Tag Archive for: nursing

sexual transmission of HIV,

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Question

Question 1

2 / 2 pts

After sexual transmission of HIV, a person can be infected yet seronegative for _____ months.

24 to 36

6 to 14

18 to 20

1 to 2

Question 2

2 / 2 pts

Once they have penetrated the first line of defense, which microorganisms do neutrophils actively attack, engulf, and destroy by phagocytosis?

Mycoplasma

Fungi

Viruses

Bacteria

Question 3

2 / 2 pts

Cells in _____ may act as a reservoir in which HIV can be relatively protected from antiviral drugs.

bone marrow

the lungs

the thymus gland

the central nervous system

HIV may persist in regions where the antiviral drugs are not as effective, such as the

CNS.

Question 4

2 / 2 pts

What of the following remains a significant cause of morbidity and mortality worldwide?

Cardiovascular disease

Starvation

Traumatic injury

Infectious disease

Question 5

2 / 2 pts

Which statement about vaccines is true?

Most viral vaccines are made by using dead organisms.

Vaccines require booster injections to maintain lifelong protection.

Vaccines provide effective protection for all people against viruses, bacteria, and fungal infections.

Most bacterial vaccines contain attenuated organisms.

Question 6

2 / 2 pts

Which statement is true about fungal infections?

They are prevented by vaccines.

They result in release of endotoxins.

They occur only on skin, hair, and nails.

They are controlled by phagocytes and T lymphocytes.

Question 7

2 / 2 pts

What is the mechanism in type III hypersensitivity reactions?

Antibodies bind to the antigen on the cell surface.

Antibodies bind to soluble antigens that were released into body fluids and the immune complexes are deposited in the tissues.

Cytotoxic T lymphocytes or lymphokine-producing Th1 cells attack and destroy cellular targets directly.

Antibodies coat mast cells by binding to receptors that signal its degranulation followed by discharge of preformed mediators.

Question 8

2 / 2 pts

A person with type O blood is likely to have high titers of anti-___ antibodies.

O

B

A

A and B

Question 9

2 / 2 pts

What disease involves the deposition of circulating immune complexes containing an antibody against host DNA, resulting in tissue damage?

Pernicious anemia

Myasthenia gravis

Hemolytic anemia

Systemic lupus erythematosus (SLE)

Question 10

2 / 2 pts

In which primary immune deficiency is there a partial to complete absence of T-cell immunity?

DiGeorge syndrome

Bruton disease

Reticular dysgenesis

Adenosine deaminase (ADA) deficiency

Question 11

2 / 2 pts

Hypersensitivity is best defined as a(n)

disturbance in the immunologic tolerance of self-antigens.

altered immunologic response to an antigen that results in disease.

undetectable immune response in the presence of antigens.

immunologic reaction of one person to the tissue of another person.

Question 12

2 / 2 pts

The class of antibody involved in type I hypersensitivity reactions is

IgE.

IgM.

IgA.

IgG.

Question 13

2 / 2 pts

Deficiencies in which element can produce depression of both B- and T-cell function?

Magnesium

Iron

Iodine

Zinc

Question 14

2 / 2 pts

What effect does estrogen have on lymphocytes?

Enhancement of B cells and T cells

Depression of T cells and enhancement of B cells

Depression of B cells and enhancement of T cells

Depression of B cells and T cells

Question 15

2 / 2 pts

Stress-age syndrome results in decreased

ACTH.

catecholamines.

cortisol.

immune system.

Question 16

2 / 2 pts

Which cytokines initiate the production of corticotropin-releasing hormone (CRH)?

IL-1 and IL-6

TNF-ß and IL-4

IL-2 and TNF-?

IFN and IL-12

Question 17

2 / 2 pts

During a stress response, increased anxiety, vigilance, and arousal is prompted by

ACTH.

norepinephrine.

cortisol.

epinephrine.

Question 18

2 / 2 pts

Cells from a muscle tumor show a reduced ability to form new muscle and appear highly disorganized. This is an example of

anaplasia.

dysplasia.

myoplasia.

hyperplasia.

Question 19

2 / 2 pts

What is the role of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and transforming growth factor-alpha (TGF-?) in cell metastasis?

To stimulate growth of nearby tumor cells

To develop new blood vessels to feed cancer cells

To prevent cancer cells from escaping apoptosis

To act as a chemical gradient to guide cells to blood vessels

Question 20

2 / 2 pts

Which of the viruses below are oncogenic DNA viruses?

Adenoviruses, herpesviruses, and retroviruses

Herpesviruses, retroviruses, and papovaviruses

Retroviruses, papovaviruses, and adenoviruses

Papovaviruses, adenoviruses, and herpesviruses

Question 21

2 / 2 pts

Which of the following represents the correct nomenclature for benign and malignant tumors of adipose tissue, respectively?

Liposarcoma, lipoma

Adipoma, adisarcoma

Adisarcoma, adipoma

Lipoma, liposarcoma

Question 22

0 / 2 pts

In chronic myeloid leukemia (CML), a piece of chromosome 9 fuses to a piece of chromosome 22. This is an example of which mutation of normal genes to oncogenes?

Chromosome fusion

Chromosome translocation

Gene amplification

Point mutation

Question 23

0 / 2 pts

Inherited mutations that predispose to cancer are almost invariably what kind of gene?

Growth-promoting genes

Oncogenes

Tumor-suppressor genes

Proto-oncogenes

Question 24

2 / 2 pts

Tobacco smoking is associated with cancers of all of the following except

bladder.

kidney.

pancreas.

lung.

skin.

Question 25

2 / 2 pts

What percentage of children with cancer can be cured?

40%

50%

70%

60%

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larger health care system

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Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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.

AttachmentsNRS-440V-RS4-AdvocacyThroughLegislation.docx

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Ego Integrity Presentation

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Assignment Description

Ego Integrity Presentation

Imagine you are working as a charge nurse in an assisted living facility. Your unit houses twenty older adults. The residents of this unit are cognitively functional without evidence of cognitive decline. The residents are elderly and do require varying degrees of physical assistance with ADLs. Create a PowerPoint outlining strategies you can incorporate in the assisted living facility to promote ego integrity for your residents. What group and individual activities can you incorporate?

Assignment Expectations:

Length: 10-15 content slides

Structure: Include a title slide, objective slide, and reference slide in APA format. These do not count towards the minimum content slide count for this assignment. Be sure to fully explain all slides in the Speaker Notes.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

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Collaborative Learning Community

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I NEED YOU TO COMPLETE THE POWER POINT PRESENTATION ATTACHED BELLOW..YOU JUST NEED TO COMPLETE THE SLIDES 12 AND 13 ( CODE OF ETHICS AND CONCLUSIONS OF THE POWER POINT)..THE REST OF THE SLIDES ARE ALREADY COMPLETED FOR THE REST OF THE GROUP MEMBERS..PLEASE ADD SPEAKER NOTE TO EACH SLIDE AND ADD REFERENCES IN THE SLIDES OF REFERENCES..THANK YOU

This is a Collaborative Learning Community (CLC) assignment.

In your CLC group, create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:

Impact on competency.

Impact on knowledge and attitudes.

Relationship to professional certification.

Relationship to ANA Scope and Standards of Practice.

Relationship to ANA Code of Ethics.

Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.

A minimum of three scholarly sources are required for this assignment.

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ethnic minority group

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Details:

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the 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. Please refer to the directions in the Student Success Center.

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 future practice

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In this assignment, students will pull together the change proposal   project components they have been working on throughout the course to   create a proposal inclusive of sections for each content focus area in   the course. At the conclusion of this project, the student will be   able to apply evidence-based research steps and processes required as   the foundation to address a clinically oriented problem or issue in   future practice.

Students will develop a 1,250-1,500 word paper that includes the   following information as it applies to the problem, issue, suggestion,   initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the     change proposal
  4. PICOT
  5. Literature search strategy   employed
  6. Evaluation of the literature
  7. Applicable     change or nursing theory utilized
  8. Proposed implementation     plan with outcome measures
  9. Identification of potential     barriers to plan implementation, and a discussion of how these could     be overcome
  10. Appendix section, if tables, graphs, surveys,     educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment,   PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use   the feedback to make appropriate revisions to the portfolio components   before submitting.

Prepare this assignment according to the 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. Please refer   to the directions in the Student Success Center.

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Tools of the Trade

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BOOK ISBN: 978-1-305-27147-0

very important all comes from the book !!!!

Chapter 3 – The Intervention and Assessment Models
Chapter 4 – Tools of the Trade

Question(s): Case of Elizabeth.

Ana is a 45-year-old white female who is recently divorced. She is not doing well in her love life and comes to you to get some immediate help. She expresses feeling sad most of the time with suicidal ideation. She looks unkempt, sad, and has a hard time putting words together.

1. Of the nine intentional strategies depicted in your book, which ones are the most important ones in this situation(mention 3 in the order of priorities)

2. Why are those the most important? (explain and justify your answer)
Guidelines:The answer should be based on the knowledge obtained from reading the book, no just your opinion. If there are 2 questions in the discussion, you must answer both of them. Your grade will be an average of both questions (50% each question). First question: Mention the adequate strategy for this case scenario (50%). Second part of this question: explain / justify your answer (50%).

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Motivating Employees

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Midterm Case Study: Motivating Employees

Due Week

Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases, and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry.

As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.

There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls, some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

  1. Investigate the major      demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact      that the identified factors could have on specific areas of service and      business if the administration does not address the situation. Support      your response with at least two (2) examples of the potential negative      impact of the identified demotivational factors on the hospital.
  2. Choose Maslow’s,      Herzberg’s, or McClelland’s model of motivation, and argue the primary      reasons why it is applicable to the Kaluyu Memorial Hospital scenario.
  3. Formulate a communication      system that will have the greatest impact on improving the situation, and specify      the major reasons why your system will influence the employee behaviors      for the better. Justify your response.
  4. Use four (4)      recent (within the last five [5] years) quality academic resources in this      assignment. Note: Wikipedia and      other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double      spaced, using Times New Roman font (size 12), with one-inch margins on all      sides; citations and references must follow APA or school-specific format.      Check with your professor for any additional instructions.
  • Include a cover      page containing the title of the assignment, the student’s name, the      professor’s name, the course title, and the date. The cover page and the      reference page are not included in the required assignment page length.

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Case Study

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In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin.

NRS410V.R.CaseStudy1_Student_02-11-13.docx

#2:

 

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin.

NRS410V.R.CaseStudy2_Student_02-11-13.docx

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Articulate ethical

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Write a 2-3 page paper that examines the moral and ethical issues involved in making a decision regarding limiting life support.
End-of-Life Issues
With our framework of ethical theories and principles in hand, we begin our look at some of the critical ethical issues in our contemporary world, starting with end-of-life issues. This assessment covers ethical questions related to end-of-life care. Passive euthanasia is the removal or refusal of life-sustaining treatment. Examples of passive euthanasia include removal of a feeding tube or a ventilator, or forgoing a life-prolonging surgery. Passive euthanasia is legal in all 50 states, and the principle of autonomy gives informed patients the right to refuse any and all treatments. Patients who are unable to make such decisions in the moment (because they are unconscious, for example) might have made their intentions clear beforehand with an advance directive or similar document. Things become more complicated, however, when a patient who is unable to make treatment choices has not made his or her wishes clear, either formally in a written document, or informally in conversations with family members or friends. Another problem concerns cases in which there is disagreement about whether the treatment is sustaining the life of a person in the full sense or merely as a body that, because of severe and irreversible brain trauma, is no longer truly a living person.
Active euthanasia, or assisted suicide, introduces further difficult moral questions. A patient who has a terminal illness and who has refused treatments that would merely prolong a potentially very painful and debilitating death might want the process of dying to be hastened and made less painful. The patient might want to take his or her own life before the disease reaches its horrible final stages. Should patients be legally allowed to have help in this endeavor? If suicide itself is not morally wrong, at least in cases like these, is it wrong for another person to directly help bring about the patient’s death? Is it wrong for doctors, a role we naturally associate with healing and the promotion of life, to use their medical expertise to deliberately end a patient’s life if the patient wants this?
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Articulate ethical issues in health care.
    • Articulate the moral issues associated with limiting life support.
  • Competency 2: Apply sound ethical thinking related to a health care issue.
    • Demonstrate sound ethical thinking and relevant ethical principles when considering limiting life support.
    • Explain important considerations that arise when contemplating limiting life support.
  • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
    • Exhibit proficiency in clear and effective academic writing skills.
  • Preparation
  • Case Study: Mr. Martinez.                              Mr. Martinez was a seventy-five-year-old chronic obstructive pulmonary disease patient. He was in the hospital because of an upper respiratory tract infection. He and his wife had requested that CPR not be performed should he require it. A DNR order was written in the charts. In his room on the third floor, he was being maintained with antibiotics, fluids, and oxygen and seemed to be doing better. However, Mr. Martinez’s oxygen was inadvertently turned up, and this caused him to go into respiratory failure. When found by the therapist, he was in terrible distress and lay gasping in his bed.
  • This media piece provides the context for this assessment; make sure you have reviewed the case study thoroughly.
    Additionally, it may be useful to think through the following issues as they relate to Mr. Martinez’s case:
  • Should Mr. Martinez be transferred to intensive care, where his respiratory failure can be treated by a ventilator, and by CPR if necessary, and his oxygen level can be monitored?
    • What are the key ethical issues or models at play in this case study?
    • What are the key end-of-life issues at play in this case study?
    • How can an understanding of models and best-practice help to guide health care practitioners to make ethical and legal decisions?
  • Instructions
    In a 2–3 page analysis of the case study, address the following:
  • The patient’s directives.
  • The patient’s quality of life.
  • The family’s stated preferences.
  • The moral issues associated with limiting life support.
  • The ethical principles most relevant to reaching an ethically sound decision.
  • Important considerations such as implications, justifications, and any conflicts of interest that might arise because of the patient’s respiratory failure.
  • When writing your assessment submission assume that doctors cannot contact Mrs. Martinez and must make this choice on their own. To help you reach an objective, ethically sound decision, draw upon concepts and arguments from the suggested resources or your independent research. Support your response with clear, concise, and correct examples, weaving and citing the readings and media throughout your answer.
    Submission Requirements
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting guidelines.
  • Length: 2–3 typed, double-spaced pages.
  • Font and font size: Times New Roman, 12 point.

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