The government provides health insurance to low-income individuals,  the elderly, and the disabled. These individuals cannot afford private  health insurance and would be uninsured if government insurance did not  exist. Medicaid and Medicare are entitlement programs, while SCHIP is a  block grant program.

On the basis of your knowledge on Medicaid, Medicare and SCHIP, write  a 3- to 4-page essay in a Microsoft Word document on these government  insurance programs. Your essay should include answers to the following  questions:

• Compare and contrast the three major government health insurances.  Include eligibility, administrative jurisdiction, and method of  financing.
• Compare the Medicaid program in the state you reside in with a  Medicaid program in another state. Should Medicaid programs be uniform  throughout the United States? Explain why or why not.
• Compare the structure and eligibility rules for SCHIP in your state  and SCHIP in another state. Do you think that SCHIP should be uniform  throughout the United States? Why or why not?
• Describe entitlement and block grant programs. How are these two programs different?
• Should all government health insurances be entitlement programs or should they all be block grant programs? Why?

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.  a- Will you have to leave earlier to be in class on time?   

b- Will you meet different people on your way to class?  

c- See different sights?  

d- Would you change your route to class on the day of the final exam?   

e- Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.   

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death.   

a- How did you react to the change?   

b- Would you have reacted differently if you had had more information?  

c- Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.

Assessment 1

Written Assignment :

Developing a Professional Practice Portfolio TASK RATIONALE / AIM: According to the Registered Nurse Standards for Practice (2017), to provide safe, effective

nursing care, nurses must maintain capability for practice through lifelong learning and

professional development (Nursing and Midwifery Board of Australia [NMBA], 2017). This assessment is designed to provide you with the understanding and skills required to

develop a professional practice portfolio which can evidence your capability for practice as a

Registered Nurse. TASK INSTRUCTIONS: This task comprises three components. 1. Professional practice portfolio use Professional practice portfolios are asserted to be beneficial to demonstrate the capability for professional nursing practice. • Describe a professional practice portfolio and the recommended components. • Present a written argument for the use of a professional practice portfolio to

demonstrate professional nursing practice. This argument should demonstrate critical

thinking and analysis of the issues; include why portfolios should be used and a

discussion of the benefits and challenges of using a professional practice portfolio to

demonstrate capability for professional nursing practice. • Discuss and differentiate between management and leadership competencies and

describe how development of these competencies could be evidenced in a professional

practice portfolio. • Support your argument with at least seven scholarly sources from 2011 onwards. Page 1

2. Professional standards Standard 3 “Maintains the capability for practice” (NBMA, 2016) includes seven points.

The fourth point states the Registered Nurse (RN) “accepts accountability for decisions,

actions, behaviours and responsibilities inherent in their role” (NMBA, 2016).

• Chose a situation from your clinical placement where you were delegated an action or

responsibility by your RN clinical practice partner or clinical facilitator and describe

this situation. Your description should include five key elements; context of nursing

practice and health care delivery (where this occurred), who was involved, what you

were delegated, how you enacted the delegated action/responsibility and the outcome

of the situation. • Critically discuss how you demonstrated professional nursing practice, within

your student nurse scope of practice, and reflect upon accountability for your

decisions, actions, behaviours and responsibilities. • Support your discussion with at least three scholarly sources from 2011 onwards. Point of clarification: • The Registered Nurse standards document describes how the seven standards are

interconnected (see Figure 1, NBMA, 2016). Your clinical situation may incorporate a

description of you enacting one or more of the standards e.g. assessment (Standard

4), developing a plan (Standard 5), providing nursing care (Standard 6), or evaluating

care outcomes (Standard 7). 3. Peak professional nursing organisation A peak organisation (also known as a ‘peak body’) is a term for an advocacy group or trade

association (it may be in nursing, or medicine, or any ‘trade’), an association of industries

or groups with allied interests. They are established for the purposes of developing

standards and processes, or to act on behalf of all members. There are many peak bodies

in nursing, ranging from general organisations, such as the Australian College of Nursing

(ACN) to specialised organisations such as the Australian College of Critical Care Nurses

(ACCCN) or the Australian Primary Health Care Nurses Association (APNA).

• Consider where your professional interests lie and identify and report on a

peak professional nursing organisation relevant to your career path. • This report must include the membership requirements, whether this organisation

supports advanced or specialty practice, how this organisation supports and leads

professional nursing practice, what professional opportunities are provided through

the professional organisation and a justification why it is relevant to your intended

career path. Page 2

OTHER ELEMENTS: • You do not need to include an introduction or conclusion to this written assessment • Use a heading for each of the three components of the assessment • Provide one reference list at the end of your written assignment which presents

all references (from the three components) in alphabetical order. • State your word count (excluding your reference list) on the Assignment Coversheet. • Do not exceed 2,000 words. Words over 2,000 will not be read or marked. • Submit your DRAFT assignment via Turnitin as per the instructions on your

USQ course site.

Page 3

POSSIBLE

MARKING CRITERIA

MARKS

University of Southern Queensland

1. Professional Practice Portfolio (Approx 1,000 words)

1.1 Description (Approx 300 words) 5

• Describes a professional practice portfolio and the recommended components. 1.2 Argument (Approx 350 words) • Presents a written argument for the use of a professional practice portfolio. • The argument demonstrates critical thinking and analysis of the issues; it

5 explains why portfolios should be used and includes a discussion of the benefits and challenges of using a professional practice portfolio to demonstrate capability for professional nursing practice.

1.3 Management and leadership (Approx 350 words) • Discusses management and leadership competencies relevant to nursing

5 and describe how development of these competencies could be evidenced

in a professional practice portfolio. 1.4 Evidence • Demonstrates evidence of ability to apply research concepts and principles

such as use of databases, critique of quality, relevant and up-to-date 5

literature. Argument supported by at least eight relevant, high quality, evidence-based, scholarly sources from 2011 onwards.

2. Professional Standards (Approx 750 words)

2.1 Description of situation (Approx 250 words) • Clearly describes a situation from student nurse clinical placement. • Description includes five key elements: context of practice (where this 5 occurred), who was involved, what you were delegated to do, how you enacted the delegated action/responsibility and the outcome of the situation.

2.2 Critical discussion (Approx 500 words) • Critically discusses how you demonstrated professional nursing practice,

within your student nurse scope of practice. 5 • Demonstrates insight regarding accountability for decisions,

actions, behaviours and responsibilities.

Pag e 4

2.3 Evidence • Demonstrates evidence of ability to apply research concepts and principles

such as use of databases, critique of quality, relevant and up to date 5

literature. Discussion is supported by at least three relevant, high quality, evidence-based, scholarly sources from 2011 onwards.

3. Professional Membership (Approx 250 words) 3.1 Report on peak professional nursing organisation • Reports on a peak professional nursing organisation relevant to a

career path in nursing. • This report includes the membership requirements, whether this organisation 5

supports advanced or specialty practice, how this organisation supports and leads professional nursing practice, what professional opportunities are provided through the professional organisation and a justification for why it is relevant to the intended career path.

4. Referencing: · Referencing (in-text citations and reference list entries) as per APA

USQ Referencing style 5

•

Provides at least 10 unique references, in alphabetical order, in one list which starts on a separate page. 5. Academic writing and presentation: • Is well presented, with correct spelling, grammar, well-

constructed sentences and appropriate paragraph structures.

• Uses academic language throughout. 5 • Meets the 2,000-word length requirements (excluding reference list). Total marks 50

The learning activity and corresponding assignment in this topic   requires students to perform a heritage assessment with families   selected by students from their local communities.

Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf   in order to access the “Heritage Assessment Tool.”

Interview three families from different cultures. One family should   be from your own culture. Compare the differences in health traditions   between these cultures.

Assess the three families using the “Heritage Assessment   Tool.” In 1,000-1,500 words, discuss the usefulness of applying a   heritage assessment to evaluate the needs of families and develop   plans for health maintenance, health protection, and health   restoration. Include the following:

1. Perform a heritage assessment on three families. One of these     families should be from your own culture.
2. Complete the     “Heritage Assessment Tool” for each of the three families     interviewed and submit the three assessments to:     RNBSNclientcare@gcu.edu. You are not required to include the tool in     your LoudCloud submission.
3. Identify common health     traditions based on cultural heritage. Evaluate and discuss how the     families subscribe to these traditions and practices. Address health     maintenance, health protection, and health restoration as they     relate to your assessment.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

1. Question: Infants are most susceptible to significant losses in total body water because of an infant’s:

2. Question: The drug heparin acts in hemostasis by which processes?

3. Question: Which cells have phagocytic properties similar to monocytes and contract like smooth muscles cells, thereby influencing the glomerular filtration rate?

4. Question: Erythrocyte life span of less than 120 days, ineffective bone marrow response to erythropoietin, and altered iron metabolism describe the pathophysiologic characteristics of which type of anemia?

5. Question: Which blood cell type is elevated at birth but decreases to adult levels during the first year of life?

6. Question: Immunoglobulin E (IgE) is associated with which type of hypersensitivity reaction?

7. Question: Which drug may be prescribed orally for outbreak management of herpes simplex viral (HSV) infections?

8. Question: Which substance has been shown to increase the risk of cancer when used in combination with tobacco smoking?

9. Question: An infant’s hemoglobin must fall below ___ g/dl before signs of pallor, tachycardia, and systolic murmurs occur.

10. Question: How high does the plasma glucose have to be before the threshold for glucose is achieved?

11. Question: Which disorder results in decreased erythrocytes and platelets with changes in leukocytes and has clinical manifestations of pallor, fatigue, petechiae, purpura, bleeding, and fever?

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

13. Question: Apoptosis is a(an):

14. Question: The only surface inside the nephron where cells are covered with microvilli to increase the reabsorptive surface area is called the:

15. Question: The coronary ostia are located in the:

16. Question: Causes of hyperkalemia include:

17. Question: Why is nasal congestion a serious threat to young infants?

18. Question: Continuous increases in left ventricular filing pressures result in which disorder?

19. Question: What is the first stage in the infectious process?

20. Question: Which type of immunity is produced by an individual after either natural exposure to the antigen or after immunization against the antigen?

21. Question: What are the abnormalities in cytokines found in children with cystic fibrosis (CF)?

22. Question: What substance stimulates renal hydroxylation in the process of producing vitamin D?

23. Question: When a patient has small, vesicular lesions that last between 10 and 20 days, which sexually transmitted infection is suspected?

24. Question: Which organ is stimulated during the alarm phase of the general adaptation syndrome (GAS)?

25. Question: Which primary characteristic is unique for the immune response?

26. Question: What is the fundamental physiologic manifestation of anemia?

27. Question: Hypersensitivity is best defined as a(an):

28. Question: What is the life span of an erythrocyte (in days)?

29. Question: The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born between how many weeks of gestation?

30. Question: Research supports the premise that exercise has a probable impact on reducing the risk of which cancer?

31. Question: Which immunoglobulin (Ig) is present in childhood asthma?

32. Question: Causes of hyperkalemia include:

33. Question: An individual is more susceptible to infections of mucous membranes when he or she has a seriously low level of which immunoglobulin antibody?

34. Question: What is the primary site for uncomplicated local gonococci infections in men?

35. Question: Decreased lung compliance means that the lungs are demonstrating which characteristic?

36. Question: Which organism is a common sexually transmitted bacterial infection?

37. Question: The Papanicolaou (Pap) test is used to screen for which cancer?

38. Question: What is the ratio of coronary capillaries to cardiac muscle cells?

39. Question: Which laboratory test is considered adequate for an accurate and reliable diagnosis of gonococcal urethritis in a symptomatic man?

40. Question: What is the role of collagen in the clotting process?

41. Question: Fetal hematopoiesis occurs in which structure?

42. Question: The glomerular filtration rate is directly related to which factor?

43. Question: What is the primary problem resulting from respiratory distress syndrome (RDS) of the newborn?

44. Question: What is the trigone?

45. Question: Which hormone is synthesized and secreted by the kidneys?

46. Question: Which hepatitis virus is known to be sexually transmitted?

47. Question: What is the functional unit of the kidney called?

48. Question: A person with type O blood is considered to be the universal blood donor because type O blood contains which of the following?

49. Question: Which hormone is required for water to be reabsorbed in the distal tubule and collecting duct?

50. Question: Low plasma albumin causes edema as a result of a reduction in which pressure?

51. Question: The most common site of metastasis for a patient diagnosed with prostate cancer is which location?

52. Question: How is most of the oxygen in the blood transported?

53. Question: What is the direct action of atrial natriuretic hormone?

54. Question: What is the purpose of the spirometry measurement?

55. Question: Carcinoma in situ is characterized by which changes?

56. Question: If the sinoatrial (SA) node fails, then at what rate (depolarizations per minute) can the atrioventricular (AV) node depolarize?

57. Question: What effects do exercise and body position have on renal blood flow?

58. Question: What is the major concern regarding the treatment of gonococci infections?

59. Question: Innervation of the bladder and internal urethral sphincter is supplied by which nerves?

60. Question: Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?