MICROBIOLOGY QUIZ

/in /by

Answer Critical Thinking Questions 1-3 for Chapter 18 on page 526 and Clinical Application Question 1-4 for Chapter 19 on page 557. Answers should be submitted in a word document with any associated references used. 

Answer Critical Thinking Questions 1-3 for Chapter 18 on page 526 and

1) What problem are associated with the use of live attenuated vaccines?

2) Many of the serological tests require a supply of antibodies against pathogens. For example, to test for Salmonella, anti-Salmonella antibodies are mixed with the unknown bacterium. How these antibodies obtained?

3) A test for antibodies against Treponema pallidum uses the antigen cardiolipin and patient’s serum (Suspected of having antibodies). Why do the antibodies react with cardiolipin? What is the disease? MICROBIOLOGY QUIZ

Clinical Application Question 1-4 for Chapter 19 on page 557

1) Fungal infections such as athlete’s foot are chronic. These fungi degrade skin Keratin but are not invasive and do not produce toxins. Why do you suppose that many of the symptoms of a fungal infection are due to hypersensitivity to the fungus?

2) After working in a mushroom farm for several months, a worker develops these hives, edema, and swelling lymph node

a) What do these symptoms indicate?

ORDER A PLAGIARISM FREE PAPER NOW

b) What mediators cause these symptoms?

c) How many sensitivities to a particular antigen be determined?

d) Other employees do not appear to have any immunological reactions. What could explain this?

(Hint: The allergen is conidiophores from molds growing in the mushroom farm)

3) Physicians administering live, attenuated mumps and measles vaccines prepared in chick embryos are instructed to have epinephrine available. Epinephrine will not treat these viral infections. What is the purpose of keeping this drug on hand?

4) A woman with blood type A+ once received a transfusion of AB+ blood. When she carried a type B+ fetus, the developed hemolytic disease of the newborn. Explain why this fetus developed this condition even though another type B+ fetus in a different type A+ mother was normal MICROBIOLOGY QUIZ

DIAGNOSIS AND MANAGEMENT OF GENITOURINARY DISORDERS

/in /by

Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms.

Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions.

In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies.

Case Study 1

You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative.

Case Study 2

Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign DIAGNOSIS AND MANAGEMENT OF GENITOURINARY DISORDERS.

Case Study 3

Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.

To prepare:

  • Review “Genitourinary Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.

    ORDER A PLAGIARISM FREE PAPER NOW

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected.

Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder. DIAGNOSIS AND MANAGEMENT OF GENITOURINARY DISORDERS

RISK MANAGEMENT PROGRAMS FOR HEALTH CARE FACILITIES

/in /by

For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

In a 1,000-1,250 word paper, provide an analysis that includes the following:

Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.

Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.

ORDER A PLAGIARISM FREE PAPER NOW

Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.

Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references. RISK MANAGEMENT PROGRAMS FOR HEALTH CARE FACILITIES

Personal Philosophy

/in /by

1.Write a 2 pages discussion answering the following points: 

  • Considering your role specialization (Family Nurse Practitioner), identify the top three current trends or issues that you believe to be most important with regard to credentialing for this role.
  • Identify two strategies that address how these issues will strengthen advanced nursing practice.
  • Summarize some information regarding values, ethics and legal regulatory statutes for Family Nurse Practitioner practice.
  • Develop your personal philosophy for a career as a Family Nurse practitioner. 

2.What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student Personal Philosophy

ORDER A PLAGIARISM FREE PAPER NOW

3.Teaching Transcultural Nursing

One of the biggest challenges in nursing education is to develop culturally sensitive graduates. Although theory and lecture are appropriate to introduce cultural issues, the application of those skills is limited by the kinds of clinical experiences and patient populations students may treat. 

Instructions:

  1. Read the Teaching Transcultural Nursing Through Literature article.
  2. Answer the following questions:
    1. Did you read any of the books listed in Table 1 on page 525 of the article?
      • If so, list the books you have read.
      • If not, place those books on your to-do-list for reading.
    2. Select one question from Table 2 and answer. Share your thoughts, knowledge and experiences.
  • teaching_transculture_article.pdf Personal Philosophy

 

USE OF PERSONAL DEVICES AND SOCIAL MEDIA IN HEALTH CARE

/in /by


As healthcare providers, we look more and more to technology to improve patient outcomes, streamline operations, and lower costs. Sometimes, technology can be used in ways that have ethical, moral, and legal considerations too. You will be writing about the use of personal devices and social media and its use in healthcare. We can do it, but dare we?

This is a “think outside the box” assignment in which there is not necessarily only one right answer. Still, you are required to find sources that support your opinions. Be sure to cite and reference them in your paper. The running head of the paper will be—We can do it, but dare we? USE OF PERSONAL DEVICES AND SOCIAL MEDIA IN HEALTH CARE

The length of the paper should be four to five pages, excluding the title page and reference page. Limit the references to minimum of 4 to 5 references. The Paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and provides a narrative outline of what will follow (i.e,the assignment criteria).

In the body of the paper discuss the scenario in relation to HIPAA, legal and other regulatory requirement that apply to the scenario and the ending you choose. Demonstrate support from sources of evidence included as in- text citation.

Choose and identify one of the four possible endings provided for the scenario and construct your paper based on its implications to the scenario. Make recommendations about what should have been done and what could be done to correct the problems caused by the scenario and the ending you chose. Demonstrate support from sources of evidence included as in-text citations.

ORDER A PLAGIARISM FREE PAPER NOW

Present the advantages and disadvantages of using smart phones and social media in health care and describe professional and ethical principles to the appropriate use of this technology, base on the facts from supporting sources of evidence, which must be included as in-text citations.

The paper’s conclusion should summarize what you learned and make reflections about them to your practice.

Please and please this paper should be 100% free plagiarism.

Note: The article should be written in APA format, Times New Roman, please, this paper is 240 in grade, and I will advise you strictly follow the rubric for proper grading sake. USE OF PERSONAL DEVICES AND SOCIAL MEDIA IN HEALTH CARE

ELECTRONIC HEALTH RECORDS AND SECURITY

/in /by

1. Which of the following are not goals of meaningful use (MU)? ELECTRONIC HEALTH RECORDS AND SECURITY

A. Improve quality, safety, and efficiency and reduce health disparities.

B. Maintain privacy and security of patient information.

C. Improve care coordination, and population and public health.

D. Disengage family members from patient care.

2. What’s the difference between EHR and EMR?

A. EMR contains only legal documents and forms filled out by the patient and the EHR is the provider progress notes, telephone encounters, lab results, and imaging.

B. EHR is an aggregate of all of the patient’s health record and EMR is an electronic patient record from each physician and hospital.

C. EMR is an aggregate of all of the patient’s health records and EHR is an electronic patient record from each physician and hospital.

D. EHR contains only legal documents and forms filled out by the patient and EMR is the provider progress notes, telephone encounters, lab results, and imaging.

3. Which of the following is an acceptable use of the internet at work?

A. Checking your bank account to ensure your pay check has been directly deposited.

B. Locating contact information for a local dental clinic for a patient.

C. Searching Amazon for a Boss’ Day gift.

D. Facebook messaging another employee on their day off for a patient related issue.

4. What nonprofit industry group and consumer reporting agency maintains a database of medical information exchanged by the life, health, and disability insurers that make up its membership?

A. CCHIT

B. Electronic Health Organization

C. Medical Systems Care

D. Medical Information Bureau

5. If a patient believes his or her rights have been violated, that patient may file a complaint with

A. HHS.

B. CMS.

C. AHIMA.

D. OCR.

6. How can a new patient be entered into SimChart for the Medical Office (SCMO)?

A. Searching the patient demographics

B. In the billing module

C. In the patient dashboard

D. Using the find patient link

7. Which of the following is not considered legal documents included in the EHR?

A. Do not resuscitate (DNR)

B. HIPAA forms

C. Medical Records Release

D. Superbills

8. Medical offices submitting claims electronically are called

A. HIPAA entities.

B. covered claims.

C. covered entities.

D. electronic carriers.

9. Ralph is having a colonoscopy and brings paperwork to excuse him from work with pay. Which of the following protects the information disclosed in this paperwork?

A. Safeguards

B. Authorization

C. Minimum necessary standard

D. Minimal disclosure

10. A patient that’s deceased would be considered

A. empty patient record.

B. inactive patient.

C. closed patient record.

D. deceased patient registry.

11. If a patient requests a log of disclosure of their PHI, each disclosure must include all of the following except

A. the description of enclosed PHI.

B. the name and address of who received the PHI.

C. the date of disclosure.

ORDER A PLAGIARISM FREE PAPER NOW

D. the name of who released the PHI.

12. Which of the following is a basic skill needed in order to operate an EHR?

A. Disorganization.

B. No prior computer skills.

C. Knowledge of basic medical terminology.

D. Minimal interpersonal skills.

13. When accompanying a patient to an exam room, the MA commonly documents the patient’s ELECTRONIC HEALTH RECORDS AND SECURITY

A. chief complaint.

B. billing information.

C. diagnosis.

D. plan of treatment.

14. Which of the following is considered a third-party payer?

A. Healthcare Facility

B. Insurance company

C. Patient

D. Patient’s family

15. A/An _______ is the electronic trail that is tied to a username and password in an EHR.

A. authentication

B. security watch

C. network surveillance

D. audit trail

16. Which of the following is not considered advantages of EHR?

A. Decreased efficiency

B. Improved quality and continuity of care

C. Better security

D. Improved documentation

17. Amy signs a/an _______ form to allow test results to be discussed with her husband.

A. consent

B. authority

C. authorization

D. record release

18. A list of each employee’s access to the EHR is an example of _______ safeguards.

A. administrative

B. physical

C. technical

D. privacy

19. What does the doctrine of professional discretion protect?

A. Patients involved in child protective service cases.

B. Providers involved in malpractice lawsuits.

End of exam 

C. Mentally or emotionally ill patients.

D. Elderly patients with dementia living in nursing home facilities.

20. Which of the following is a core objective added to stage two of meaningful use requirements?

A. Use of secure electronic messaging when communicating with patients

B. Provide clinical summaries for patients at each visit

C. Incorporating clinic lab test results into EHR as structure data

D. Documenting smoking and alcohol use ELECTRONIC HEALTH RECORDS AND SECURITY

ACADEMIC RESOURCES AND INTEGRITY

/in /by

Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template  you began in Week 1 and continued working on in Week 2, write a 2-  3-paragraph analysis that includes the following:

  • Explanation for the relationship between academic integrity and writing
  • Explanation for the relationship between professional practices and scholarly ethics
  • Cite at least 2 resources that support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and SafeAssign to improve the product.
  • Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity ACADEMIC RESOURCES AND INTEGRITY

    ORDER A PLAGIARISM FREE PAPER NOW

Part 3, Section 2: Strategies for Maintaining Integrity of Work
 

Expand on your thoughts from Section 1 by:

  • Identifying and describing strategies you intend to pursue  to maintain integrity and ethics of your 1) academic work while a  student of the MSN program, and 2) professional work as a nurse  throughout your career. Include a review of resources and approaches you  propose to use as a student and a professional. 

Note: Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built off the Academic Success and Professional Development Plan Template. ACADEMIC RESOURCES AND INTEGRITY

DIFFERENCES IN CULTURAL BELIEFS

/in /by

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues.

Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country DIFFERENCES IN CULTURAL BELIEFS.

ORDER A PLAGIARISM FREE PAPER NOW

To Prepare:

  • Review      the World Health Organization’s (WHO) global health agenda and select one      global health issue to focus on for this Assignment.
  • Select      at least one additional country to compare to the U.S. for this Assignment.
  • Reflect      on how the global health issue you selected is approached in the U.S. and      in the additional country you selected.
  • Review      and download the Global Health Comparison Matrix provided in the      Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider      the U.S. national/federal health policies that have been adapted for the      global health issue you selected from the WHO global health agenda.      Compare these policies to the additional country you selected for study.
  • Explain      the strengths and weaknesses of each policy.
  • Explain      how the social determinants of health may impact the global health issue      you selected. Be specific and provide examples.
  • Using      the WHO’s Organization’s global health agenda as well as the results of      your own research, analyze how each country’s government addresses cost,      quality, and access to the global health issue selected.
  • Explain      how the health policy you selected might impact the health of the global      population. Be specific and provide examples.
  • Explain      how the health policy you selected might impact the role of the nurse in      each country.
  • Explain      how global health issues impact local healthcare organizations and      policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain      how you would advocate for the incorporation of a global perspective or      lens into your local practice and role as a nurse leader DIFFERENCES IN CULTURAL BELIEFS.
  • Explain      how the incorporation of a global perspective or lens might impact your      local practice and role as a nurse leader.

Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples 

Interprofessional Teamwork and Patient Outcomes

/in /by


Purpose

The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.

Directions

Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).

· For this assignment, consider the concept of interprofessional teamwork and patient outcomes.

· Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.) Interprofessional Teamwork and Patient Outcomes

· Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)

· iCARE components are:

C ompassion

A dvocacy

R esilience

E vidence-Based Practice (EBP)

· How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?

· Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.

· Use APA format throughout, particularly in citations and on the References page.

· Please paraphrase throughout. One short quote is permitted.

· The prepared paper template is RECOMMENDED for this assignment.

ORDER A PLAGIARISM FREE PAPER NOW

·  

Elements of iCARE paper

· Title page

· Below are the headings to be used for this assignment.

· Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.

Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes. Interprofessional Teamwork and Patient Outcomes

· Compassion

· Advocacy

· Resilience

· Evidence-Based Practice

· Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.

· References page: List any references used in APA format.

Textbook:

· American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author. Interprofessional Teamwork and Patient Outcomes

EVALUATION MANAGEMENT AND ANESTHESIA CODING

/in /by

1.   Modifier -P5 indicates that the patient

   A. experienced postoperative anemia.
   B. is not expected to survive without the operation.
   C. received a lower anesthesia dosage.
   D. is advanced in age.


2.   Code 99217 is assigned for

   A. nursing home services.
   B. observation discharge services.
   C. established patient visits.
   D. new patient office visits.


3.   Code range 99218–99220 denotes

   A. emergency room visits.
   B. initial hospital visits.
   C. initial observation care.
   D. follow-up hospital visits.


4.   A physician performs an invasive surgical procedure. Prior to the start of the procedure, the anesthesiologist administers monitored anesthesia. Which modifier should be appended to the anesthesia code?EVALUATION MANAGEMENT AND ANESTHESIA CODING

   A. -G10
   B. -G8
   C. -G1
   D. -G9

5.   When more than one surgery is performed during one anesthesia administration, the coder should

   A. report the anesthesia code with the highest base value unit.
   B. assign modifier -QS to the second surgery code.
   C. assign add-on code 01900 to indicate more than one surgery was performed during a single operative session.
   D. add modifier -QY to the first surgery code.


6.   Modifier -P3 indicates that the patient

   A. received topical anesthesia.
   B. is in a coma.
   C. received local anesthesia.
   D. has severe systemic disease.

7.   ___ modifiers indicate the number of anesthesia cases being directed at one time.

   A. Coordinated time
   B. Conversion
   C. Calculation
   D. Concurrent

ORDER A PLAGIARISM FREE PAPER NOW



8.   A coder adds modifier -P2 to an anesthesia code. This modifier indicates the patient

   A. is allergic to lidocaine.
   B. received general anesthesia.
   C. is handicapped.
   D. has mild systemic disease.

9.   The risk of morbidity or mortality would be considered as a part of

   A. review of systems.
   B. medical decision-making.
   C. history of present illness.
   D. chief complaint.

10.   A patient who has not been seen by a physician or another physician in the same group within the last three years is a/an _______ patient.

   A. established
   B. new
   C. emergent
   D. existing

11.   The dollar rate of each anesthesia unit is called the _______ factor.EVALUATION MANAGEMENT AND ANESTHESIA CODING

   A. unit conversion
   B. conversion
   C. calculation
   D. base value unit rate

12.   A patient who has been admitted to a hospital is a/an

   A. inpatient.
   B. established patient.
   C. new patient.
   D. ambulatory surgery patient.

13.   A patient undergoes an esophagogastric tamponade with a balloon. How would this procedure be coded?

   A. 43460
   B. 00500
   C. 43460-P1
   D. 00500-P1

14.   Codes in the range of 99224–99226 represent services for

   A. critical care services.
   B. subsequent observations.
   C. consultations.
   D. initial observations.


15.   Which of the following code ranges are add-on codes reported for prolonged physician services?

   A. 99458–99586, 99372
   B. 99212–99252, 99344
   C. 99673–99873, 99001
   D. 99354–99357, 99359


16.   A patient who has been treated by a physician or another physician in the same group within the last three years is a/an _______ patient.

   A. emergent
   B. new
   C. transmitted
   D. established

17.   Modifier -QY indicates that

   A. anesthesia administration was abruptly terminated due to surgical complications.
   B. the surgeon is administering anesthesia.
   C. the physician is supplying topical anesthesia only.
   D. an anesthesiologist is directing the CRNA during anesthesia administration.


18.   _______ circumstance codes are used in situations that increase the difficulty of administering anesthesia.

   A. UNIT administration modification
   B. Extenuating
   C. ASA relativity
   D. Qualifying

19.   Other nursing facility services would be reported with code

   A. 99305.
   B. 99318.
   C. 99525.
   D. 99211.


20.   A patient undergoes a pacemaker insertion. She is not expected to survive if she doesn’t have the operation. What code should be reported?EVALUATION MANAGEMENT AND ANESTHESIA CODING

   A. 00530-P4
   B. 33206-P4
   C. 00530-P1
   D. 33208-P2