Nursing Research

Read instructions: Write a discussion word message 300 words .Write for each question down below 100 words. Please write related to the questions below. you will see attached all the information you need to write about. Must used reading from chapter that i provided it attached. Thank you.

1.Examine early issues of Nursing Research (1950s and 1960s) and determine whether theories or theoretical frameworks were used as a basis for research. What types of theories were used? Review current issues to analyze how this has changed.

2.Examine early issues of American Journal of Nursing (1900–1950). Determine if and how theories were used in nursing practice. What types of theories were used? Review current issues to analyze how this has changed.

3.Find reports that present middle range or practice theories in the nursing literature. Identify if these theories are descriptive, explanatory, predictive, or prescriptive in nature.

Ethical Dilemma And Case Study profile

Review the Ethical Dilemma beginning on page 309 and answer the questions at the end of the case. Each question should be answered with one to two paragraphs. Each paragraph should contain three to five complex sentences.

      A.  Describe the difficulties in ethical leadership at Stacy’s farm.What type of conflict management style does Doug have? 

B. Are there more constructive ways for him to handle conflicts with employees?

C. Describe the alternatives Stacy has answering that candidates question and the advantages and disadvantages of each.

  1. Write your answers to the following questions about Case 16, “Ethical Leadership at Cardinal IG: The Foundation of a Culture of Diversity,” Your answers should total one to two paragraphs for each question. Each paragraph should contain three to five complex sentences.

a. Describe David Pinder’s background. What influence did his background have on his leadership style?

b. How has David Pinder embraced ethical leadership to create an ethical culture at Cardinal?

c. How has Cardinal’s principles and values shaped the ethical behavior of employees?

d. How has Cardinal empowered its employees to practice responsible and accountable leadership?

e. What lessons can be learned from Cardinal?

Developmental Red Flags

Developmental Red Flags

Case Study 1:

A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:

•Brittany was a term infant born vaginally with no intrapartum complications. Birth weight was 8 pounds 1 ounce and current weight is 26 pounds 9 ounces.

•She was breastfed until 12 months of age and now drinks 24 ounces of whole milk and eats table foods daily.

•Physical milestones are as follows: Rolled front to back at 6 months, developed pincer grasp at 11 months, crawled at 8 months, and began cruising at 10 months. She does not walk independently.

•Social development includes mimicking adult behavior, four-word vocabulary (mama, dada, baba, and no), follows one-step commands, and quiets easily when comforted.

To prepare:

•Review this week’s media presentations, as well as “Developmental Management of Infants” and “Developmental Management of Toddlers and Preschoolers” in the Burns et al. text.

•Think about how physical, social, and cognitive development vary during infancy, toddlerhood, and the preschool years. Reflect on normal versus abnormal growth and development and consider the decision-making process of identifying and managing red flags of abnormal development.

•Select one of the three case studies provided. Reflect on the patient information included in the case study and consider any developmental red flags.

•Reflect on standardized screening tools, clinical guidelines, and management strategies that would be used to assess and manage the patient in your selected case study.

Post 2 discussion page paper on :An explanation of any developmental red flags that presented in the case study you selected based on the stages of normal physical, social, and cognitive development for infants, toddlers, and preschoolers. Explain how you differentiated between normal and abnormal growth and development for this patient and identify which standardized screening tools, clinical guidelines, and management strategies you might use to assess and manage this patient and why

REFERENCES

Readings

• Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

◦ Chapter 5, “Developmental Management of Infants” (pp. 59–75).

◦ Chapter 6, “Developmental Management of Toddlers and Preschoolers” (pp. 76–91

◦ Chapter 11, “Breastfeeding” (pp. 186-201)

Chapter 17, “Role Relationships” (pp. 334–344)

Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics

Infancy” (pp. 253–380)

◦“Early Childhood” (pp. 381–461)

Media

•Laureate Education (Producer). (2013c). Strategies for determining red flags. Retrieved from https://class.waldenu.edu

Fundamentals of Interpersonal Communication

Reasoning and Analysis Paper Assignment

ALL DUE DATES WILL BE ANNOUNCED IN CLASS AND POSTED TO BLACKBOARD

What is this paper about?

For this paper, you will watch a short video, read one article, and use your textbook to help you discuss issues that relate to culture and interpersonal communication. You will then write a paper in which you use the video, article, and textbook, plus an example from personal experience (your own or someone you know) or from popular culture to discuss issues that arise during intercultural communications.

More specifically: You’re being asked to analyze a conflict that arises when people from different cultural backgrounds communicate. There are various co-cultural groups represented in the videos (socioeconomic status, ethnicity, sexual orientation, age, gender, disability, region, nationality, and politics). Pick a co-cultural group you observed in the video and focus on that group for your paper. Your discussion should include a description of the communication rules and cultural values in that group. Use examples from the video, and supporting information from the article and textbook, plus a supporting example from your own experience to discuss how membership in that group influenced communication. (To help you come up with ways to address the topic and to come up with a thesis statement, please see the prompts listed below.)

Specific Steps:

1. Choose ONE of these five videos:

     Clint Smith’s TED talk, “How to Raise a Black Son in America”

· Ash Beckham’s TEDxBoulder talk, “When to Take a Stand – and When to Let It Go”

· Jean Kilbourne’s TEDxLafayetteCollege talk, “The Dangerous Ways Ads See Women”

· A clip from People in America: How Social Class Divides Us

· The video clip “Culture Shock Sudanese Refugees Coming to America”

The videos are all short; I would recommend watching a few of them so you can pick the one that you can use most effectively for this assignment.

2. Choose ONE of these five articles (NOT ALL):

· Banks-Santilli, Linda. “The unique challenges of a first-generation college student.” Quartz Media, 03 June 2015, https://qz.com/418695/the-unique-challenges-of-a-first-generation-college-student/. Accessed 10 May 2017.

· Birman, Dina and Meredith Poff. “Intergenerational Differences in Acculturation.” Encyclopedia on Early Childhood Development, April 2011, http://www.child-encyclopedia.com/immigration/according-experts/intergenerational-differences-acculturation. Accessed 14 April 2016.

· Churgai, Debbie. “The Influence of Gender on Communication Style”, LinkedIn, 8 January 2015, https://www.linkedin.com/pulse/influence-gender-communication-style-debbie-churgai. Accessed 10 May 2017.

· DuPraw, Marcella E. and Marya Axner. “Working on Common Cross-cultural Communication Challenges.” PBS, 1997, http://www.pbs.org/ampu/crosscult.html. Accessed 5 April 2017.

· Gross, Jessica. “How Language Can Affect the Way We Speak”. Ideas.Ted.Com, 19 February 2013, http://ideas.ted.com/5-examples-of-how-the-languages-we-speak-can-affect-the-way-we-think/. Accessed 10 May 2017.

3. Use the Interplay textbook as an additional source.

4. Use an example from personal experience or popular culture as another reference.

5. Write a 3-page paper (750-1000 words, 12 pt. font, double-spaced, one-inch margins) in which you:

Use the examples from one video, one article, and the textbook, plus an example from personal or experience or popular culture, to support a thesis* about culture and interpersonal communication.

Things to remember:

· The assignment and the grading rubric are all posted on Blackboard.

· You must hand in a hard copy the day the paper is due. If it is not handed in at the beginning of class on the day it is due, 5 points will be taken off your grade for every day that it is late.

· The paper must be turned in through Blackboard on the day it is due.

· Your paper will be assessed using the departmental grading rubric.

· The paper makes up 15% of your final grade.

· Follow MLA guidelines for format and citations and include a Works Cited page (bibliography).

*Thesis Statements

You should include a one sentence thesis statement that indicates the position you’re taking in your paper about culture and interpersonal communication (it will be helpful to use the terms “culture” and “interpersonal communication” in the thesis statement). The thesis statement should take a position on the impact of culture on interpersonal communication relative to the video, article, textbook, and a personal experience or a popular culture example. Please underline your thesis statement in your final essay.

References and Citation

When you use other people’s words, ideas, or work in your paper, you must cite them. If you directly quote their work, you use quotation marks to signify this and give the page number, as well. If you are simply paraphrasing or borrowing from one (or more) person’s work, you do not need quotation marks, but you still need to indicate whose words you are using with a citation (for example, put their names in parentheses after the paraphrase).

At the end of your paper, you should have a Works Cited page where you list all of the references used in your paper. For the articles, you will find the citation information included above. If you need more information on formatting and citing in MLA for the video and the textbook, go to the OWL at Purdue on MLA formatting: https://owl.english.purdue.edu/owl/resource/747/01/.

Note: Here are some possible prompts to help you think of a thesis. You should NOT try to use all of them, and you can use one that’s different from below. These are just suggestions to help you come up with ideas.

     What are some key challenges that communicators face in intercultural communication situations and what are some specific ways they can resolve them?

     What are some specific ways that differences in one’s key cultural values (e.g. low versus high context culture, power distance, individualism versus collectivism) can create problems in intercultural communication situations? How can communicators successfully address these value differences?

     How does the way we speak influence how others perceive us and how they communicate with us? Explain your position and provide evidence to support it.

     Do you believe that one’s gender makes a difference in how one is perceived in the world, specifically how one communicates with others and is communicated with by others? Explain your position and provide evidence to support it.

     How does the experience of first-generation immigrants impact their daily experience? Explain your position and provide evidence to support it.

     What impact does socioeconomic status have on how one communicates with others? Explain your position and provide evidence to support it.

     How can differences in co-cultural group membership lead to misperceptions and miscommunication? What are some specific ways that these can be resolved?

o     Groups to consider: Disability, Deaf culture, religion, hobbies, race, ethnicity, socioeconomic status, age…

     Do you believe that one’s appearance (e.g. dreadlocks, headscarf, gender fluidity, tattoos, scars, disability) makes a difference in how one is perceived in the world, specifically how one communicates with others and is communicated with by others? Explain your position and provide evidence to support it.

     What are the major causes of intercultural communication conflict? How can these causes be successfully resolved? Explain your position and provide evidence to support it.

     People who move to and/or do work in a new country should be expected to conform to the cultural values, norms, and traditions of their new country. Do you agree or disagree with this statement? Explain your position and provide evidence to support it.

Due Dates

Due dates will be announced in class and posted to Blackboard. Remember: all assignments must be handed in on the due date. For every day they are late, 5 points will be taken off the grade.

Grading

Your paper will be graded using the Departmental Scoring Rubric (posted on Blackboard). It is worth 15% of your final grade.

Homework/Quiz

1. For the video clip you decide to use, explain briefly why you want to use it.

2. For the article you decide to read, pull a quote or a paraphrased sentence that you think will be helpful and that you will use in your essay. Make sure to indicate which article you are quoting or paraphrasing.

3. Pull a quote or a paraphrased sentence from the textbook that you think will be helpful and that you will use in your essay. Make sure to write down the page number.

This homework assignment will count as a quiz grade. The following are the point values:

· Explanation for choice of video: 3 points

· Quotes/paraphrases from the article: 4 points

· Quotes/paraphrases from the textbook: 3 points

Due dates will be announced in class and posted to Blackboard.

COMM 11 oral presentation guidelines, Spring 2014

The Scatter-Brained Mother Whose Daughter Has ADHD, Like Mother, Like Daughter

To prepare for this Discussion:

Note: To access the following case studies, click on the Case Studies tab on the Stahl Online website and select the appropriate volume and case number. (Already attached with this posting)

Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter

Review this week’s Learning Resources and reflect on the insights they provide.

Go to the Stahl Online website and examine the case study you were assigned.

Take the pretest for the case study.

Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.

Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).

Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.

Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.

Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.

Review the posttest for the case study.

By Day 3

Post a response to the following:

Provide the case number in the subject line of the Discussion.

List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.

Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.

Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

List two pharmacologic agents and their dosing that would be appropriate for the patient’s ADHD therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.

Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

Clancy, C.M., Change, S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity disorder: Effectiveness of treatment in at-risk preschoolers; long-term effectiveness in all ages; and variability in prevalence, diagnosis, and treatment. Table B. KQ2: Long-term(>1 year) effectiveness of interventions for ADHD in people 6 years and older.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

Chapter 12, “Attention Deficit Hyperactivity Disorder and Its Treatment”

Stahl, S. M., & Mignon, L. (2012). Stahl’s illustrated attention deficit hyperactivity disorder. New York, NY: Cambridge University Press.

To access the following chapter, click on the Illustrated Guides tab and then the ADHD tab.

Chapter 4, “ADHD Treatments”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.

Review the following medications:

For ADHD

armodafinil

amphetamine (d)

amphetamine (d,l)

atomoxetine

bupropion

chlorpromazine

clonidine

guanfacine

haloperidol

lisdexamfetamine

methylphenidate (d)

methylphenidate (d,l)

modafinil

reboxetine

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Optional Resources

Hodgkins, P., Shaw, M., McCarthy, S., & Sallee, F. R. (2012). The pharmacology and clinical outcomes of amphetamines to treat ADHD: Does composition matter? CNS Drugs, 26(3), 245–268. doi:10.2165/11599630-000000000-00000

Psychiatric Times. (2016). A 5-question quiz on ADHD. Retrieved from http://www.psychiatrictimes.com/adhd/5-question-quiz-adhd?GUID=AA46068B-C6FF-4020-8933-087041A0B140&rememberme=1&ts=22072016

Course Texts

These course texts are available through Stahl Online Resources http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Diseases, Illnesses And Dagnosis

PART No. 1:

A five-month-old Caucasian female is brought into the clinic as the parent complain that she has been having ongoing foul-smelling , greasy diarrhea. She seems to be small for her age and a bit sickly but, her parent’s state that she has a huge appetite. Upon examination you find that the patient is wheezing and you observe her coughing.

· Write a differential diagnosis of at least three (3) disorders and explain why each might be a possibility and any potential weaknesses of each differential.

· Why is it that the later in age this disease manifest itself, the less severe the disease is?

· What tests would you run to clarify your differential and potentially come to a definitive diagnosis?

· If the same child was African in ancestry would this change your initial differential? Why or why not?

PART No. 2:

Tammy is a 33-year-old who presents for evaluation of a cough. She reports that about 3 weeks ago she developed a “really bad cold” with rhinorrhea. The cold seemed to go away but then she developed a profound, deep, mucus-producing cough. Now, there is no rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Tammy has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.

· Write a differential of at least three (3) possible diagnosis’s and explain how each may be a possible answer to the clinical presentation above. Remember, to list the differential in the order of most likely to less likely.

· Based upon what you have at the top of the differential how would you treat this patient?

· Suppose now, the patient has a fever of 100.4 and complains of foul smelling mucous and breath. Indeed, she complains of producing cups of mucous some days. She has some trouble breathing on moderate exertion but this is only a minor complaint to her. How does this change your differential and why? à Bronchiectasis p. 1256 can happen after an infection

PART No. 3:

A nursing student comes into your office because they are struggling with the concept of pulmonary function. They know you as an experienced FNP and so they are comfortable asking if you could clarify the terms residual volume (RV), functional reserve capacity (FRC), total lung capacity (TLC) inspiratory reserve volume (IRV), and expiratory reserve volume (ERV).

  1. Give her a definition of each?
  2. List three (3) disorders that can alter the residual volume and explain how they do so?

NR 507 Week 2 Quiz (CH 3, 34-36 + 8 – 13 from week 1)

  1. At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial space because the (Points : 2)
  2. Physiologic pH is maintained around 7.4 because bicarbonate (HCO3) and carbonic acid (H2CO3) exist in a ratio of (Points : 2)
  3. When thirst is experienced, how are osmoreceptors activated? (Points : 2)
  4. Chvostek sign and Trousseau sign indicate (Points : 2)
  5. Which are indications of dehydration? (Points : 2)
  6. In hyperkalemia, cardiac rhythm changes are a direct result of (Points : 2)
  7. Water movement between the intracellular fluid compartment and the extracellular compartment is primarily a function of (Points : 2)
  8. In tuberculosis, the body walls off the bacilli in a tubercle by stimulating (Points : 2)
  9. Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _ mm Hg. (Points : 2)
  10. Which inflammatory mediators are produced in asthma? (Points : 2)
  11. The most successful treatment for chronic asthma begins with (Points : 2)
  12. Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration? (Points : 2)
  13. _ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury. (Points : 2)
  14. In ARDS, alveoli and respiratory bronchioles fill with fluid as a result of the (Points : 2)
  15. Clinical manifestations that include unexplained weight loss, dyspnea on exertion, use of accessory muscles, and tachypnea with prolonged expiration are indicative of (Points : 2)
  16. Clinical manifestations of pulmonary hypertension include (Points : 2)
  17. Dyspnea is not a result of (Points : 2)
  18. High altitudes may produce hypoxemia through (Points : 2)
  19. Chest wall compliance in infants is _ in adults. (Points : 2)
  20. What is the primary cause of RDS of the newborn? (Points : 2)
  21. An accurate description of childhood asthma is that it is a(n) (Points : 2)
  22. Cystic fibrosis (CF) is caused by a(n) (Points : 2)
  23. Which of the following statements about the advances in the treatment of RDS of the newborn is incorrect? (Points : 2)
  24. Which of the following types of croup is most common? (Points : 2)
  25. Which immunoglobulin is present in childhood asthma? (Points : 2)

Diseases, Illnesses And Dagnosis

PART No. 1:

A five-month-old Caucasian female is brought into the clinic as the parent complain that she has been having ongoing foul-smelling , greasy diarrhea. She seems to be small for her age and a bit sickly but, her parent’s state that she has a huge appetite. Upon examination you find that the patient is wheezing and you observe her coughing.

· Write a differential diagnosis of at least three (3) disorders and explain why each might be a possibility and any potential weaknesses of each differential.

· Why is it that the later in age this disease manifest itself, the less severe the disease is?

· What tests would you run to clarify your differential and potentially come to a definitive diagnosis?

· If the same child was African in ancestry would this change your initial differential? Why or why not?

PART No. 2:

Tammy is a 33-year-old who presents for evaluation of a cough. She reports that about 3 weeks ago she developed a “really bad cold” with rhinorrhea. The cold seemed to go away but then she developed a profound, deep, mucus-producing cough. Now, there is no rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Tammy has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.

· Write a differential of at least three (3) possible diagnosis’s and explain how each may be a possible answer to the clinical presentation above. Remember, to list the differential in the order of most likely to less likely.

· Based upon what you have at the top of the differential how would you treat this patient?

· Suppose now, the patient has a fever of 100.4 and complains of foul smelling mucous and breath. Indeed, she complains of producing cups of mucous some days. She has some trouble breathing on moderate exertion but this is only a minor complaint to her. How does this change your differential and why? à Bronchiectasis p. 1256 can happen after an infection

PART No. 3:

A nursing student comes into your office because they are struggling with the concept of pulmonary function. They know you as an experienced FNP and so they are comfortable asking if you could clarify the terms residual volume (RV), functional reserve capacity (FRC), total lung capacity (TLC) inspiratory reserve volume (IRV), and expiratory reserve volume (ERV).

  1. Give her a definition of each?
  2. List three (3) disorders that can alter the residual volume and explain how they do so?

NR 507 Week 2 Quiz (CH 3, 34-36 + 8 – 13 from week 1)

  1. At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial space because the (Points : 2)
  2. Physiologic pH is maintained around 7.4 because bicarbonate (HCO3) and carbonic acid (H2CO3) exist in a ratio of (Points : 2)
  3. When thirst is experienced, how are osmoreceptors activated? (Points : 2)
  4. Chvostek sign and Trousseau sign indicate (Points : 2)
  5. Which are indications of dehydration? (Points : 2)
  6. In hyperkalemia, cardiac rhythm changes are a direct result of (Points : 2)
  7. Water movement between the intracellular fluid compartment and the extracellular compartment is primarily a function of (Points : 2)
  8. In tuberculosis, the body walls off the bacilli in a tubercle by stimulating (Points : 2)
  9. Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _ mm Hg. (Points : 2)
  10. Which inflammatory mediators are produced in asthma? (Points : 2)
  11. The most successful treatment for chronic asthma begins with (Points : 2)
  12. Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration? (Points : 2)
  13. _ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury. (Points : 2)
  14. In ARDS, alveoli and respiratory bronchioles fill with fluid as a result of the (Points : 2)
  15. Clinical manifestations that include unexplained weight loss, dyspnea on exertion, use of accessory muscles, and tachypnea with prolonged expiration are indicative of (Points : 2)
  16. Clinical manifestations of pulmonary hypertension include (Points : 2)
  17. Dyspnea is not a result of (Points : 2)
  18. High altitudes may produce hypoxemia through (Points : 2)
  19. Chest wall compliance in infants is _ in adults. (Points : 2)
  20. What is the primary cause of RDS of the newborn? (Points : 2)
  21. An accurate description of childhood asthma is that it is a(n) (Points : 2)
  22. Cystic fibrosis (CF) is caused by a(n) (Points : 2)
  23. Which of the following statements about the advances in the treatment of RDS of the newborn is incorrect? (Points : 2)
  24. Which of the following types of croup is most common? (Points : 2)
  25. Which immunoglobulin is present in childhood asthma? (Points : 2)

Diagnosis And Management Of Musculoskeletal And Neurologic Disorders

Musculoskeletal and neurologic disorders can present complications for pediatric patients from infancy to adolescence. These disorders affect patients physically and emotionally and often impact a patient’s ability to participate in or carry out everyday activities. Patients with these disorders frequently need long-term treatment and care requiring extensive patient management and education plans. Musculoskeletal and neurologic disorders present various symptoms because they affect multiple parts of a patient’s body. Consider treatment, management, and education plans for the patients in the following three case studies.

Case Study 1:

Clay is a 7-year-old male who presents in your office with complaints of right thigh pain and a limp. The pain began approximately 1 week ago and has progressively worsened. There is no history of trauma. Physical examination is negative except for pain with flexion and internal rotation of the right hip and limited abduction of the right hip. Limb lengths are equal.

Case Study 2:

Trevon is an 18-month-old with a 3-day history of upper-respiratory-type symptoms that have progressively worsened over the last 8 hours. His immunizations are up to date. Mom states he spiked a fever to 103.2°F this morning and he has become increasingly fussy. He vomited after drinking a cup of juice this afternoon and has refused PO fluids since then. Pertinent physical exam findings include negative abdominal exam, marked irritability with inconsolable crying, and he cries louder with pupil examination and fights head and neck assessment. You are unable to elicit Kernig’s or Brudzinski’s signs due to patient noncompliance.

Case Study 3:

Molly is a 12-year-old who comes to your office after hitting her head on the ground during a soccer game. Her mother reports that she did not lose consciousness, but that she seems “loopy” and doesn’t remember what happened immediately following her fall. She was injured when she collided with another player and fell backward, striking her head on the ground. She has no vomiting and denies diplopia but complains of significant headache. Physical examination is negative except for the presence of slight nystagmus. All other neurologic findings including fundoscopic examination are normal.

To prepare:

Review “Neurologic Disorders” and “Musculoskeletal 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 musculoskeletal or neurologic disorder.

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 musculoskeletal or neurologic disorder.

Sample Test

1.Question

What demographic variables were measured at the nominal level of measurement in the Oh et al.(2014)study?

Answer:The demographic variabless measured at the nominal level include non-smoker,non-drinker,history of fracture,regular exercise and are considered nominal because can be describe by precentages, and mode.

2.Question

What statistic were calculated to describe body mass index(MBI) in this study?Were these appropiate?

Answer:Mean and standard deviation were the statistic used to calculated BMI.Because BMI is an interval-ratio variable,mean and stadard deviation are appropiate.

3.Question

Were the distributions of scores for BMI similar for the intervention and control groups?

Answer:The distribution of scores for BMI was similar for intervention and control groups because the mean and standard deviation were very similar.

4.Question

Was there a significant difference in BMI between the intervention and control groups?

Answer:There was not a significant difference in BMI between the intervention group and the control group.

5.Question

Bssed on the sample size of N=41,what frequency and percentage of the sample smoked?What frequency and percentage of the sample were non-drinkers(alcohol)?Show your calculations and round to the nearest whole percent.

Answer:

Frequency of participants who smoked=0+0=0

Percentage of participants who smoked=0%

Frequency of participants who were non-drinkers=20+20=40

6.Question

What measurement method was used to measure the bone mineral density(BMD) for the study participants?Discuss the quality of this measurement method and document your response.

Answer:The bone mineral density (BMD) was measurement by ratio/interval level.The mean and standard deviation equal central location and dispersion gives us the shape of the graph.

7.Question

What statics was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs?Were the groups significantly different for BMDs?

Answer:The statistic used to to determined the difference between the intervention and control groups for the lumbar and femur neck BMDs was the mean.The value between lumbar and femur neck does not show us a significant difference.

8.Question

The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups(see Table 2).Are these groups heterogeneous or homogeneous at the beginning of the study?Why is this important in testing the effectiveness of the therapeutic lifestyle modification(TLM)program?

Answer: These groups are homogeneous,homogeneous scores are similar,and heterogeneous scores are diferent having a wide variation.This was a key factor because if the groups were heterogeneous the the data results would have been broader and more detailed.I feel as if if we compared the groups with similarities in the beggining, then this allows the results to be more profound when all is concluded.

9.Question

Oh ET AL.(2014,P.296)stared that adherence rate to the TLM program was 99.6%.Discuss the importance of intervention adherence,and document your response.

Answer:The adherence rate was almost at 100% during the 2 week time period.If the adherence rate would have ben less then the significance and importance of the results would have declined significantlly.I would not put in question the data results as they 99.6% for adherence and the group showed increase.I believe the TLM program is effective.

10.Question

Was the sample for this study adequately described?

Answer:Yes, the sample was adequate, the group showed that the program worked, the program consisted of a mix of individuals and even though it functioned well, I believe if the study was done with more individuals and done at longer intervals, then it would indicate and show more accurate results.

The goals and purpose of an APN professional development plan

APN Professional Development Plan

Guidelines with Scoring Rubric

Purpose

The purpose of this assignment is to provide the student an opportunity to explore the role of the advanced practice nurse (APN) and develop an APN professional development plan.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

CO1: Analyze the historic development of advanced practice roles including the impact of advanced practice nursing on healthcare delivery from the perspective of selected current reports (i.e., LACE, IOM, etc.) (PO 3)

CO3: Explore how leadership styles influence healthcare delivery and organizations. (PO 4)

CO5: Reflect on personal and professional growth toward achieving competence as a family nurse practitioner. (PO 3)

Due Date: Sunday 11:59 p.m. MT at the end of Week 6

Total Points Possible: 200

Requirements:

1. To complete this application, you will need to access to the following databases: CINAHL, MEDLINE, Cochrane Library, and the Joanna Briggs Institute. You may access these databases through the Chamberlain College of Nursing Online Library.

2. The APN Professional Development Plan paper is worth 200 points and will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

3. Create your manuscript using Microsoft Word 2007 (a part of Microsoft Office 2007), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word 2007 document because it will end in “.docx”

4. Follow the directions and grading criteria closely. Any questions about this paper may be posted under the Q & A Forum.

5. The length of the paper is to be no less than 6 and no greater than 8 pages excluding title page and reference pages. Content exceeding 8 pages will not be graded.

6. APA (2010) format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

a. Introduction to the APN professional development plan- Discuss the goals and purpose of an APN professional development plan

b. APN Scope of Practice

c. Personal Assessment

d. Networking and Marketing Strategies

e. Conclusion

Preparing the paper

The following are best practices for preparing this paper:

1. Review Chapter 30- Role Transition: Strategies for Success in the Marketplace in

DeNisco and Barker (2015).

2. Nurse practitioners need to take into account the state rules and regulations that guide advanced practice. Research and review the Nurse Practice Act and APN scope of practice guidelines in your particular state. Identify information regarding educational requirements, licensure and regulatory requirements, as well as practice environment details. Review information regarding full, limited, or restricted practice limitations as well as prescriptive authority.

3. Review Guidelines for APN Role Transition Using Benner’s Self-Assessment Tool in Course Resources. Identify and discuss your position on Benner’s Novice to Expert ladder. Prior to engaging in pursuit for employment, APNs should complete a comprehensive, honest, affirmative personal assessment to identify their strengths and weaknesses as well as their goals and objectives. Research assessment tools, conduct a personal assessment, and reflect upon your strengths, weaknesses, goals, and objectives.

4. To complete the transition from students to expert nurse practitioners working in the healthcare field, graduating APN students will need to secure their first position. Research local and national professional organizations that advertise employment opportunities for APNs. Identify networking and marketing strategies and provide a rationale for your selections. Be specific.

5. Write your Curriculum Vitae (CV). Refer to the template on pages 772-773 in DeNisco and Barker (2015). Your CV should not exceed 2 pages in length.

6. When concluding the paper, summarize important aspects of the APN professional development plan.

CategoryPoints%DescriptionIntroduction to the APN professional development plan2010%Introduces the purpose of the paper and addresses all background information elements (who, what, where, when, and why) for the APN professional development plan.APN Scope of Practice3518%Provide detailed information regarding education, licensure, and regulatory requirements, as well as practice environment details. Include information regarding full, limited, or restricted practice limitations as well as prescriptive authority.Personal Assessment2512%Perform a personal assessment and reflect upon your strengths, weaknesses, goals, and objectives.Networking and Marketing Strategies2512%Provide detailed information regarding local and national professional organizations that advertise employment opportunities for APNs. Identify networking and marketing strategies and provide a rationale for your selectionsCurriculum Vitae3518%Provide accurate information regarding the nurse practitioner’s abilities, skills, and accomplishments.Conclusion2010%An effective conclusion identifies the main ideas and major conclusions from the body of your manuscript. Minor details should not be included. Summarize important aspects of the APN professional development plan.Clarity of writing2010%Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers.APA format2010%All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:1. Document setup2. Title and reference pages3. Citations in the text and references.Total 200100A quality assignment will meet or exceed all of the above requirements.Chamberlain College of Nursing NR510 Leadership and Role of the Advanced Practice Nurse1Grading RubricAssignment CriteriaExceptionalOutstanding or highest level of performanceExceedsVery good or high level of performanceMeets Satisfactory level of performanceNeeds ImprovementPoor or failing level of performanceDevelopingUnsatisfactory level of performanceContentPossible Points = 130 PointsIntroduction to the APN professional development plan20 Points18 Points16 Points8 Points0 PointsExcellent introduction of APN professional development plan. Rationale is well presented and purpose fully developed.Good introduction of APN professional development plan. Rationale is presented and purpose provided.Basic information and/or limited elements addressed regarding APN professional development plan and/or inappropriate emphasis on an area.Little or very general introduction of APN professional development plan. Little to no original explanation; inappropriate emphasis on an area.No introduction of APN professional development plan provided.APN Scope of Practice35 Points31 Points28 Points13 Points0 PointsProvided detailed information regarding education, licensure, and regulatory requirements, as well as practice environment details per the student’s state. Included information regarding full, limited, or restricted practice limitations as well as prescriptive authority.Provided some information regarding education, licensure, and regulatory requirements, as well as practice environment details per the student’s state. Included information regarding full, limited, or restricted practice limitations as well as prescriptive authority.Provided non-state specific information regarding education, licensure, and regulatory requirements, as well as practice environment details. Included information regarding full, limited, or restricted practice limitations as well as prescriptive authority.Lacking detailed information regarding education, licensure, regulatory requirements, or practice environment. Missing information regarding practice limitations and/or prescriptive authority.Did not provide information regarding education, licensure, and regulatory requirements, as well as practice environment details per the student’s state. Not provide information regarding full, limited, or restricted practice limitations as well as prescriptive authority.Personal Assessment25 Points22 Points20 Points10 Points0 PointsProvided detailed information following a personal assessment and reflected upon strengths, weaknesses, goals, and objectives. Addressed their position on Benner’s Ladder.Provided some detailed information following a personal assessment and reflected upon some of the strengths, weaknesses, goals, and objectives.Provided some detailed information following a personal assessment. Missed providing reflection upon strengths, weaknesses, goals, or objectives.Provided information following a personal assessment, but did not reflect upon strengths, weaknesses, goals, or objectives.Did not provide a personal assessment and did not reflect upon personal strengths, weaknesses, goals, or objectives.Networking and Marketing Strategies25 Points22 Points20 Points10 Points0 PointsProvided detailed information regarding local and national professional organizations that advertise employment opportunities for APNs. Identified networking and marketing strategies and provide a rationale for their selections.Provided some detailed information regarding local and national professional organizations that advertise employment opportunities for APNs. Identified networking and marketing strategies and provide a rationale for their selections.Provided information but lacked specific details regarding local and national professional organizations that advertise employment opportunities for APNs. Identified networking and marketing strategies and provide a rationale for their selections.Provided information regarding professional organizations that advertise employment opportunities, but missed providing information regarding networking and marketing strategies and/or a rationale for their selections.Did not provide detailed information regarding local and national professional organizations that advertise employment opportunities for APNs. Did not identify networking and marketing strategies or provide a rationale.Curriculum Vitae35 Points31 Points28 Points13 Points0 PointsProvided detailed information which included demographics, education, professional employment, licensure and certification, professional honors, research, scholarship, and service. Free from typographical errors.Provided detailed information. Missing 1-2 key elements. Free from typographical errors.Provided moderately detailed information. Missing 3 key elements. Free from typographical errors.Provided minimal detail. Missing 4 or more key elements. Contains 1-2 typographical errors.Information provided was inaccurate and vague. Contains 3 or more typographical errors. Did not provide curriculum vitae.Conclusion20 Points18 Points16 Points8 Points0 PointsExcellent summary of APN professional development plan. Conclusions are well evidenced and fully developed.Good summary of APN professional development plan. Conclusions are supported by evidence and developed.Basic and/or limited summary regarding APN professional development plan.Little or no summary of APN professional development plan; inappropriate emphasis on an area.No summary of APN professional development plan and/or conclusions were provided.Content Subtotal_____of 160 pointsFormatPossible Points = 40 PointsClarity of Writing20 Points18 Points16 Points8 Points0 PointsExcellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning.Good use of standard English showing original thought. No more than two spelling or grammar errors. Well organized with proper flow of meaning.Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.More than six spelling and/or grammar errors. Poorly organized thoughts and conceptsAPA Format20 Points18 Points16 Points8 Points0 PointsAPA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.Two to four errors in APA format, grammar, spelling, and syntax noted.Five to seven errors in APA format, grammar, spelling, and syntax noted.Eight to nine errors in APA format, grammar, spelling, and syntax noted.Post contains greater than ten errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.Format Subtotal_____of 40 pointsTotal Points__of 200 pointsNR510 Directions & Rubric.docx revised 11/168