A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (SATA) 

1. A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (SATA)

A) To assess cognitive ability I should ask the client to count backward by sevens

B) To assess affect, I should obscure the client’s facial expression

C) To assess language ability, I should instruct the client to write a sentence

D) To assess remote memory, I should have the client assess our most recent presidents

2. A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention.

A) Assist the client with systematic desensitization therapy B) Teach the client appropriate coping mechanisms

C) Assess the client for comorbid health conditions

D) Monitor the client for adverse effects of medications

3. A nurse in an outpatient mental health clinic is preparing to conduct an initial interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A) Coordinate holistic care with social services

B) Identify the client’s perception of her mental health status

C) Include the client’s family in the interview

D) Teach the client about her current mental health disorder

4. A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Which of the following information is appropriate to include in the discussion? (SATA)

A) The DSM-5 includes client education handouts for mental health disorders

B) The DSM-5 establishes diagnostic criteria for individual mental health disorders

C) The DSM-5 indicates recommended pharmacological treatment for mental health disorders

D) The DSM-5 assists nurses in planning care for client’s who have mental health disorders

E) The DSM-5 indicates expected assessment findings of mental health disorders

5. A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission?

A) A client who has schizophrenia with delusions of grandeur

B) A client who has manifestations of depression and attempted suicide a year ago

C) A client who has borderline personality disorder and assaulted a homeless man with a metal rod

D) A client who has bipolar disorder and paces quickly around the room while talking to himself

6. A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse’s actions are an example of which of the following torts?

A) Invasion of privacy B) False Imprisonment C) Assault

D) Battery

7. A client tells a nurse “Don’t tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always yelling at me and threatening me.” Which of the following actions should the nurse take?

A) Keep the client’s communication confidential, but talk to the client daily, using therapeutic communication to convince him to admit to hiding the knife

B) Keep the client’s communication confidential, but watch the client and his roommate closely

C) Tell the client that this must be reported to the healthcare team because it concerns the health and safety of others

D) Report the incident to the health care team, but do not inform the client of the intent to do so.

8. A Nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (SATA)

A) “Client ate most of his breakfast”

B) “Client was offered 8oz of water every hour”

C) “Client shouted obscenities at assistive personnel”

D) “Client received chlorpromazine 15 mg by mouth at 1000.”

E) “Client acted out after lunch”

9. A nurse hears a newly licensed nurse discussing a client’s hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first?

A) Notify the nurse manager

B) Tell the nurse to stop discussing the behavior

C) Provide an in-service program about confidentiality

D) Complete and incident report

10. A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication?

A. Personal space B. Posture

C. Eye contact D. Intonation

11. A nurse is communicating with a client on the acute mental health facility. The client states, “I can’t sleep. I stay up all night.” The nurse responds, “You are having difficulty sleeping?” Which of the following therapeutic communication techniques is the nurse demonstrating?

A. Offering general leads B. Summarizing

C. Focusing D. Restating

12. A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication?

A. Offering advice

B. Reflecting meaning C. Listening attentively D. Giving information

13. A nurse is caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse’s use of interpersonal communication?

A. The nurse discusses the client’s weight loss during a health care team meeting.

B. The nurse examines their own personal feelings about clients who have anorexia nervosa.

C. The nurse asks the client about personal body image perception.

D. The nurse presents an educational session about anorexia nervosa to a large group of adolescents.

14. A nurse is caring for the parents of a child who has demonstrated recent changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son’s condition, which of the following responses should the nurse make?

A. “I think your son is getting better. What have you noticed?” B. “I’m sure everything will be okay. It just takes time to heal.”

C. “I’m not sure what’s wrong. Have you asked the doctor about your concerns?”

D. “I understand you’re concerned. Let’s discuss what concerns you specifically.”

15. A nurse is caring for a client who smokes and has lung cancer. The client reports, “I’m coughing because I have that cold that everyone has been getting.” The nurse should identify that the client is

Test Bank Lehne’s Pharmacology for Nursing Care, 11th Edition Chapter 1-112!Rated A+ Answers

Test Bank Lehne’s Pharmacology for Nursing Care, 11th Edition Chapter 1-112!Rated A+ Answers

Chapter 1: Orientation to Pharmacology Test Bank MULTIPLE CHOICE 1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely on knowledge of: a. clinical pharmacology. b. drug efficacy. c. pharmacokinetics. d. pharmacotherapeutics. ANS: D Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. Clinical pharmacology is concerned with all aspects of drug–human interactions. Drug efficacy measures the extent to which a given drug causes an intended effect. Pharmacokinetics is the study of the impact of the body on a drug. DIF: Cognitive Level: Comprehension REF: Four Basic Terms TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 2. What does it mean when a drug is described as easy to administer? a. It can be stored indefinitely without need for refrigeration. b. It does not interact significantly with other medications. c. It enhances patient adherence to the drug regimen. d. It is usually relatively inexpensive to produce. ANS: C A major benefit of drugs that are easy to administer is that patients taking them are more likely to comply with the drug regimen. Drugs that are easy to give may have the other attributes listed, but those properties are independent of ease of administration. DIF: Cognitive Level: Comprehension REF: Additional Properties of an Ideal Drug: Ease of Administration TOP: Nursing Process: Assessment MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 3. A patient tells the nurse that he was told by the prescriber that the analgesic he is taking is very effective. Which statement by the patient demonstrates an understanding of the drug‘s effectiveness? a. ―I don‘t have to worry about toxicity, since it takes a large amount of this drug to cause an overdose.‖ b. ―It has no side effects and doesn‘t interact with other drugs.‖ c. ―I only have to take it every 12 hours.‖ d. ―It might make me sleepy, and it lessens pain for several hours at a time.ANS: D  A drug is effective if it produces the intended effects, even if it also produces side effects. Because no drug is completely safe, the level of toxicity does not determine effectiveness. All drugs have side effects and many react with other substances; these do not affect the drug‘s effectiveness. Ease of administration is independent of a drug‘s effectiveness. DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

MULTIPLE RESPONSE 1. What are the properties of an ideal drug? (Select all that apply.) a. Irreversible action b. Predictability c. Ease of administration d. Chemical stability e. A simple trade name ANS: B, C, D In addition to predictability, ease of administration, and chemical stability, other properties include a reversible action so that any harm the drug may cause can be undone and a simple generic name, because generic names are usually complex and difficult to remember and pronounce. DIF: Cognitive Level: Comprehension REF: Properties of an Ideal Drug | Additional Properties of an Ideal Drug TOP: Nursing Process: Assessment MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 2. Before administering a medication, what does the nurse need to know to evaluate how individual patient variability might affect the patient‘s response to the medication? (Select all that apply.) a. Chemical stability of the medication b. Ease of administration c. Family medical history d. Patient‘s age e. Patient‘s diagnosis ANS: C, D, E The family medical history can indicate genetic factors that may affect a patient‘s response to a medication. Patients of different ages can respond differently to medications. The patient‘s illness can affect how drugs are metabolized. The chemical stability of the medication and the ease of administration are properties of drugs. DIF: Cognitive Level: Analysis REF: Sources of Individual Variation TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk Potential

………………………

Critique a nursing research article on evidence-based practice (ATTACHED BELOW) related to nursing practice or health assessment.

Critique a nursing research article on evidence-based practice (ATTACHED BELOW) related to nursing practice or health assessment. The 2–3-page work (not including title and references) will follow APA format. Include the following elements in the work: a summary of the article and the research presented, a critique of the validity of the research, and an analysis of the proposed evidence-based practice based presented in the article.

Use the following guidelines to assist with writing the work: 1. Provide at least one to two paragraphs summarizing the essential content/ideas of the article and describing the research 2. Include a section describing your view of the article’s balance: Were both sides of the issue addressed? Was there bias involved and if so, slanted towards which side? What is your evidence of this bias or imbalance? 3. Include a section describing your opinion of the article’s quality and your own position: Did the writer do sufficient research? Is the article technically correct and clearly presented and supported? Are there elements of the argument that could have been enhanced with more detail or more argumentation? What would a follow-up article contain to be useful to this one? Did you agree with the article?

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would you have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

What is TPA? What are at least 2 conditions where you might see it given as a medication? Why would we not give it?

1. What is TPA? What are at least 2 conditions where you might see it given as a medication? Why would we not give it?

2. Know the triad that would lead you to conclude your patient is experiencing cardiac tamponade

3. The 3 Ps of diabetes

4. What electrolyte is of most concern with kidney failure patients?

5. Review the signs of hypokalemia and hyperkalemia

6. Right sided heart failure versus left sided heart failure

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

1) Minimum 17 pages  (No word count per page)-   Follow the 3 x 3 rule: minimum of three paragraphs per page ( minimum 300 words per page)

You must strictly comply with the number of paragraphs requested per page.  

The number of words in each paragraph should be similar

Part 1: minimum 2 (Due 20 hours)

Part 2: minimum 3 (Due 48 hours)

Part 3: minimum 2 (Due 20 hours)

Part 4: minimum 1 page  (Due 48 hours)

Part 5: minimum 1 page  (Due 48 hours)

Part 6: minimum 1 page  (Due 48 hours)

Part 7: minimum  1 page (Due 48 hours)

Part 8: minimum  2 pages (Due 20 hours)

Part 9: minimum 2 pages  (Due 20 hours)

Part 10: minimum 2 pages  (Due 20 hours)

Submit 1 document per part

2)¨******APA norms

        The number of words in each paragraph should be similar

        Must be written in the third person

All paragraphs must be narrative and cited in the text- each paragraph

The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.

Bulleted responses are not accepted

Don’t write in the first person

  Do not use subtitles or titles      

         Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc

Part 2.doc

__________________________________________________________________________________

Part 1: Diversity in Healthcare (20 hours)

Mr. Perez is a 76-year-old Mexican American who was recently diagnosed with a slow heartbeat requiring an implanted pacemaker. Mr. Perez has been married for 51 years and has 6 adult children (three daughters aged 50, 48, and 42; three sons aged 47, 45, and 36), 11 grandchildren; and 2 great grandchildren. The youngest boy lives three houses down from Mr. and Mrs. Perez. The other children, except the second-oldest daughter, live within 3 to 10 miles from their parents. The second-oldest daughter is a registered nurse and lives out of state. All members of the family except for Mr. Perez were born in the United States. He was born in Monterrey, Mexico, and immigrated to the United States at the age of 18 in order to work and send money back to the family in Mexico. Mr. Perez has returned to Mexico throughout the years to visit and has lived in Texas ever since. He is retired from work in a machine shop.

Mr. Perez has one living older brother who lives within 5 miles. All members of the family speak Spanish and English fluently. The Perez family is Catholic, as evidenced by the religious items hanging on the wall and prayer books and rosary on the coffee table. Statues of St. Jude and Our Lady of Guadalupe are on the living room table. Mr. and Mrs. Perez have made many mandas (bequests) to pray for the health of the family, including one to thank God for the healthy birth of all the children, especially after the doctor had discouraged them from having any more children after the complicated birth of their first child. The family attends Mass together every Sunday morning and then meets for breakfast chorizo at a local restaurant frequented by many of their church’s other parishioner families. Mr. Perez believes his health and the health of his family are in the hands of God.

The Perez family lives in a modest four-bedroom ranch home that they bought 22 years ago. The home is in a predominantly Mexican American neighborhood located in the La Loma section of town. Mr. and Mrs. Perez are active in the church and neighborhood community. The Perez home is usually occupied by many people and has always been the gathering place for the family. During his years of employment, Mr. Perez was the sole provider for the family and now receives social security checks and a pension. Mrs. Perez is also retired and receives a small pension for a short work period as a teacher’s aide. Mr. and Mrs. Perez count on their nurse daughter to guide them and advise on their health care.

Mr. Perez visits a curandero for medicinal folk remedies. Mrs. Perez is the provider of spiritual, physical, and emotional care for the family. In addition, their nurse daughter is always present during any major surgeries or procedures. Mrs. Perez and her daughter the nurse will be caring for Mr. Perez during his procedure for a pacemaker.

1. Explain the significance of family and kinship for the Perez family (One paragraph)

2. Describe the importance of religion and God for the Perez family (One paragraph)

3. Identify two stereotypes about Mexican Americans that were dispelled in this case with the Perez family (Two paragraphs)

4. What is the role of Mrs. Perez in this family? (Two paragraphs)

Part 2: Diversity in Healthcare (24 hours)

Topic: Cultural Interview Assignment

Culture: Ruman

Interviewee:  Women

Suppose you did these questions to the Ruman woman (Interviewee)

Communication

Do you find it difficult to share your thoughts, feelings, and ideas with family? Friends? Health-care providers?

What is your primary language?

Family Roles and Organization

What types of decisions do(es) the female(s) in your family make?

What should children do to make a good impression for themselves and for the family?

Workforce Issues

What concerns do you have about working with someone of the opposite gender?

What do you do when you do not know how to do something related to your job?

Biocultural Ecology

What are the major illnesses and diseases in your family?

What are the major health problems in the country from which you come (if appropriate)?

High-Risk Health Behaviors

How much alcohol do you drink each day? Ask about wine, beer, spirits, coffee, energy drinks.

What precautions do you take to prevent getting a sexually transmitted infection/HIV?

Make a literature review of the cultural group from which your interviewee comes.

1. Introduction about the topic (One paragraph)

2. Explain the Ruman cultural status in the USA (One paragraph)

3. Compare data from your interview with what you find in the literature. (One paragraph)

4. Contrast data obtained from your interview with what you find in the literature. (One paragraph)

5. Provide three recommendations for clinical practice (One paragraph)

6. Provide three  recommendations for research (One paragraph)

7. Provide three recommendations for the health-care organization on this cultural group; be specific in your recommendations. (One paragraph)

8. Explain the value of this exercise to your current or future practice.(One paragraph)

9. Conclusion(One paragraph)

 

Part 3: Psychopathology (20 hours)

Jax is a 66-year-old Caucasian female whose wife has encouraged her to seek treatment. She has never been in therapy before, and has no history of depression or anxiety. However, her alcohol use has recently been getting in the way of her marriage, and interfering with her newly-retired life. She describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. She notes that this amount “doesn’t give me the same buzz as it used to.” She denies ever experiencing “the shakes” or any other withdrawal symptoms if she skips a day of drinking.

Jax comments that her wife is her biggest motivation to decrease her alcohol use. She tells Jax that she gets argumentative and irritable when she drinks, though she does not always remember these incidents. She has also fallen while intoxicated twice, causing bruises both times and hitting her head on one of the occasions.

1. Describe the presenting problems/issues (One paragraph).

a. Is there any information that was not provided that you would need to formulate a diagnosis?

3. Generate a primary using (Give rational) (Two paragraphs)

a. DSM5 (One paragraph)

b.  ICD 10(One paragraph)

4. Generate three differential diagnosis using  (Give rational) (Two paragraphs)

a.  DSM5 (three differential diagnosis)  (One paragraph)

b. ICD 10 (three differential diagnosis)  (One paragraph)

5. Explain what processes lead to substance dependence according to  (One paragraph)

a. Physiological

b.  psychological

Part 4: Writing and rhetorical (Write in the first person) (Due 48 hours)

Five paragraphs per page

Specific audience:  Female sex workers and Sex work activists

Research Question

Could legally recognizing female sex work in Florida increase the health indicator of this population due to free access to the health system?

Support Question

Can the quality of life of female sex workers be improved by allowing free access to the health system?

Could legalizing female sex work improve the quality of life of this population?

Could sexually transmitted diseases be preventable in sex workers if they have access to sex education?

Would the legalization of female sex work offer health resources for STD evaluation?

Source 1:

https://journals.sagepub.com/doi/10.1177/0791603520937279

Source 2:

https://www.bmj.com/content/361/bmj.k2609

1. Explain your current research question and (One paragraph)

a. why you see this question as important to this particular audience.

i.   Female sex workers

ii.  Sex work activists

2. What specifically about your research is valuable, significant, and/or impactful to this audience? (One paragraph)

a. How does/will your research impact some aspect of their lives?

i. Include a personal impact, professional impact, cultural impact, political impact, or something else.

3. Describe some of the research you’ve done so far and how this is  (One paragraph)

a. Focus on the particular idea(s) and source(s) that you think will be especially relevant to this particular audience.

4. Summary the sources (One paragraph)

a. Source 1 (Check File 1)

B. Source 2  (Check File 2)

5. Explain to your audience where you plan to go next with your research. What ideas do you plan on exploring?  (One paragraph)

a. How will the next steps in your research help you to find answers/solutions to your research question?

 

Part 5: Writing and rhetorical (Write in the first person) (48 hours)

Five paragraphs per page

Specific audience:  Students and parents

Research Question

It is possible that implementing a mental health program for students ages 11-17 in Florida high schools could reduce the incidence of shootings in schools?

Support Questions:

Can adolescent mental health programs reduce violence?

Is there a relationship between violent behaviors and the mental health of high school students?

Can the implementation of a mental intervention in students from 11 to 17 years reduce the events of shootings in school?

Can school shootings reduce after implementing a mental health intervention in a student from 11 to 17 years old?

Source 1:

https://www.sciencepolicyjournal.org/uploads/5/4/3/4/5434385/varghese_delany_dundon_jspg_v17.2.pdf

Source 2:

https://scholarworks.umt.edu/cgi/viewcontent.cgi?article=12916&context=etd

1. Explain your current research question and (One paragraph)

a. why you see this question as important to this particular audience.

i. Students

ii. Parents

2. What specifically about your research is valuable, significant, and/or impactful to this audience? (One paragraph)

a. How does/will your research impact some aspect of their lives?

i. Include a personal impact, professional impact, cultural impact, political impact, or something else.

3. Describe some of the research you’ve done so far and how this is  (One paragraph)

a. Focus on the particular idea(s) and source(s) that you think will be especially relevant to this particular audience.

4. Summary the sources (One paragraph)

a. Source 1  (Check File 1)

B. Source 2  (Check File 2)

5. Explain to your audience where you plan to go next with your research. What ideas do you plan on exploring?  (One paragraph)

a. How will the next steps in your research help you to find answers/solutions to your research question?

Part 6: Recreational Therapy (Writ in the first person)

Four paragraphs per page

Practice setting: Pediatrics

Check:

https://fiu.instructure.com/media_objects_iframe/m-51FeEGQQf8p8sYwuPA9myGsvr65gDT3Q?type=video?type=video

1. Guest speaker’s background (One paragraph)

a. Description of the agency they work at

2. Explain:(One paragraph)

a. What populations are served

b. Types of activities that are offered

c. General job responsibilities

3. Summary of what was mentioned about the APIED process(One paragraph)

(Assessment, Planning, Implementation, Evaluation and Documentation)

a. How this is implemented at their workplace

4. What do you learned about the other agencies (One paragraph)

a. RT at Blythedale Children’s Hospital

b. RT at Parkridge Valley, Children & Adolescent Campus

c. RT at Shriner’s Hospital for Children

 

Part 7: Recreational Therapy (Writ in the first person)

Four paragraphs per page

Practice setting:  Geriatrics

Check:

https://fiu.instructure.com/media_objects_iframe/m-51VVeKc6sN5X3ZKZ1XSigfNnEumV5x53?type=video?type=video

1. Guest speaker’s background(One paragraph)

a. Description of the agency they work at

2. Explain:(One paragraph)

a. What populations are served

b. Types of activities that are offered

c. General job responsibilities

3. Summary of what was mentioned about the APIED process(One paragraph)

(Assessment, Planning, Implementation, Evaluation and Documentation)

a. How this is implemented at their workplace

4. What do you learned about the other agencies(One paragraph)

a. RT at Sterling (Independent and Assisted Living)

b. RT at Interior Health (Adult Day Training for Older Adults)

c. RT at St. John’s Home

Part 8: Inclusive recreation services (Writ in the first person)

Check:

1. Explain three main points that the podcast discussed (One paragraph)

2. What barriers were discussed in regard to making the recreation are discussed accessible to all?(One paragraph)

3. What are 2 specific areas within your community that you could make an impact in regard to removing barriers? (One paragraph)

a. Programmatic

b. Psychological

c.  Architectural

4. John Scalzi wrote an entry titled “Being Poor”Links to an external site. on his Blog Whatever back in 2005 where to offered over 60 examples of what it means to be poor.

Check: 

https://whatever.scalzi.com/2005/09/03/being-poor/

Select 5 examples that Scalzi gave and write your reaction to those  (One paragraph)

a.  write your reaction

b.  write your reaction

c.  write your reaction

d.  write your reaction

e.  write your reaction

5. As leisure professionals, why do we need to address about this barrier? (One paragraph)

6. What would you tell your children if you could not afford to enroll them in baseball, ballet, camp, or swimming lessons?(One paragraph)

 

Part 9: Inclusive recreation services (Writ in the first person)

Check:

1. Explain three main points that the podcast discussed (One paragraph)

2. What barriers were discussed in regard to making the recreation are discussed accessible to all?(One paragraph)

3. What are 2 specific areas within your community that you could make an impact in regard to removing barriers? (One paragraph)

a. Programmatic

b. Psychological

c.  Architectural

4. John Scalzi wrote an entry titled “Being Poor”Links to an external site. on his Blog Whatever back in 2005 where to offered over 60 examples of what it means to be poor.

Check: 

https://whatever.scalzi.com/2005/09/03/being-poor/

Select 5 examples that Scalzi gave and write your reaction to those  (One paragraph)

a.  write your reaction

b.  write your reaction

c.  write your reaction

d.  write your reaction

e.  write your reaction

5. As leisure professionals, why do we need to address about this barrier? (One paragraph)

6. What would you tell your children if you could not afford to enroll them in baseball, ballet, camp, or swimming lessons?(One paragraph)

 

Part 10: Psychopharmacology (20 hours)

Topic:  Antipsychotic Agents

Medication: risperidone (Risperdal)

1. Discuss (Two paragraphs)

a. Use

b. Potential side effects

c. Dosing

d. Mechanism of action

e. Receptors it affects in the brain.

2. Compare: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics.  (Two paragraphs)

3. Contrast Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics. (Two paragraphs)

The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer,

Purpose

The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data.

Competency

Prioritize nursing interventions when caring for pediatric clients with health disorders.

Scenario

A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read:

He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode.

Your Assessment

Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA

General Appearance: appears drowsy; face flushed, quiet

Neuro: oriented X3

Cardiovascular: unremarkable

Respiratory: lungs clear

Integumentary: very warm, dry

GI/GU: abdomen normal

Physician Orders

  • Complete Blood Count (CBC)
  • Complete Metabolic Panel (CMP)
  • Urinalysis with culture and sensitivity (U/A C&S)
  • Blood Cultures x 2
  • X-rays kidneys,
  • Influenza screening
  • Acetaminophen 15 mg/kg PO now
  • Ibuprofen 10 mg/kg PO now
  • Pad side rails
  • Suction at bedside with seizure precautions
  • Radiographs of right arm
  • Cast to right arm
  • Start PO fluids and increase as tolerated

The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna.

Discharge orders include:

  • Follow up with pediatrician in 7 days
  • Follow up with pediatric orthopedics in 7-10 days
  • Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250mg/5ml?
  • Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days
  • Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL.
  • What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose?
Instructions

Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.

Prioritize nursing care strategies for clients with cardiovascular disorders.

Competency

Prioritize nursing care strategies for clients with cardiovascular disorders.

Scenario

Cardiac disease a one of the leading causes of death in the United States. Since it is so prevalent, you want to ensure your co-workers are fully prepared to care for patients. You are hosting a lunch to provide a refresher on heart disease and how to care for patients. During the lunch, you will present a PowerPoint Presentation to your co-workers.

Instructions

Choose one of the cardiac diseases that we covered in the last two modules. Within your presentation include:

  • Provide a detailed overview of the disease process
  • Diagnosis
  • Treatment
  • Multidimensional care including risk reduction, health promotion, and nursing interventions specific to the disease process

EVALUATING SCIENTIFIC RESOURCES 1

Running head: EVALUATING SCIENTIFIC RESOURCES 1

EVALUATING SCIENTIFIC RESOURCES 4

 

 

 

 

 

 

Searching and Evaluating Scientific Resources

Student Name

Institutional Affiliation

Date

Searching and Evaluating Scientific Resources

Introduction

Patient satisfaction in the emergency care department can be enabled through the reduction of lengthy waits. The Emergency Department Information System (EDIS) can be imperative in the changes. An understanding of the cause of lengthy waits and emergency responses in the hospital unit is required to support the EDIS solution provided. The evaluation and analysis of the three articles will portray the article’s credibility and importance in the research study.

Articles Summary

The quality and safety of patients in the emergency unit have to be enabled in emergency care. This follows guidelines and standard practices followed by practitioners in the waiting environment as per the emergency care report (2020). Information system integrations have to consider the mandatory requirements. This is to ensure effective support of the entire process in initial health assessment, care, and treatment after admission. In addition, the information system has to provide clear communication protocols to all stakeholders in the emergency unit.

Staff productivity in the emergency care unit in reducing lengthy waits is determined by policies and systems applied in the provision of acute health care. This can be hugely influenced by patients’ perceptions of satisfaction after the implementation of the policies and systems (Unwin et al., 2016). Planning of realistic policies is imperative in incorporating communication protocols to emergency department workflow for reduced complications and complaints.

Reducing lengthy waits in the emergency department can lead to a reduction in healthcare problems. This entails reduced delays in treatment increasing illnesses and injuries. The length the patient waits plays as a driver towards patient satisfaction (Vashi et al., 2018). Information systems integration is reflected in emergency bed utilization and team communication for effectiveness and efficiency.

Article Credibility

The emergency care report’s credibility can be considered on the basis of observing set principles and guidelines in enabling safety and quality in emergency care. This is significant in articulating how patient waits can be impacted by manual documentation processes. A consideration of the NSW health policies and plans in preventing patient dissatisfaction also increases the article’s validity.

Urwin’s article credibility has been enabled through the close assessment of a sample population in a particular hospital. Through a cross-sectional survey and SPPS data analysis, information gathered was supported. Conclusive support of evidence from the research increases the study’s validity and its use.

The article on the application of lean principles by Vashi articulates the use of systems to reduce overcrowding and low quality in the emergency department. Its credibility has been enabled by the consideration of existing ED prioritized flow design and changes that can be made to increase efficiency. Further, the article widens the value stream scope of technology in emergency care.

Article Importance

The emergency care report (2020) will be imperative in increasing my understanding of how EDIS application can change procedures in ED. This will ensure that the proposed recommendation regards existing protocols, procedures, and policies from the health sector. An increased examination of designed and redesigned ED workflows will enhance the integration of information systems in emergency care (Vashi et al., 2018). A utilization of Urwin’s article will enable the identification and examination of patient perceptions on satisfaction from systems incorporation in the ED.

Conclusion

Combating lengthy waits in the emergency department can be imperative in increasing patient satisfaction. This can be influenced positively by the application of EDIS in the hospital unit. An evaluation of the articles has presented article credibility and significance in the research study. This will influence the utilization of EDIS in reducing emergency care waits.

 

 

 

 

 

 

 

 

References

Emergency care report (2020). Emergency department patients waiting care. Retrieved from https://www.health.nsw.gov.au/policies/manuals/Documents/pmm-6.pdf

Unwin M., Nurs, G., Kinsman, L, Rigby, S. & Nurs, G. (2016). Why are we waiting? Patients’ perspectives for accessing emergency department services with non-urgent complaints. International emergency nursing 29.

Vashi, A., Sheikhi, F., Nshton, L., Ellman, J., Rajagopal, P. & Asch, S. (2018). Applying lean principles to reduce wait times in the VA emergency department. Military medicine 184(1).

EVALUATING SCIENTIFIC RESOURCES

Running head: EVALUATING SCIENTIFIC RESOURCES 1

EVALUATING SCIENTIFIC RESOURCES 4

 

 

 

 

 

 

Searching and Evaluating Scientific Resources

Student Name

Institutional Affiliation

Date

Searching and Evaluating Scientific Resources

Introduction

Patient satisfaction in the emergency care department can be enabled through the reduction of lengthy waits. The Emergency Department Information System (EDIS) can be imperative in the changes. An understanding of the cause of lengthy waits and emergency responses in the hospital unit is required to support the EDIS solution provided. The evaluation and analysis of the three articles will portray the article’s credibility and importance in the research study.

Articles Summary

The quality and safety of patients in the emergency unit have to be enabled in emergency care. This follows guidelines and standard practices followed by practitioners in the waiting environment as per the emergency care report (2020). Information system integrations have to consider the mandatory requirements. This is to ensure effective support of the entire process in initial health assessment, care, and treatment after admission. In addition, the information system has to provide clear communication protocols to all stakeholders in the emergency unit.

Staff productivity in the emergency care unit in reducing lengthy waits is determined by policies and systems applied in the provision of acute health care. This can be hugely influenced by patients’ perceptions of satisfaction after the implementation of the policies and systems (Unwin et al., 2016). Planning of realistic policies is imperative in incorporating communication protocols to emergency department workflow for reduced complications and complaints.

Reducing lengthy waits in the emergency department can lead to a reduction in healthcare problems. This entails reduced delays in treatment increasing illnesses and injuries. The length the patient waits plays as a driver towards patient satisfaction (Vashi et al., 2018). Information systems integration is reflected in emergency bed utilization and team communication for effectiveness and efficiency.

Article Credibility

The emergency care report’s credibility can be considered on the basis of observing set principles and guidelines in enabling safety and quality in emergency care. This is significant in articulating how patient waits can be impacted by manual documentation processes. A consideration of the NSW health policies and plans in preventing patient dissatisfaction also increases the article’s validity.

Urwin’s article credibility has been enabled through the close assessment of a sample population in a particular hospital. Through a cross-sectional survey and SPPS data analysis, information gathered was supported. Conclusive support of evidence from the research increases the study’s validity and its use.

The article on the application of lean principles by Vashi articulates the use of systems to reduce overcrowding and low quality in the emergency department. Its credibility has been enabled by the consideration of existing ED prioritized flow design and changes that can be made to increase efficiency. Further, the article widens the value stream scope of technology in emergency care.

Article Importance

The emergency care report (2020) will be imperative in increasing my understanding of how EDIS application can change procedures in ED. This will ensure that the proposed recommendation regards existing protocols, procedures, and policies from the health sector. An increased examination of designed and redesigned ED workflows will enhance the integration of information systems in emergency care (Vashi et al., 2018). A utilization of Urwin’s article will enable the identification and examination of patient perceptions on satisfaction from systems incorporation in the ED.

Conclusion

Combating lengthy waits in the emergency department can be imperative in increasing patient satisfaction. This can be influenced positively by the application of EDIS in the hospital unit. An evaluation of the articles has presented article credibility and significance in the research study. This will influence the utilization of EDIS in reducing emergency care waits.

 

 

 

 

 

 

 

 

References

Emergency care report (2020). Emergency department patients waiting care. Retrieved from https://www.health.nsw.gov.au/policies/manuals/Documents/pmm-6.pdf

Unwin M., Nurs, G., Kinsman, L, Rigby, S. & Nurs, G. (2016). Why are we waiting? Patients’ perspectives for accessing emergency department services with non-urgent complaints. International emergency nursing 29.

Vashi, A., Sheikhi, F., Nshton, L., Ellman, J., Rajagopal, P. & Asch, S. (2018). Applying lean principles to reduce wait times in the VA emergency department. Military medicine 184(1).