Tag Archive for: nursing

Systems Development Life Cycle

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Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
  • Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
  • Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.
By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

pain near the midline in the epigastrium.

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Question 1

A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as:

a. Visceral
b. Somatic
c. Parietal
d. Referred

Question 2

An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected?

a. Insufficient bile production
b. Gastric atrophy
c. Hypersecretion of stomach acid
d. Nutrient malabsorption

Question 3

In alcoholic cirrhosis, hepatocellular damage is caused by:

a. acetaldehyde accumulation.
b. bile toxicity.
c. acidosis.
d. fatty infiltrations.

Question 4

Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension?

a. Sinusoids
b. Bile ducts
c. Hepatic portal vein
d. Hepatic artery

Question 5

Kwashiorkor is a severe dietary deficiency of:

a. fat-soluble vitamins.
b. carbohydrates.
c. protein.
d. calcium and magnesium.

Question 6

A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has?

a. A
b. B
c. C
d. D

Question 7

Prolonged diarrhea is more serious in children than adults because:

a. children have lower adipose reserves.
b. fluid reserves are lower in children.
c. children have a lower metabolic rate.
d. children are more resistant to antimicrobial therapy.

Question 8

A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as:

a. Intussusception
b. A volvulus
c. A hernia
d. Adhesions

Question 9

A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is:

a. Increasing subepithelial bicarbonate production
b. Accelerating the H+ (proton) pump in parietal cells
c. Inhibiting mucosal prostaglandin synthesis
d. Stimulating a shunt of mucosal blood flow

Question 10

Acute pancreatitis often manifests with pain to which of the following regions?

a. Right lower quadrant
b. Right upper quadrant
c. Epigastric
d. Suprapubic

Question 11

A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease?

a. Reflux esophagitis
b. Intestinal parasites
c. Ingestion of salty foods
d. Frequent use of antacids

Question 12

The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding?

a. Fecal impaction
b. Pancreatic insufficiency
c. Hyperactive peristalsis
d. Ileal atresia

Question 13

The most common cause of chronic vascular insufficiency among the elderly is:

a. Anemia
b. Aneurysm
c. Lack of nutrition in gut lumen
d. Atherosclerosis

Question 14

The most common clinical manifestation of portal hypertension is _____ bleeding.

a. rectal
b. duodenal
c. esophageal
d. intestinal

Question 15

A 54-year-old male is diagnosed with peptic ulcer disease.This condition is most likely caused by:

a. Hereditary hormonal imbalances with high gastrin levels
b. Breaks in the mucosa and presence of corrosive secretions
c. Decreased vagal activity and vascular engorgement
d. Gastric erosions related to high ammonia levels and bile reflux

Question 16

The cardinal sign of pyloric stenosis caused by ulceration or tumors is:

a. Constipation
b. Diarrhea
c. Vomiting
d. Heartburn

Question 17

A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is:

a. Bacterial infection
b. Viral infection
c. Alcoholism
d. Drug overdose

Question 18

Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:

a. hyperbilirubinemia and jaundice.
b. fluid and electrolyte imbalances.
c. impaired ammonia metabolism.
d. decreased cerebral blood flow.

Question 19

The most common disorder associated with upper GI bleeding is:

a. diverticulosis.
b. hemorrhoids.
c. esophageal varices.
d. cancer.

Question 20

A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow’s milk. The best explanation for her symptoms is:

a. Deficiency of bile that stimulates digestive secretions and bowel motility
b. Excess of amylase, which increases the breakdown of starch and causes an osmotic diarrhea
c. Overgrowth of bacteria from undigested fat molecules, which leads to gas formation and de creased bowel motility
d. Excess of undigested lactose in her digestive tract, resulting in increased fluid movement into the digestive lumen and increased bowel motility

Question 21

A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the:

a. Intrahepatic bile canaliculi
b. Gallbladder
c. Cystic duct
d. Common bile duct

Question 22

A 1-week-old female is brought to her pediatrician for abdominal distention and unstable temperature. Physical examination reveals bradycardia and apnea. Tests reveal hypoxic injury to the bowel resulting in bacterial invasion and perforation. This condition is referred to as:

a. Infective enteropathy
b. Necrotizing enterocolitis (NEC)
c. Mucoviscidosis
d. Ileus

Question 23

For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning?

a. Pyloric
b. Lower esophageal
c. Upper esophageal
d. Gastric

Question 24

Cholecystitis is inflammation of the gallbladder wall usually caused by:

a. accumulation of bile in the hepatic duct.
b. obstruction of the cystic duct by a gall-stone.
c. accumulation of fat in the wall of the gallbladder.
d. viral infection of the gallbladder.

Question 25

A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as:

a. Prolapse
b. Pyloric stenosis
c. Intussusception
d. Imperforation

Question 26

A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer.

a. Infectious
b. Cushing
c. Ischemic
d. Curling

Question 27

Chronic gastritis is classified according to the:

a. severity.
b. location of lesions.
c. patient’s age.
d. signs and symptoms.

Question 28

Reflux esophagitis is defined as a(n):

a. Immune response to gastroesophageal reflux
b. Inflammatory response to gastroesophageal reflux
c. Congenital anomaly
d. Secretory response to hiatal hernia

Question 29

The cardinal signs of small bowel obstruction are:

a. Vomiting and distention
b. Diarrhea and excessive thirst
c. Dehydration and epigastric pain
d. Abdominal pain and rectal bleeding

Question 30

The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation?

a. Anemia
b. Jaundice
c. Hypobilirubinemia
d. Ascites

Question 31

A 20-year-old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea.

a. Motility
b. Hypotonic
c. Secretory
d. Osmotic

Question 32

Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease?

a. Pattern of remission/exacerbations
b. Abdominal pain
c. Malabsorption
d. Diarrhea

Question 33

A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has:

a. Pyloric stenosis
b. Hiatal hernia
c. Gastric cancer
d. Achalasia

Question 34

The exocrine portion of the pancreas contains:

a. alpha cells.
b. beta cells.
c. acinar cells.
d. islets of Langerhans.

Question 35

Outbreaks of hepatitis _____ often occur in young children attending day care centers and can be attributed to poor hand washing.

a. A
b. B
c. C
d. D

nurse in a faith community setting

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 Purpose

Community health nurses practice in a variety of settings. The purpose of this paper is to describe the community setting and analyze the role of a nurse in the assigned setting. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

The topic for this paper is the role of a nurse in a faith community setting. 

Directions

Watch the tutorial on tips for completing the Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

1. The  community health setting for this paper must be a faith community such as a church/parish, or other congregation.

2. Read the chapter of your textbook on the assigned community health setting and take notes based on the outline below.

3. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).

4. Thoroughly address the following categories using the APA Template that is provided.

· Introduction (one paragraph):

o The introduction should be interesting and capture the reader’s attention.

o Introduce the assigned community setting

o Briefly identify CHN role(s) in this setting

o Identify vulnerable population(s) served in this setting

o Include a purpose statement

· Community Setting (two to three paragraphs)

o Describe the assigned community setting, including vulnerable population(s) served.

o Discuss three health services provided by the a CHN in the assigned setting.

o Use your textbook or an outside scholarly source to address these sub-points.

· Health Promotion Nursing Intervention (two to three paragraphs) 

o Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.

o Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.

o Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.

· Professional Nursing Organization (two paragraphs)

o Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.

o Discuss one professional issue that this organization is addressing related to the assigned community setting.

· Summary (one paragraph)

The summary reiterates key points about:

o The community setting and the CHN role(s)

o Health promotion intervention

o Professional organization

o Includes a concluding statement.

· Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Program Resources for examples of properly formatted references.

Guidelines

The setting for this paper must be a faith community.

· Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.

· We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.

· Scholarly Writing: APA format is required. Review APA documents in Program Resources, and use the free resources of tutor.com for writing tutors.

· Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

· Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

· Save your paper with your last name in the document title (e.g., Smith Community Settings).

· Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

· Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

· Follow the guidelines above carefully.

· Use only the assigned community setting.

· Complete you own work.

· Use the provided APA assignment specific template.

· Ask you instructor if you have any questions.

· Use the 1st column of the grading rubric to make sure all elements of the paper are addressed.

· Cite all sources within the paper as well as on the reference page.

· Proofread prior to final submission.

· Check for spelling and grammar errors prior to final submission with Grammarly.com or the free tutor available through the Tutoring link in the course.

Nursing’s perspectives

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Post a description of one or more significant ways in which Walden’s and the School of Nursing’s perspectives (i.e., vision, mission, social change message, and outcomes) relate to your professional and academic goals and to your becoming a scholar-practitioner. Include how you plan to incorporate social change into your professional and academic goals.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

healthcare

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ASSIGNMENT: Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Resources for assignment 

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

https://www.youtube.com/watch?v=q1gNQ9dm0zg

https://www.youtube.com/watch?v=sofmUeQkMLU

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

DUE 09/11/2019 BY 8AM 

part 2

 

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies. 

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

  • Review      the concepts of technology application as presented in the Resources.
  • Reflect      on how emerging technologies such as artificial intelligence may help      fortify nursing informatics as a specialty by leading to increased impact      on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe      the project you propose.
  • Identify      the stakeholders impacted by this project.
  • Explain      the patient outcome(s) or patient-care efficiencies this project is aimed      at improving and explain how this improvement would occur. Be specific and      provide examples.
  • Identify      the technologies required to implement this project and explain why.
  • Identify      the project team (by roles) and explain how you would incorporate the      nurse informaticist in the project team.

Becoming a Leader in the Translation of Evidence to Practice

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Application 3: Becoming a Leader in the Translation of Evidence to Practice

Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas.

In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development.

Prepare for this week’s section of Application 3 as follows:

  • Building      on the work you began in Week 6 for this Application, review this week’s      Discussion posting, and consider how you can lead policy development to      address your EBP Project issue.

To complete:

Due tomorrow 10/11/18 before midnight

Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes (DO NOT GO OVER THREE PAGES):

  • Your      vision of yourself as a leader—specifically:

1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches (see week 6 discussion attached you did for me, except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion

2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice

3) How you would advocate for the use of new evidence-based practice approaches through the policy arena (see week 7 discussion attached you did for me)

Professor Critics in week 6 on the cost and financial impact of the implementation of the project 

Dear student: Thank you for your contribution to this week’s discussion.  You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time.  Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      6, “Translation of Evidence for Leadership”

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

 

Brown, D.S. (2012). Interview with quality leaders: Dr. Donna E. Shalala and Dr. Linda Burnes Bolton on the committee on the Robert Wood Johnson Foundation initiative on the future of nursing at the Institute of Medicine. Journal for Healthcare Quality, 24(4), 40-44.

Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. ( 2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28(5), 393-399.

Grindel, C.G. (2016). Clinical leadership: A call to action. Med-Surg Nursing, 25(1), 9-16.

Mannix, J., Wilkes, L, & Daly, J. (2015). Grace under fire: Aesthetic leadership in clinical nursing, Journal of Clinical Nursing, 24, 2649-2658.

Stetler, C.B., Ritchie, J.A., Rycroft-Malone, J., & Charns, M.P. (2014). Leadership for evidence-based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), 219-226.

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      4, “Translation of Evidence to Improve Clinical Outcomes”
  • Chapter      5, “Translation of Evidence for Improving Safety and Quality”
  • Chapter      7, “Translation of Evidence for Health Policy” (See attached file)

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

FOLLOW THE INSTRUCTIONS EXACTLY AS IN THE GRADING RUBRIC ATTACHED IN THE FILE AREA (see attached file) APA format and minimum of 5 scholarly references less than 5 years old.

Healthy Aging

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The competency statements can be found under each of the following:Appendix 2-A on page 29 of Ebersole & Hess’ Toward Healthy Aging (9th edition) Appendix

1-A on page 19 of Ebersole & Hess’ Toward Healthy Aging (8th edition)

AACN Supplement (Resources section of the course) on pages 11-12

Please address the following:

Discuss two BSN Core Competencies and how they relate to your practice (give examples).

As a BSN nurse, what core competency would you develop first and why? Your response should consist of complete sentences and include references as appropriate

to make it easy i provide 2 core competencies i chose”

1-. Assess barriers for older adults in receiving, understanding, and giving of information.

Corresponding to Essentials IV & IX

2-. Use valid and reliable assessment tools to guide nursing practice for older adults.

Corresponding to Essentials IX

i want you to discuss these 2 core competencies i provided and how they are related to your practice with example. Also explain which one you develope first and why?

Competency

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Competency

Explain the basic models of quality improvement in healthcare.

Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

  • Emergency room      services
  • Intensive care
  • Surgical care
  • Obstetrics
  • Diagnostic      services
  • Some      rehabilitation therapies
  • Inpatient      pharmacy services
  • Geriatric      services
  • Consumer      physician referral services

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Scenario Continued

The CEO has met with you to let you know that some members of the Board of Directors are questioning the value of developing a quality improvement plan. She has asked you to create an executive summary and an information sheet to be included in the next Board packet.

Instructions

Topics for the executive summary should include:

1. What is a Quality Improvement plan?

2. Why do healthcare facilities create improvement plans?

3. Why would you recommend the facility create and implement a QI plan?

4.Identify purpose of QI plan and supporting details

NOTE – APA formatting for the reference list, and proper grammar, punctuation, and form required.

After completing the Executive Summary, you will create a one-page information sheet for the Board that they can use to answer questions about QI plans.

a. The information sheet should give your CEO and the Board of Directors enough information to have an educated conversation with patients and other stakeholders on the value of QI plans.

b. Make sure to use audience-specific language and tone on your information sheet. Remember, you are writing this information sheet for your CEO and the Board of Directors.

c. Be creative, and make your information sheet fun and organized.

mean corpuscular volume (MCV)

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1. A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation? (Points : 0.4)

[removed] Decreased mean corpuscular volume (MCV)
[removed] Decreased hemoglobin and hematocrit
[removed] Microcytic, hypochromic red cells
[removed] Decreased erythropoietin levels

 

Question 2. 2. A child has been diagnosed with thalassemia. Which of the following other health problems is the child at risk for? (Points : 0.4)

[removed] Hypocoagulation
[removed] Iron and ferritin deficiencies
[removed] Splenomegaly and hepatomegaly
[removed] Neutropenia

 

Question 3. 3. A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: (Points : 0.4)

[removed] A mild parasitic infection
[removed] A severe bacterial infection
[removed] A mild viral infection
[removed] A severe fungal infection

 

Question 4. 4. A couple who are expecting their first child have been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple have approached their nurse practitioner with this request and are seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting them. How can the nurse practitioner best respond to the couple’s inquiry? (Points : 0.4)

[removed] “Stem cells can help correct autoimmune diseases and some congenital defects.”
[removed] “Stem cells can be used to regenerate damaged organs should the need ever arise.”
[removed] “Stem cells can be used as a source of reserve cells for the entire blood production system.”
[removed] “Stem cells can help treat some cancers and anemias, but they must come from your child himself or herself.”

 

Question 5. 5. A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis? (Points : 0.4)

[removed] The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.
[removed] Her liver and spleen are both enlarged.
[removed] Blood work reveals an increased white blood cell count.
[removed] Chest auscultation reveals crackles in her lower lung fields bilaterally.

 

Question 6. 6. A 60-year-old woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to rule out Hodgkin lymphoma? (Points : 0.4)

[removed] Her neoplasm originates in secondary lymphoid structures.
[removed] The lymph nodes involved are located in a large number of locations in the lymphatic system.
[removed] The presence of Reed-Sternberg cells has been confirmed.
[removed] The woman complains of recent debilitating fatigue.

 

Question 7. 7. A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation? (Points : 0.4)

[removed] Tissue destruction results from neutrophil deactivation.
[removed] Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.
[removed] Macrophages are unable to digest the bacteria, resulting in immune granulomas.
[removed] Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

 

Question 8. 8. A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely? (Points : 0.4)

[removed] The woman has depleted blood volume due to her ongoing blood loss.
[removed] She will have iron-deficiency anemia due to depletion of iron stores.
[removed] The patient will be at risk for cardiovascular collapse or shock.
[removed] She will have delayed reticulocyte release.

 

Question 9. 9. A nurse practitioner student is familiarizing herself with the overnight admissions to an acute medical unit of a university hospital. Which of the following patients would the student recognize as being least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history? (Points : 0.4)

[removed] A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident
[removed] A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks
[removed] A 30-year-old female with a diagnosis of left leg DVT and a pulmonary embolism
[removed] A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use

 

Question 10. 10. A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude? (Points : 0.4)

[removed] “Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”
[removed] “Interferon can help limit the replication of the virus that’s affecting your father.”
[removed] “Interferon helps your father’s body recognize infected cells more effectively.”
[removed] “Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

 

Question 11. 11. A nurse practitioner is providing prenatal care and education for a first-time expectant mother, 22 weeks’ gestation, who has a diagnosis of a sexually transmitted infection. Which of the following statements by the expectant mother demonstrates an adequate understanding of vertical disease transmission and congenital infections? (Points : 0.4)

[removed] “Gonorrhea and chlamydia pose the greatest risks of transmission from mother to child.”
[removed] “I know that my baby will need observation for HIV signs and symptoms in the weeks following my delivery.”
[removed] “My baby could become infected either across the placenta or during the birth itself.”
[removed] “Prophylactic immunization will reduce my baby’s chance of being born with an illness.”

 

Question 12. 12. The blood work of a 44-year-old male patient with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating? (Points : 0.4)

[removed] Impaired immune function
[removed] Acid-base imbalances
[removed] Impaired thermoregulation
[removed] Fluid imbalances

 

Question 13. 13. A 30-year-old man has spent 5 hours on a cross-country flight seated next to a passenger who has been sneezing and coughing, and the man has been inhaling viral particles periodically. Which of the following situations would most likely result in the stimulation of the man’s T lymphocytes and adaptive immune system? (Points : 0.4)

[removed] Presentation of a foreign antigen by a familiar immunoglobulin
[removed] Recognition of a foreign MHC molecule
[removed] Recognition of a foreign peptide bound to a self MHC molecule
[removed] Cytokine stimulation of a T lymphocyte with macrophage or dendritic cell mediation

 

Question 14. 14. Which of the following phenomena would be least likely to result in activation of the complement system? (Points : 0.4)

[removed] Recognition of an antibody bound to the surface of a microbe
[removed] The binding of mannose residues on microbial glycoproteins
[removed] Activation of Toll-like receptors (TLRs) on complement proteins
[removed] Direct recognition of microbial proteins

 

Question 15. 15. A tourist presented to a primary care health clinic complaining of malaise, fever, and headache. She has subsequently been diagnosed with Rocky Mountain spotted fever, a pathology caused by Rickettsiaceae. Which of the followed statements best captures a characteristic trait of Rickettsiaceae? (Points : 0.4)

[removed] They are eukaryotic.
[removed] They have both RNA and DNA.
[removed] They have a distinct spiral-shaped morphology.

[removed] They are neither gram-negative nor gram-positive.

 

Question 16. 16. A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy? (Points : 0.4)

[removed] Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.
[removed] Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.
[removed] Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.
[removed] Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

 

Question 17. 17. A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion? (Points : 0.4)

[removed] Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.
[removed] Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.
[removed] Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.
[removed] Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

 

Question 18. 18. Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team? (Points : 0.4)

[removed] Increased thrombopoietin levels
[removed] Decreased platelet count
[removed] Normal vitamin K levels
[removed] Normal leukocyte levels

 

Question 19. 19. A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient? (Points : 0.4)

[removed] “Inflammation can help to remove the body tissue cells that have been damaged by infection.”
[removed] “Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.
[removed] “Inflammation helps your body to produce the right antibodies to fight the infection.”
[removed] “Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

 

Question 20. 20. A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines? (Points : 0.4)

[removed] “A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”
[removed] “Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”
[removed] “Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”
[removed] “Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

 

Question 21. 21. A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms? (Points : 0.4)

[removed] The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.
[removed] Viruses are killing some of his B cells and becoming incorporated into the genomes of others.
[removed] The EBV inhibits the maturation of white cells within his peripheral lymph nodes.
[removed] The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

 

Question 22. 22. Sputum samples from a patient with pneumonia contain an infective agent that has a peptidoglycan cell wall, expresses endotoxins, replicates readily in broth and on agar, grows in clusters, has pili, and does not stain when exposed to crystal violet. This pneumonia is most likely: (Points : 0.4)

[removed] Chlamydial
[removed] Viral
[removed] Mycoplasmal
[removed] Bacterial

 

Question 23. 23. A patient has been admitted to an inpatient medical unit of a hospital with an acute viral infection. The health care team providing care for the patient would recognize which of the following statements as an accurate description of the role of viruses in human infections? (Points : 0.4)

[removed] Viruses have limited or absent genetic material of their own.
[removed] Some viruses are capable of transforming normal host cells into malignant cells.
[removed] Viruses are often implicated in cases of transmissible neurodegenerative disease.
[removed] Viruses require stimulation after a latent period before they are able to produce symptoms.

 

Question 24. 24. Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow? (Points : 0.4)

[removed] A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use
[removed] A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM
[removed] A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells
[removed] A 9-year-old girl who has a diagnosis of IgA deficiency

 

Question 25. 25. A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections? (Points : 0.4)

[removed] Antibody production by plasma cells is compromised because of impaired communication between B and T cells.
[removed] The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.
[removed] The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.
[removed] The child lacks the antigen presenting cells integral to normal B-cell antibody production.

environmental factor

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The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
  6. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

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.