Use the following information to ensure successful completion of the assignment:

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My project is CLABSI preventionBenchmark Assignment   – Comprehensive Assessment Part Two: Outcomes and ReflectionThe DNP comprehensive assessment provides learners the opportunity to demonstrate th

My project is CLABSI prevention

Benchmark Assignment   – Comprehensive Assessment Part Two: Outcomes and Reflection

The DNP comprehensive assessment provides learners the opportunity to demonstrate their achievement of core and specialty DNP competencies. It is also an appraisal of learners’ ability to integrate and synthesize knowledge within the context of their scholarly and practice interests and their readiness to complete the DPI project. The two-part comprehensive assessment includes evaluation of work completed throughout the program and a final synthesis and self-reflection demonstrating achievement of programmatic outcomes. In Part One of the assessment, learners were required to collect and review coursework deliverables and practice immersion hours completed in the program thus far. In Part Two, learners are required to synthesize and reflect on their learning and prioritize work for their DPI project.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.

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

· You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

To complete Part Two of the DNP comprehensive assessment:

Use the information collected in the competency matrix from Comprehensive Assessment Part One to address the following prompts as directed. Each response should be 500-750 words. Your responses should concisely demonstrate synthesis of knowledge gained in the program and the relevant application of knowledge into your practice. You are further required to cite relevant and specific evidence from your coursework to demonstrate your achievement of these programmatic outcomes and corresponding competencies. Review the rubric for this assignment prior to responding to the prompts. Your responses should specifically address the competencies included on the rubric.

Outcome 1:

A DNP must integrate and apply appropriate nursing and science-based theories to evaluate and analyze health and health care phenomena and develop and implement innovative practice approaches.

In what ways have you integrated and applied nursing and science-based theories in your coursework and practice during your DNP course of study? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 2:

A DNP must provide the leadership to develop and implement health care and organizational policy based on regulatory and other external and internal factors and drive effective change within organizations.

In what ways have you demonstrated leadership in the development and implementation of policy or policy change and contributed to quality improvement during your DNP studies? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 3:

A DNP must be able use information systems to mine, analyze, and apply data for the purpose of improving information systems as well as patient and organizational outcomes.

In what ways have you successfully applied data analysis to the improvement of information systems, patient care, and organizational outcomes during your course of study? How will you apply what you have learned to your DPI project?  Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 4:

A DNP must be able to articulate and implement strategy and to advocate for the ethical and equitable deployment of care delivery models for improvement of individual, aggregate, and population health management. 

In what ways have you articulated, deployed, or advocated for such strategies in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Outcome 5:

A DNP must be able to evaluate practice outcomes and use research, national benchmarks, and other relevant findings from evidence-based practice to design, direct, utilize, and evaluate quality improvement methodologies that lead to improved patient-centered care.

In what ways have you evaluated practice outcomes and participated in quality improvement initiatives in your coursework and practice immersion hours? How will you apply what you have learned to your DPI project? Cite specific evidence from your coursework and practice immersion hours in your response.

Self-Reflection:

Based on an evaluation of your learning to date, assess your readiness for undertaking your DPI project. How has what you learned in your coursework and practice immersion hours and application of learning in your practice informed your approach to your project? What do you need to revise in your 10 Strategic Points document and/or your Draft Prospectus to successfully implement your project? Reflect on your progress to this point and outline the steps necessary to successfully complete your DPI Project Proposal for the Institutional Review Board (IRB) in DNP-955.

The Impact of Nursing Shortage on Healthcare

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The Impact of Nursing Shortage on Healthcare

Project Topic:  The Impact of Nursing Shortage on Healthcare

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project. The Impact of Nursing Shortage on Healthcare

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A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-900 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

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. The Impact of Nursing Shortage on Healthcare

You are required to submit this assignment to LopesWrite

 

Transition To Practice And Children Health

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Transition To Practice And Children Health

Parts  1 and 2 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

APA format

1) Minimum 8 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page

You must strictly comply with the number of paragraphs requested per page. Transition To Practice And Children Health

           Part 1: minimum  1 page

           Part 2: minimum  1 page

           Part 3: minimum  1 page

           Part 4: minimum  2 pages

           Part 5: minimum  1 page

           Part 6: minimum  1 page

           Part 7: minimum  1 page

   Submit 1 document per part

2)¨******APA norms

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

         Bulleted responses are not accepted

         Don’t write in the first person 

Don’t copy and paste the questions.

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

Submit 1 document per part

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

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

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

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed. Transition To Practice And Children Health

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

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

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

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Parts  1 and 2 have the same questions, however, you must answer with references and different writing always addressing them objectively, that is as if you were different students. Similar responses in wording or references will not be accepted.

Part 1: Transition to practice

 

1. Discuss the significance and process of obtaining

a. A National Provider Identification (NPI) Number

b. A DEA Number.

Part 2: Transition to practice

 

1. Discuss the significance and process of obtaining

a. A National Provider Identification (NPI) Number

b. A DEA Number.

Part 3: Transition to practice (Write in the first person)

Topic: Your First Job

1. Discuss successful interview and negotiate an employment contract

2. Discuss how preparing for an interview

3. Discuss the importance of a resume in finding a job

Part 4: Transition to practice (Write in the first person)

Topic: Your First Job

According to File 1 (Attached)

1 page:

1. Identify and provide the listing for a hypothetical professional job opportunity for which you would like to apply.

*****You may copy and paste the listing directly from an employment site such as Indeed, Simply Hired, or other types of job boards.

2. Discuss in detail why you think this job is within your scope of practice.

1 page:

3. Write a cover letter to showcase your talents, so be sure to give potential employers enough information to convince them you are the right candidate for the position.  Transition To Practice And Children Health

Part 5:  Children and adolescent´s health (Write in the first person)

Topic: Pediatric Musculoskeletal and Integumentary

1. Share an experience that you have encountered so far in your pediatric clinical rotation, with children suffering from:

a. Musculoskeletal (dislocations)

b.  Integumentary Conditions (acne)

Part 6:  Children and adolescent´s health (Write in the first person)

Topic: Pediatric Musculoskeletal and Integumentary

1. What are the most common musculoskeletal diseases in pediatric patients

2. What are the most common integumentary Conditions in pediatric patients

Part 7:  Children and adolescent´s health 

Check MN504 File (attached)

1. Make a summary of the slides (No references or cites in the text)

Preparing a Strategic Career Plan

My career vision

My career vision is to be a senior manager women’s health care nurse practitioner (WHNP) offering compassionate and high-quality nursing care. I would love to specialize in perinatal and postpartum care in my later years. Considering the various risks that are associated with childbirth, I want to ensure that I help as many women as possible have a smooth pregnancy journey and know how to take care of their babies. In my early years working as an NP, I would love to take care of women and generally help promote women’s health. The care service for women ranges from everything to do with women’s health counseling, contraceptive advice, and provision, to pregnancy care and postpartum care, and pediatric care among others.

My future work

I want to work in a women’s health clinic or a nursing and maternity center. I feel like these will be the most ideal places where I can concentrate well on women’s health. I hope to find a facility with a professional and friendly environment where I can collaborate well with my colleagues to offer the best care to our patients. I also want it to be a learning environment where I can feel challenged professionally and appreciated. I want to be able to have a professional and free relationship with my patients.

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My short term and long term goals

My short-term goal is to finish my undergraduate studies, enroll in the WHNP program, register for the WNHP examination, and apply for certification after graduating. A month after my certification, I would apply for membership in the American Nurses Association (ANA) and Association of Women’s Health Obstetrics and Neonatal Nurses (AWHONN), to give me a platform to interact with professionals and improve my career knowledge. This will be helpful because as a fresh graduate I need guidance on what steps I should take next. My long-term goals involve having a backup specification, I would love to be a certified family NP in five years and further my studies to get a DNP degree in 10 years.

I am looking for

I am looking forward to passing all my exams and graduating, having my certification, having a full-time job, gaining professional experience, and working in a professional environment. I want to be in a place where I feel that my services are needed and that my work is acknowledged. I am also looking forward to being a mentor in my future years in the NP career. I want to impact upcoming nurses to have a good transition just like am hoping for mine. Transition To Practice And Children Health

Salary

I desire to have an initial hourly pay rate of $51.17. I desire to work for a facility that will provide me with various employee benefits including paid vacations and sick leaves, professional leave, health insurance that covers at least 2 family members, allowance for licensure, retirement plans, professional liability insurance, professional meetings fee reimbursement and reimbursement for continuing education.

My ideal work situation

My ideal work situation is a woman’s health clinic that is located in Miami, Florida. I want it to be a busy clinic that operates 24 hours a day, where I can feel that am putting my knowledge where it is supposed to be and gaining enough quality experience. I would also love to work in a facility that protects its employees by offering them safe working equipment and providing resources so that I can have an easy time executing my duties. My target population is women of all ages and with various conditions. I want to be general with women’s health in my early career years as a certified NP.

I am flexible working any shift as I am not planning to start a family soon. I would prefer the working schedule to be 7 am to 7 pm or 7 pm to 7 am. I have an interest in the women population which is why I want to start by offering care services to women with various conditions. After gaining quality professional experience I will focus more on my interest which is perinatal and postpartum care.

My priorities

My priority in my career is to gain professional experience by securing a good job in a facility that provides a professional working environment. I also want to be an active member of the professional nursing organizations that I am intending to join as I know they will give me guidance in my career path. In the next 5 years, I see my career growing so much as I will have the experience and I will start to specialize more in pregnant women and childbirth. I believe I will also be a leader then and that will be the beginning of my journey to becoming a senior manager in women’s health care.

My plan on researching opportunities

While looking for employment I will use various methods and tools to look for opportunities. The methods and tools include friends, government advertisements, job fairs, web, medical employment agencies, and institution websites. Through job fairs, I will be able to meet the head of different organizations, be informed on job vacancies, be counseled on employment, and gain offers on training. Using my smartphone, I will be able to browse and look for jobs in my area of interest and apply for available vacancies. I can also look upon institutions’ websites and see whether there are vacancies. Medical employment agencies are agencies that lookup for healthcare talent and connect nurses or medical professionals looking for jobs to the best employers. I will register with a trustworthy agency that will make me improve my CV writing skills to professional standards and introduce me to the best employers. Transition To Practice And Children Health

My networking ideas

To improve and create strong networks I will make the internet my close friend and also enquire connections through my friends and my mentor. Social networking will help look for jobs like it helps in providing information. I will make sure that I have a professional profile on LinkedIn as it is one of the leading platforms that can increase my chances of securing employment as a fresh graduate. Other platforms that are good for networking include Twitter, Facebook, Xing, telegram, Instagram, Market-based, and Lunchmeat.

Interview

This is what I will do when preparing for an interview. I will research the company that has scheduled an interview with me or where I sent my CV. I will practice the answers that should be given for common and general questions that might be asked in an interview. I will study my job description including what I entail, tasks expected, actions I should do in specific situations under my job description, and the results I am expected to deliver. I will practice my interview questions with a friend as though it was a real situation. I will arrange what to wear the night before my interview. It has to be presentable and official wear. I will also arrange my professional documents in the bag that I will carry on the interview day. I will wear my confident face as I go for the interview.

My practice

When starting my practice, the populations that I will serve include pregnant women and children. These populations need a special focus that I believe giving them full attention to will serve their needs to the very best. I will market my practice through social media platforms, word of mouth, advertisement posters, and by offering quality services that I hope to get referrals from them. The personnel that I need to hire include professional and certified nurses and physicians with experience especially those who have specified in pediatrics and women’s health, certified nurse assistants, and other office staff such as receptionists, guards, cleaners, and cooks among others.

I will obtain funding from my savings, business, and loans or partnerships. I will be operating 24 hours a day but with less staff during nighttime to make sure working patients get services when they need them without the restrictions posed by limited operating hours. I will hire other providers so that I can have a guarantee that patients will be having services even when I am not able to provide all the resources. Besides, I believe in teamwork and I believe that hiring other providers will be a way of creating a little team that we can think of progress together. Transition To Practice And Children Health

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

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bENCHMARK EVIDENCE BASED PRACTICE

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                   Part 1Details:

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New AttemptTitleAttached DocumentsTurnitin ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assignment or attach documents

Error Details

bENCHMARK EVIDENCE BASED

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part 2

Details:

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New AttemptTitleAttached DocumentsTurnitin ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assignment or attach documents

Error Details

bENCHMARK EVIDENCE BASED

Apply Rubrics

Benchmark – Evidence-Based Practice Project—Paper on Diabetes

1 Unsatisfactory 0-71% 0.00%

2 Less Than Satisfactory 72-75% 75.00%

3 Satisfactory 76-79% 79.00%

4 Good 80-89% 89.00%

5 Excellent 90-100% 100.00%

80.0 %Content

30.0 % Research or Evidence-Based Article Identified. Article Focuses on a Specific Diabetic Intervention or New Diagnostic Tool.

Research or evidence-based article not identified.

Research or evidence-based article identified but does not address a specific diabetic intervention or diagnostic tool.

Research or evidence-based article identified that focuses on a specific diabetic intervention or diagnostic tool in general.

Research or evidence-based article identified that focuses on a specific diabetic intervention and a diagnostic tool.

Research or evidence-based article identified that focuses on a specific diabetic intervention or diagnostic tool in a comprehensive manner, allowing all criteria of assignment to be fully addressed.

50.0 % Summary of Article Includes the Following Content: Discussion of Research Performed Clinical Findings, and Significance to Nursing Practice.

Content is incomplete or omits most of the requirements stated in the assignment criteria. Does not demonstrate an understanding of the basic principles. Does not demonstrate critical thinking and analysis of the overall program subject.

Content is incomplete or omits some requirements stated in the assignment criteria. Demonstrates shallow understanding of the basic principles only a surface level of evaluation is offered, methods are described but flawed or unrealistic and strategies are discussed, but incomplete.

Content is complete, but somewhat inaccurate and/or irrelevant. Demonstrates adequate understanding of the basic principles. Reasonable but limited inferences and conclusions are drawn but lack development. Supporting research is inadequate in relevance, quality, and/or currentness.

Content is comprehensive and accurate, and definitions are clearly stated. Sections form a cohesive logical and justified whole. Shows careful planning and attention to details and illuminates relationships. Research is adequate, current, and relevant, and addresses all of the issues stated in the assignment criteria.

Content is comprehensive. Presents ideas and information beyond that presented through the course, and substantiates their validity through solid, academic research where appropriate. Research is thorough, current, and relevant, and addresses all of the issues stated in assignment criteria. Final paper exhibits the process of creative thinking and development of proposal. Applies framework of knowledge, practice and sound research. Shows careful planning and attention to how disparate elements fit together.

15.0 %Organization and Effectiveness

5.0 % Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

5.0 % Paragraph Development and Transitions

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

5.0 %Format

3.0 % Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of ‘primer prose’ indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

2.0 % Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is present. Citations are inconsistently used.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

100 % Total Weightage     RT 2

BOTH PARTS SHOULD BE DONE ON 2 SEPARATE FILES PLEASE.

WarningYou do not have permissions to perform this activity      

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

/in /by

bENCHMARK EVIDENCE BASED PRACTICE

WarningYou do not have permissions to perform this activity

                   Part 1Details:

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New AttemptTitleAttached DocumentsTurnitin ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assignment or attach documents

Error Details

bENCHMARK EVIDENCE BASED

WarningYou do not have permissions to perform this activity

part 2

Details:

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New AttemptTitleAttached DocumentsTurnitin ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assignment or attach documents

Error Details

bENCHMARK EVIDENCE BASED

Apply Rubrics

Benchmark – Evidence-Based Practice Project—Paper on Diabetes

1 Unsatisfactory 0-71% 0.00%

2 Less Than Satisfactory 72-75% 75.00%

3 Satisfactory 76-79% 79.00%

4 Good 80-89% 89.00%

5 Excellent 90-100% 100.00%

80.0 %Content

30.0 % Research or Evidence-Based Article Identified. Article Focuses on a Specific Diabetic Intervention or New Diagnostic Tool.

Research or evidence-based article not identified.

Research or evidence-based article identified but does not address a specific diabetic intervention or diagnostic tool.

Research or evidence-based article identified that focuses on a specific diabetic intervention or diagnostic tool in general.

Research or evidence-based article identified that focuses on a specific diabetic intervention and a diagnostic tool.

Research or evidence-based article identified that focuses on a specific diabetic intervention or diagnostic tool in a comprehensive manner, allowing all criteria of assignment to be fully addressed.

50.0 % Summary of Article Includes the Following Content: Discussion of Research Performed Clinical Findings, and Significance to Nursing Practice.

Content is incomplete or omits most of the requirements stated in the assignment criteria. Does not demonstrate an understanding of the basic principles. Does not demonstrate critical thinking and analysis of the overall program subject.

Content is incomplete or omits some requirements stated in the assignment criteria. Demonstrates shallow understanding of the basic principles only a surface level of evaluation is offered, methods are described but flawed or unrealistic and strategies are discussed, but incomplete.

Content is complete, but somewhat inaccurate and/or irrelevant. Demonstrates adequate understanding of the basic principles. Reasonable but limited inferences and conclusions are drawn but lack development. Supporting research is inadequate in relevance, quality, and/or currentness.

Content is comprehensive and accurate, and definitions are clearly stated. Sections form a cohesive logical and justified whole. Shows careful planning and attention to details and illuminates relationships. Research is adequate, current, and relevant, and addresses all of the issues stated in the assignment criteria.

Content is comprehensive. Presents ideas and information beyond that presented through the course, and substantiates their validity through solid, academic research where appropriate. Research is thorough, current, and relevant, and addresses all of the issues stated in assignment criteria. Final paper exhibits the process of creative thinking and development of proposal. Applies framework of knowledge, practice and sound research. Shows careful planning and attention to how disparate elements fit together.

15.0 %Organization and Effectiveness

5.0 % Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

5.0 % Paragraph Development and Transitions

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

5.0 %Format

3.0 % Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of ‘primer prose’ indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

2.0 % Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is present. Citations are inconsistently used.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

100 % Total Weightage     RT 2

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Microbiology Assignment Paper

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Microbiology Assignment Paper

There are many opinions on the need and/or importance of vaccines in preventing the spread of disease. Our children are required to get vaccinations before entering school, and healthcare workers must have them when working in environments where they can come into contact with bloodborne pathogens. In healthcare facilities, human immunodeficiency virus (HIV) and Hepatitis C (HCV) are the two most prominent infectious concerns for medical staff.

For your initial post, research the two diseases HIV and HCV. Based on your research, discuss whether you think that a vaccine will be developed for either of these diseases within the next ten years. Why or why not?

 

For your reply post, expand on your peers’ ideas by sharing examples from your own experience or readings, suggesting outside resources to support the topic, and/or asking furthering questions to dig deeper into the topic. Microbiology Assignment Paper

 

Lifesaving HIV medications (known as antiretroviral treatment or ART) are now available to more people living with HIV than ever before. As long as people living with HIV are taking HIV medication on a regular basis, they can remain healthy and avoid transferring HIV to their partners. Pre-exposure prophylaxis (PrEP) or antiretroviral therapy (ART) may also be available to those with a high risk of contracting HIV. While over 1.7 million individuals worldwide were diagnosed with HIV in 2019, 37,968 people in the United States contracted the virus last year. We need a comprehensive set of HIV prevention strategies that are widely available to anybody who could benefit from them in order to control and finally eliminate HIV worldwide.

The long-term goal is to develop a safe and efficient vaccine that will prevent HIV infection in people across the world. When it comes to HIV prevention, even if vaccines only protect certain people or reduce infection rates by less than 100% protection, they can still have a major influence on transmission rates and help manage the pandemic, especially in communities at high risk of obtaining HIV. Many more people will be protected from the virus if a vaccine is only half successful in stopping new infections from spreading. Reduce the number of new infections and therefore stop the epidemic.

The hepatitis C virus causes hepatitis C, a liver illness. It is possible to have hepatitis C that lasts only a few weeks, to a serious and long-lasting infection. “Acute” and “chronic” refer to hepatitis C infections, which might be fresh or long-term. Injecting drug users, or those who have injected only once in the past, even if it was many years ago HIV-infected people Maintaining hemodialysis patients with particular medical problems, such as those with chronically abnormal alanine aminotransferase (ALT) levels, and those who have ever had maintenance dialysis (an enzyme found within liver cells). Prior to July 1992, those who received blood or blood components through transfusion or organ transplantation had their hepatitis C virus infection status confirmed as a result of receiving blood from a donor who was later found to be infected with the virus. Microbiology Assignment Paper

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Personnel in the fields of health care, emergency medicine, and public safety who have come in contact with hepatitis C-infected blood (through needle sticks, sharps, or mucosal exposures) Children born to hepatitis C-infected moms Hepatitis C virus (HCV) vaccine development has long been regarded as a challenging problem because of the wide genetic variation in this RNA virus and because convalescent people and chimpanzees can become infected again the following reexposure to the virus.

In contrast, advances in the study of antiviral immune responses in patients with viral clearance have revealed critical pathways that play a role in viral infection management. Preventative chimpanzee vaccination studies have shown that a robust immune response against several viral epitopes is essential for preventing the spread of the disease and the development of chronic infection. Inducing cross-neutralizing antibodies in a multispecific B cell response may aid in cellular responses. Chronic carriers’ immune systems are compromised, and therapeutic vaccine formulations now being tested in clinical trials need to restore T cell activities to boost their efficiency.

Barouch D. H. (2008). Challenges in the development of an HIV-1 vaccine. Nature, 455(7213), 613–619. https://doi.org/10.1038/nature07352

Stoll-Keller, F., Barth, H., Fafi-Kremer, S., Zeisel, M. B., & Baumert, T. F. (2009). Development of hepatitis C virus vaccines: challenges and progress. Expert review of vaccines, 8(3), 333–345. https://doi.org/10.1586/14760584.8.3.333

Edited by Natasia Jackson on Apr 24, 2022, 11:51:30 AM Microbiology Assignment Paper

DB Privacy, Security, And Informed Consent

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DB Privacy, Security, And Informed Consent

Within the Discussion Board area, write 300–500 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas:

A woman in her mid-thirties suffered from a rare malignancy in her brain and around her spinal cord. She had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. The doctors informed her that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of IQ and stature, and even death. She wished to proceed with the therapy. DB Privacy, Security, And Informed Consent

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After undergoing aggressive chemotherapy and radiation, she did independent research and read of several drugs being administered for cancer in other states that were unapproved by the Federal Drug Administration (FDA) and were illegal in their home state but were touted by physicians using them as “miracle cures.” The woman is considering suing her physician for failure to disclose alternative treatments, thus depriving her of informed consent.

A court awarded summary judgment to the physician.

Respond to the following questions about this case:

  • In your opinion, does the court’s decision seem warranted? Why or why not?
  • Under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective? Explain your answer.

Use APA 7 formatting and citation standards. Use at least two (2) scholarly references published within the last 5 years to substantiate your work. DB Privacy, Security, And Informed Consent

Human Anatomy And Physiology

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Human Anatomy And Physiology

Sarcopenia is the normal age-related process of muscle fiber loss. Type I muscle fibers support endurance and posture. Type II muscle fibers support strength for heavier loads and speed, as well as older adult functional independence in activities such as going up stairs and standing up from a chair. Resistance training can help slow muscle fiber loss at any age.

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For this discussion, we will examine the more microscopic underlying question: “Why do we lose muscle fibers with the aging process? Where do they go?”  Human Anatomy And Physiology

Initial post: Select one of the two reference articles listed below for this discussion. Within the selected article, read the abstract, introduction, conclusion, and at least one additional section of your choosing.

From your research, how would you answer the question: “Why does sarcopenia occur? Where do the muscle fibers go?” While you may use scientific terminology, also include your own words to describe the phenomenon. Support your positions with the assigned reading. Use APA citation to credit your source.

Reply post: In your reply post, consider the research your classmate has posted and compare/contrast with your own research. Additionally, discuss possible health and lifestyle real-life applications. You may add additional resources of your own selection to support your positions. Be sure to cite any borrowed material.  Human Anatomy And Physiology

Psychiatric Mental Health Initial Assessment

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Psychiatric Mental Health Initial Assessment

Give a brief summary of your thoughts about a psychiatric mental health initial assessment.  Why is this critical to the care of the mental health patient?  What areas were you surprised to see on a psychiatric mental health initial assessment?

Initial Psychiatric SOAP Note Template 

 

There are different ways in which to complete a Psychiatric SOAP (Subjective, Objective, Assessment, and Plan) Note. This is a template that is meant to guide you as you continue to develop your style of SOAP in the psychiatric practice setting.  Psychiatric Mental Health Initial Assessment

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Criteria Clinical Notes
   
Informed Consent Informed consent given to patient about psychiatric interview process and psychiatric/psychotherapy treatment. Verbal and Written consent obtained. Patient has the ability/capacity to respond and appears to understand the risk, benefits, and (Will review additional consent during treatment plan discussion)
Subjective Verify Patient

Name:

DOB:

 

Minor:

Accompanied by:

 

Demographic:

 

Gender Identifier Note:

 

CC:

 

HPI:

 

Pertinent history in record and from patient: X

 

During assessment: Patient describes their mood as X and indicated it has gotten worse in TIME.

 

Patient self-esteem appears fair, no reported feelings of excessive guilt,

no reported anhedonia, does not report sleep disturbance,  does not report change in appetite,  does not report libido disturbances, does not report change in energy,

no reported changes in concentration or memory. Psychiatric Mental Health Initial Assessment

 

Patient does not report increased activity, agitation, risk-taking behaviors, pressured speech, or euphoria.  Patient does not report excessive fears, worries or panic attacks.

Patient does not report hallucinations, delusions, obsessions or compulsions.  Patient’s activity level, attention and concentration were observed to be within normal limits.  Patient does not report symptoms of eating disorder. There is no recent weight loss or gain. Patient does not report symptoms of a characterological nature.

 

SI/ HI/ AV: Patient currently denies suicidal ideation, denies SIBx, denies homicidal ideation, denies violent behavior, denies inappropriate/illegal behaviors.

 

Allergies: NKDFA.

(medication & food)

 

Past Medical Hx:

Medical history: Denies cardiac, respiratory, endocrine and neurological issues, including history head injury.

Patient denies history of chronic infection, including MRSA, TB, HIV and Hep C.

Surgical history no surgical history reported

 

Past Psychiatric Hx:

Previous psychiatric diagnoses: none reported.

Describes stable course of illness.

Previous medication trials: none reported.

 

Safety concerns:

History of Violence to Self:  none reported

History of Violence to Others: none reported

Auditory Hallucinations:

Visual Hallucinations:

 

Mental health treatment history discussed:

History of outpatient treatment: not reported

Previous psychiatric hospitalizations: not reported

Prior substance abuse treatment: not reported

 

Trauma history: Client does not report history of trauma including abuse, domestic violence, witnessing disturbing events. Psychiatric Mental Health Initial Assessment

 

Substance Use: Client denies use or dependence on nicotine/tobacco products.

Client does not report abuse of or dependence on ETOH, and other illicit drugs.

 

Current Medications: No current medications.

(Contraceptives):

Supplements:

 

Past Psych Med Trials:

 

Family Medical Hx:

 

Family Psychiatric Hx:

Substance use

Suicides

Psychiatric diagnoses/hospitalization

Developmental diagnoses

 

Social History:

Occupational History: currently unemployed. Denies previous occupational hx

Military service History: Denies previous military hx.

Education history:  completed HS and vocational certificate

Developmental History: no significant details reported.

(Childhood History)

Legal History: no reported/known legal issues, no reported/known conservator or guardian.

Spiritual/Cultural Considerations: none reported.

 

ROS:

Constitutional:  No report of fever or weight loss.

Eyes:  No report of acute vision changes or eye pain.

ENT:  No report of hearing changes or difficulty swallowing.

Cardiac:  No report of chest pain, edema or orthopnea.

Respiratory:  Denies dyspnea, cough or wheeze.

GI:  No report of abdominal pain.

GU:  No report of dysuria or hematuria.

Musculoskeletal:  No report of joint pain or swelling.

Skin:  No report of rash, lesion, abrasions.

Neurologic:  No report of seizures, blackout, numbness or focal weakness.  Endocrine:  No report of polyuria or polydipsia.

Hematologic:  No report of blood clots or easy bleeding.

Allergy:  No report of hives or allergic reaction.

Reproductive: No report of significant issues. (females: GYN hx; abortions, miscarriages, pregnancies, hysterectomy, PCOS, etc…)

 
Verify Patient: Name, Assigned identification number (e.g., medical record number), Date of birth, Phone number, Social security number, Address, Photo.

 

Include demographics, chief complaint, subjective information from the patient, names and relations of others present in the interview.

 

HPI:

 

 

 

 

 

, Past Medical and Psychiatric History,

Current Medications, Previous Psych Med trials,

Allergies.

 Social History, Family History.

Review of Systems (ROS) – if ROS is negative, “ROS noncontributory,” or “ROS negative with the exception of…”
Objective                  Vital Signs: Stable

Temp:

BP:

HR:

R:

O2:

Pain:

Ht:

Wt:

BMI:

BMI Range:

 

LABS:

Lab findings WNL

Tox screen: Negative

Alcohol: Negative

HCG: N/A

 

 

Physical Exam:

MSE:

Patient is cooperative and conversant, appears without acute distress, and fully oriented x 4. Patient is dressed appropriately for age and season. Psychomotor activity appears within normal.

Presents with appropriate eye contact, euthymic affect – full, even, congruent with reported mood of “x”.  Speech: spontaneous, normal rate, appropriate volume/tone with no problems expressing self. Psychiatric Mental Health Initial Assessment

TC: no abnormal content elicited, denies suicidal ideation and denies homicidal ideation. Process appears linear, coherent, goal-directed.

Cognition appears grossly intact with appropriate attention span & concentration and average fund of knowledge.

Judgment appears fair . Insight appears fair

 

The patient is able to articulate needs, is motivated for compliance and adherence to medication regimen. Patient is willing and able to participate with treatment, disposition, and discharge planning.

 

 
This is where the “facts” are located.

Vitals,

**Physical Exam (if performed, will not be performed every visit in every setting)

Include relevant labs, test results, and Include MSE, risk assessment here, and psychiatric screening measure results.
Assessment DSM5 Diagnosis: with ICD-10 codes

 

Dx: –

Dx: –

Dx: –

 

 

 

 

 

 

Patient has the ability/capacity appears to respond to psychiatric medications/psychotherapy and appears to understand the need for medications/psychotherapy and is willing to maintain adherent.

Reviewed potential risks & benefits, Black Box warnings, and alternatives including declining treatment.
Include your findings, diagnosis and differentials (DSM-5 and any other medical diagnosis) along with ICD-10 codes, treatment options, and patient input regarding treatment options (if possible), including obstacles to treatment.

 

Informed Consent Ability
Plan

 

(Note some items may only be applicable in the inpatient environment)

 

  

Inpatient:

Psychiatric.  Admits to X as per HPI.

Estimated stay 3-5 days

 

Safety Risk/Plan:  Patient is found to be stable and has control of behavior. Patient likely poses a minimal risk to self and a minimal  risk to others at this time.

Patient denies abnormal perceptions and does not appear to be responding to internal stimuli.

 

Pharmacologic interventions: including dosage, route, and frequency and non-pharmacologic:

 

·          No changes to current medication, as listed in chart, at this time

·          or…Zoloft is an excellent option for many women who experience any menstrual cycle complaints.  I usually start at 50 mg and move to 100 week 6-8. f/u within 2 weeks initially then every 6-8 weeks.

      • Psychotherapy referral for CBT

Education, including health promotion, maintenance, and psychosocial needs

      • Importance of medication
      • Discussed current tobacco use. NRT not indicated.
      • Safety planning
      • Discuss worsening sx and when to contact office or report to ED

Referrals: endocrinologist for diabetes

Follow-up, including return to clinic (RTC) with time frame and reason and any labs that are needed for next visit 2 weeks

 

 

☒ > 50% time spent counseling/coordination of care.

 

Time spent in Psychotherapy  18 minutes

 

Visit lasted 55 minutes

 

Billing Codes for visit:  Psychiatric Mental Health Initial Assessment

XX

XX

XX

 

 

____________________________________________

NAME, TITLE

 

 

 

Date: Click here to enter a date.    Time: X

 

 

NURS6521 WEEK 1 QUIZ LATEST 2017 (Score 100%)

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NURS6521 WEEK 1 QUIZ LATEST 2017 (Score 100%)

QuestionWeek 1 QuizQuestion 1 A patient has a blood serum drug level of 50 units/mL. The drug’s half-life is 1 hour. If concentrations above 25 units/mL are toxic and no more of the drug is given, how long will it take for the blood level to reach the nontoxic range?Question 2 During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse’s assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years. The nurse informed the patient that prolonged use of laxativesQuestion 3 Which of the following affects drug distribution throughout the body?Question 4 An unconscious patient has been brought to the hospital, and the physician has prescribed a life-saving drug to be administered parenterally. Which of the following methods would be the most appropriate for the nurse to use when administering the medication?Question 5 An older adult patient with a history of Alzheimer’s disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patient’s cognition have impaired his ability to swallow pills. Which of the following medications may the nurse crush before administering them to this patient?Question 6 A nurse has been administering a drug to a patient intramuscularly (IM). The physician discontinued the IM dose and wrote an order for the drug to be given orally. The nurse notices that the oral dosage is considerably higher than the parenteral dose and understands that this due toQuestion 7 A patient who has ongoing pain issues has been prescribed meperidine (Demerol) IM. How should the nurse best administer this medication?Question 8 A 56-year-old female patient has been admitted to the hospital with chronic muscle spasms and has been prescribed a new medication to treat the spasms. She has a poorly documented allergy to eggs, synthetic clothes, and perfumes. What is the priority action of the nurse to ensure that prescribed medication does not experience an allergic reaction?Question 9 The nurse is caring for a patient receiving an aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following will alert the nurse that the patient may be experiencing nephrotoxicity?Question 10 A nurse is caring for a patient who has recently moved from Vermont to south Florida. The patient has been on the same antihypertensive drug for 6 years and has had stable blood pressures and no adverse effects. Since her move, however, she reports “dizzy spells and weakness” and feels that the drug is no longer effective. The nurse suspects that the change in the effectiveness of the drug is related toQuestion 11 A patient with a recent diagnosis of acute renal failure has a long-standing seizure disorder which has been successfully controlled for several years with antiseizure medications. The nurse should recognize that the patient’s compromised renal function will likelyQuestion 12 A nurse is caring for a patient who has had part of her small intestine removed due to cancer. She has also now developed hypertension and has been prescribed a new medication to decrease her blood pressure. While planning the patient’s care, the nurse should consider a possible alteration in which of the following aspects of pharmacokinetics?Question 13 A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.)Question 14 The nurse’s assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this?Question 15 A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient’s medication regimen. Which of the patient’s medications should prompt the nurse to teach her to avoid drinking grapefruit juice?Question 16 On the 1 a.m. rounds, the nurse finds a patient awake and frustrated that she cannot go to sleep. The nurse administers an ordered hypnotic to help the patient sleep. Two hours later, the nurse finds the patient out of bed, full of energy and cleaning her room. The nurse evaluates the patient’s response to the hypnotic asQuestion 17 Which of the following statements best defines how a chemical becomes termed a drug?Question 18 In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol (Lopressor), which is a beta-adrenergic blocker. What is the most likely rationale for using two medications to address the patient’s hypertension?Question 19 In which of the following patients would a nurse expect to experience alterations in drug metabolism?Question 20 30 ml = _______________tbspQuestion 21 Tylenol 325 mg/tablet, patient needs 650 mg; how many tables should patient take?Question 22 A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential of adverse drug effects during the patient’s stay in the hospital?Question 23 A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note theQuestion 24 A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drug means which of the following?Question 25 A patient has been prescribed 1 mg lorazepam (Ativan) sublingual prior to the scheduled insertion of a peripherally inserted central (PIC) line. How should the nurse direct the patient when administering this medication?Question 26 A 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug isQuestion 27 Mrs. Houston is a 78-year-old woman who resides in an assisted living facility. Her doctor prescribed digoxin at her last visit to the clinic and she has approached the nurse who makes regular visits to the assisted-living facility about this new drug. What teaching point should the nurse emphasize to Mrs. Houston?Question 28 A nurse is caring for an 81-year-old patient in a long-term care facility who takes nine different medications each day. The patient has a recent diagnosis of seizure disorder and has begun treatment with phenytoin (Dilantin), a highly protein-bound drug. After 1 month of Dilantin therapy, the patient is still extremely drowsy and sluggish. The nurse determines that the prolonged adverse effect is likely due toQuestion 29 A 72-year-old man who is unable to sleep since admission into the hospital is given a hypnotic medication at 9 p.m. The nurse finds the patient drowsy and confused at 10 a.m. the next day. The nurse is aware that this behavior is most likely due toQuestion 30 An 80-year-old man has been prescribed oxycodone for severe, noncancer, chronic pain. He tells the nurse that he has difficulty swallowing and asks if he can crush the tablet before swallowing. The nurse will advise the patient thatQuestion 31 A 72-year-old man with pain issues is being given a drug by the intramuscular route. His serum blood level concentrations have been erratic. The nurse suspects that this may be due toQuestion 32 An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize  that this change in the resident’s medication regimen make create a risk forQuestion 33 A 77-year-old man with a long history of absence seizures has been treated with ethosuximide for many years. The man is now in the process of moving to a long-term care facility and a nurse is creating a plan of care. The nurse understands the potential adverse effects of this drug and would consequently prioritize which of the following nursing diagnoses?Question 34 A 70-year-old woman with a history of a trial fibrillation has been admitted with a lower gastrointestinal bleed. During the nurse’s admission assessment, the nurse realizes that the patient has been taking ginkgo biloba supplements in addition to her prescribed warfarin, a combination that has resulted in bleeding. What nursing diagnosis should the nurse identify when planning this patient’s care?Question 35 A 67-year-old man is admitted to the hospital with pneumonia. He reports to the nurse that he has chronic arthritis and circulation problems. Further assessment by the nurse reveals that the patient has a history of mild hypertension. He explains that he owns a business and lives alone. The nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. Which of the mentioned patient variables will have the greatest impact on the effectiveness  of the patient’s drug therapy?Question 36 Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease. Mr. Lacuna’s physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication. When administering this form of rivastigmine, the nurse shouldQuestion 37 Frequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient’s age will have what effect on her use of nitroglycerin?Question 38 A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs?Question 39 A 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral ant platelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse’s advice?Question 40 A home health nurse is performing a home visit to an elderly client who has early-stage dementia. The nurse observes that some of the client’s pill bottles are empty, even though the client is not due for refills for 2 weeks. What nursing diagnosis should the nurse prioritize when planning this client’s care?