Question 2.                

A patient with a diagnosis of insomnia is surprised when his physician explains to him that his brain is still highly active during normal sleep. Which of the following statements best captures the character of brain activity during sleep?

“Fewer neurons in your brain are firing when you’re asleep, but they’re more synchronized than when you’re awake.”

“While you’re obviously less aware of stimuli when you’re asleep, your brain is actually more active when you’re asleep than when you’re awake.”

“There are four types of brain activity, and actually all of them occur at different stages of sleep.”

“Your brain alternates between periods of activity and periods of inactivity when you’re asleep, and these correspond to your eye movement.”

 

 

 

 

Question 3.                

Which of the following factors is most responsible for the fact that prefrontal lobotomy is no longer a common treatment for mental illness?

Individuals treated by lobotomy have difficulty interpreting somatic, visual, and auditory information.

Lobotomy inhibits the individual’s ability to add perception and meaning to sensory information.

Severing connections between the brain and its prefrontal areas inhibits problem solving and results in a loss of ambition.

Loss of communication to and from the prefrontal cortex changes, but ultimately exacerbates, symptoms of mental illness.

 

 

 

Question 7.                

A clinician is conducting an assessment of a male patient suspected of having a disorder of motor function. Which of the following assessment findings would suggest a possible upper motor neuron (UMN) lesion?

The patient has decreased deep tendon reflexes.

The patient displays increased muscle tone.

The patient’s muscles appear atrophied.

The patient displays weakness in the distal portions of his limbs.

 

 

 

Question 9.                

A 48-year-old male has a new diagnosis of Guillain-Barré syndrome. Which of the following processes underlies the deficits that accompany the degeneration of myelin in his peripheral nervous system (PNS)?

The destruction of myelin causes fewer Schwann cells to be produced in the patient’s PNS.

The axonal transport system is compromised by the lack of myelin surrounding nerve cells.

Nerve cells lack insulation and impulse conduction is compromised by the destruction of myelin.

A deficit of myelin predisposes the patient to infection by potential pathogens.

 

 

 

Question 13.              

Which of the following diagnostic findings is likely to result in the most serious brain insult?

Mean arterial blood pressure (MABP) that equals intracranial pressure (ICP)

Moderate increase in brain tissue volume secondary to a brain tumor

Increased ICP accompanied by hyperventilation

High intracellular concentration of glutamate

 

 

 

 

 

Question 17.              

A nurse practitioner is assessing a 7-year-old boy who has been brought to the clinic by his mother, who is concerned about her son’s increasingly frequent, severe headaches. Which of the nurse’s following questions is least likely to yield data that will allow for a confirmation or ruling out of migraines as the cause of his problem?

“Does your son have a family history of migraines?”

“When your son has a headache, does he ever have nausea and vomiting as well?”

“Does your son have any food allergies that have been identified?”

“Is your son generally pain free during the intervals between headaches?”

 

 

 

Question 19.              

Following a motor vehicle accident three months prior, a 20-year-old female who has been in a coma since her accident has now had her condition declared a persistent vegetative state. How can her care providers most accurately explain an aspect of her situation to her parents?

“Your daughter has lost all her cognitive functions as well as all her basic reflexes.”

“Though she still goes through a cycle of sleeping and waking, her condition is unlikely to change.”

“If you or the care team notice any spontaneous eye opening, then we will change our treatment plan.”

“Your daughter’s condition is an unfortunate combination of total loss of consciousness with continuation of all other normal brain functions.”

 

 

 

Question 20.              

During a late-night study session, a pathophysiology student reaches out to turn the page of her textbook. Which of the following components of her nervous system has the highest level of control over her arm and hand action?

Cerebelum

Thalamus

Basal ganglia

Frontal lobe

 

 

 

 

 

 

Question 21.              

A patient in the intensive care unit who has a brain tumor has experienced a sharp decline. The care team suspects that water and protein have crossed the blood–brain barrier and been transferred from the vascular space into the patient’s interstitial space. Which of the following diagnoses best captures this pathophysiology?

 

Focal hypoxia

Cytotoxic edema

Hydrocephalus

Vasogenic edema

 

 

 

 

 

 

Question 24.              

A 70-year-old male has been diagnosed with a stroke that resulted in an infarct to his cerebellum. Which of the following clinical findings would be most closely associated with cerebellar insult?

Flaccid loss of muscle tone

Difficulty starting movement, stopping movement, and maintaining rhythmic movement

Tremor, rigidity, and bradykinesia

Unsteady gait and difficulty speaking and swallowing

Instructions

In this section of the marketing and communication plan, you will develop specific marketing strategies to support the service you are proposing for Bellevue Hospital.

In addition, you will explain the communication strategies you will use to involve the internal and external stakeholders of the healthcare organization that will be impacted by the proposed service.

Note that the stakeholders are unique from your target market. These stakeholders are the individuals who will either partner with you to employ the plan or be impacted by the implementation of the plan.

The proposed service for the hospital is a new health payment plan for the uninsured.

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues. As you examine the Hernandez Family: Sessions 1-6 videos in this week’s Learning Resources, consider how you might assess and treat the client family.

Learning Objectives

Students will:

• Assess client families presenting for psychotherapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on family assessment.
• View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.

Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.

The Assignment

Address in a comprehensive client assessment of the Hernandez family the following:

• Demographic information
• Presenting problem
• History or present illness
• Past psychiatric history
• Medical history
• Substance use history
• Developmental history
• Family psychiatric history
• Psychosocial history
• History of abuse and/or trauma
• Review of systems
• Physical assessment
• Mental status exam
• Differential diagnosis
• Case formulation
• Treatment plan

Note: Any item you are unable to address from the video should be marked “needs to be added to” as you would in an actual comprehensive client assessment

As agreed due 9/24/2017 @ 2100 MST

#1 Assignment

Complete the “Personhood Chart.”  Please see attached file

#2 Assignment- Please see attached file

 

Write a 250-500 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

1. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.
2. How does the theory determine or influence each of their recommendation for action?
3. What theory do you agree with?  How would the theory determine or influence the recommendation for action?

Prepare this assignment according to the APA guidelines found in the APA. MUST TURITIN.

#3 Assignment

Consider how the paradigm of a healing hospital might influence your philosophy of caregiving and write an essay of 500-750 words that addresses the following:

1. Describe the components of a healing hospital and their relationship to spirituality.
2. What are the challenges of creating a healing environment in light of the barriers and complexities of the hospital environment?
3. Include biblical aspects that support the concept of a healing hospital.

Rate yourself using the results from the “Nurse Manager Skills Inventory”: http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

1. Personal and professional accountability
2. Career planning
3. Personal journey disciplines
4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace. Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.