After the administration of anesthesia, the surgeon performs an endothelial keratoplasty. Prior to performing the endothelial keratoplasty, the surgeon performs backbench preparation of the allograft. Code this scenario (including the anesthesiology service).

A. 65756, 65757, 00144-P3; H18.609, E11.65, R46.89, Z79.4   B. 65754, 65727, 00134-P1; H18.609, E11.40, I12.9, N18.4, Z79.899   C. 65756, 65757, 00144-P3; H18.609, E11.9, I12.9, N18.3, Z79.4   D. 65757, 65787, 00142-P2; H18.229, E11.51, I12.0, N18.9

 

14.   A 47-year-old female patient is seen for a worrisome lesion on the back of her hand. What ICD-10-CM code should be assigned?

A. L94.9   B. L98.9   C. L91.5   D. L97.4

 

15.   Breast reconstruction with transverse rectus with a TRAM flap would be assigned to code

A. 19370.   B. 19342.   C. 19369.   D. 19316.

 

16.   Ms. Nelson comes to the emergency room due to sustaining multiple lacerations after being pushed into a glass door during a physical altercation with her husband at a hotel. She sustained a 5 cm laceration on her right hand and a 7 cm cut on her neck. She also has a 5.0 benign lesion removed from her left arm. The physician performs a simple repair on the lacerations on her hand and neck. Code this scenario.

A. 11443, 12008-59; S61.209A, S31.652A, Y04.0XXA, W45.8XXA, V97.29XA   B. 11422, 12007-59; S51.809A, S61.351A, W86.8XXA, Y04.0XXA   C. 11409, 12005-59; S58.119A, S11.22XA, X19.XXXA, V95.13XA   D. 11406, 12004-59; S61.401A, S11.90XA, Y04.0XXA, W45.8XXA, Y92.29

 

17.   Biopsy of the lacrimal gland is assigned to code

A. 68520.   B. 68811.   C. 68815.   D. 68510.

 

18.   A patient comes to the emergency room complaining of lightheadedness and difficulty hearing. The physician examines her and determines that she has Ménière’s disease. The physician performs an endolymphatic sac decompression (excision of the right inner ear using an open approach). What ICD-10 diagnosis and procedure codes are assigned?

A. H81.03, 09BF0ZZ   B. H83.03, 09BK0ZZ   C. H81.03, 09BD0ZZ   D. H82.03, 09BG0ZZ

 

19.   A physician performs a biopsy of the cornea. What code should be assigned?

A. 65420   B. 65410   C. 65419   D. 65415

 

20.   Injection of contrast medium for dacryocystography is assigned to code

A. 68853.   B. 68854.   C. 68850.   D. 68851.

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