PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one's profession.

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MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social respo

MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.

PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.

Please take a moment to watch this Assignment Introduction, or read the presentation transcript.

Instructions:

  1. Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.
  2. Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.
  3. Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.
  4. Describe the legal principles and laws that apply to the ethical dilemma.
  5. Support the legal issues with prior legal cases or state or federal statutes.
  6. Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.
  7. List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.
  8. Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.

Note:

  • This is a fact-based Assignment that will not include your opinion.
  • This will require research and support for what is written.
  • The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.

InstructionsProject: CoachingThe course project will engage you in a real-world coaching experience. Under the supervision of your instructor and using the material learned in the course, you will coa

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InstructionsProject: CoachingThe course project will engage you in a real-world coaching experience. Under the supervision of your instructor and using the material learned in the course, you will coa

Instructions

Project: Coaching

The course project will engage you in a real-world coaching experience. Under the supervision of your instructor and using the material learned in the course, you will coach a working professional who is not affiliated with this course. The individual may be a colleague, friend, or acquaintance but may not be a family member, supervisor, or your employee.

As a student coach, you will help your coachee determine a few professional development objectives that will be the focus of a four-week coaching relationship. Acceptable objectives include (but are not limited to): managing time, improving communication skills, setting goals, improving task completion, creating long-term career goals, identifying new areas of learning and skill development, and taking positive risks. Although in real life, most any personal or professional objective can be the topic in coaching, for the purposes of this exercise, you should guide your coachee towards work-related objectives to enhance your experience and professional skill. 

During the four-week coaching experience, you will lead the coachee through a process of weekly, one-hour sessions that will include brainstorming strategies, solutions, and actions designed to assist and support the coachee in meeting the professional development objectives. 

As a student coach, you will provide a weekly coaching report to the instructor in the form of a Microsoft Word document. Your coachee will provide an evaluation of your performance at the end of the course. 

All goals and objectives need to be approved in advance by the instructor. Your coachee must provide a written release and consent to participate in this project. (All applicable institutional review board [IRB] standards will be followed.) 

Week 1 Assignment 

For Week 1 of the Coaching Practicum, identify and recruit a suitable coaching partner. Submit a one- or two-paragraph statement that describes your coachee and evaluates why it is a suitable relationship for the project. You must also submit this consent form, signed by your coachee. (You may submit a scanned PDF document of the consent form.) 

What benefits might individuals in the organization experience if a more robust developmental philosophy and practices were in place?

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One reason that leaders resist the idea of coaching is feelings of inadequacy. In other words, they don’t feel qualified to be a coach, usually because they aren’t sure they have enough subject ma

Week 1 Assignment:

In an organizational diagnosis and development project, a consultant usually begins with a scouting stage. In the scouting stage, the consultant gets to know the client and the expectations. Additionally, the consultant will often observe organizational activities, conduct some interviews, and read available organizational documents to get a feel for processes, attitudes, and potential areas for attention. The scouting stage helps the consultant develop some initial ideas about areas for improvement. Then, the consultant can design data collection (which you will do in next week’s work) to confirm those ideas or identify other concerns.

Planning and Execution:

In this week’s work, you will do an opening assessment (i.e., scouting) of your organization. Research answers to the following issues (bullet point questions below). You may use your own observations, interviews with other organizational members, internet research, and research in organizational documents as part of your review. Due to time constraints for the project, you may also include hypothetical data as needed to fill in some gaps. However, you should do your best to collect as much real data as possible. The following themes should guide the planning and execution of your scouting work.

  • What is the organization? What does it do/what is its purpose?
  • How well does your organization develop its members? Does it appear to operate from a comprehensive PDP? 
  • What evidence or symptoms do you see that support your conclusion (about whether your organization develops its members)?
  • What are some of the possible reasons why your organization does or does not develop its members well?
  • Who would need to get involved to improve your organization’s development philosophy and practices? 
  • What benefits might individuals in the organization experience if a more robust developmental philosophy and practices were in place?
  • What benefits might the organization experience if a more robust development philosophy and practices were in place? 
  • Where are the most important opportunities for organizational development (remember, the focus of the project is the professional development needs of members)? 

Deliverable:

Prepare a one to two page (500 to 1000 words, singlespaced) scouting memo that synthesizes the issues and the most important opportunities for organizational development

  • Review the memo tips guide linked in the instructions above.
  • You do not need to provide a title page
  • Copy and paste your memo into the Discussion Area dialogue box for peer review.  
  • Cite any resources using APA even though the rest of the paper is in memo format rather than APA
  • Submit your response to the W1 Skills Discussion Area by the due date assigned.
  • Provide at least two peer-review feedback responses to your classmates and a response to the instructor as required during the week.
  • Responses should help evaluate the underlying issues in classmates’ organizations (e.g., Is there anything they seem to be missing? Other resources or ideas they should consider? Did it provide relevant opportunities for organizational development?) as well as the executive level communication of their memo (e.g., Was it clear? Did it synthesize the key issues?
  • Was it persuasive? Supported?). Be professional in your responses to others.

This is a continuation of your Unit 5 Assignment. Drawing upon the theory you chose for your presentation (It was bureaucratic management theory,allached the slides) you are to compose an APA-formatte

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This is a continuation of your Unit 5 Assignment. Drawing upon the theory you chose for your presentation (It was bureaucratic management theory,allached the slides) you are to compose an APA-formatte

This is a continuation of your Unit 5 Assignment. Drawing upon the theory you chose for your presentation (It was bureaucratic management theory,allached the slides) you are to compose an APA-formatted paper addressing the following questions:

  • In what way(s) can you identify with this style? How do you differ?
  • Name an organization that has adopted this style and describe whether it was successful. (Your textbook could help you with this.)
  • Consider the following scenario and apply your management style to it. How would you act in your chosen management style? You are the director of Tri-County Home Health Agency and, due to financial reasons, you are to implement an RIF (reduction in force), also known as a lay-off. How will you decide which jobs will have to be eliminated, who will be in on the decision-making process, and how will you notify employees about your decisions?

Your paper should comprise a title page, at least four pages of information, and a reference page with at least three professional sources other than your textbook.

Your completed exercise should follow the conventions of Standard American English (correct grammar, punctuation, etc.). Your writing should be well ordered, logical and unified, as well as original and insightful. Your work should display superior content, organization, style, and mechanics.

DISCUSSION: Implementation – PART A 2) Evaluation- PART B ASSIGNMENTSSubmit the assignment: Part IV: Implementation and Evaluation of the Communication Plan (3–4 pages).MY CAMPAIGN IS ON ( VVF)-

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DISCUSSION: Implementation – PART A 2) Evaluation- PART B ASSIGNMENTSSubmit the assignment: Part IV: Implementation and Evaluation of the Communication Plan (3–4 pages).MY CAMPAIGN IS ON ( VVF)-

1)DISCUSSION: Implementation – PART A 

2) Evaluation– PART B ASSIGNMENTS

Submit the assignment: Part IV: Implementation and Evaluation of the Communication Plan (3–4 pages).

MY CAMPAIGN IS ON ( VVF)- VAGINAL VESICO FISTULA IN LITTLE RURAL AFRICAN COUNTRY

Developing a public health campaign which could motivate and change people’s behavior or attitudes?

How excited are you to promotesocial change and implement your public health campaign?

For new public health leaders, it might feel overwhelming, as well as thrilling, to implement a campaign.

Prior to implementing any campaign, make sure you have a clear plan for its implementation and select an appropriate evaluation method to measure its effectiveness.

This week, you devise your methods to implementing your public health campaign and consider any barriers you might encounter. Also, you consider ways to evaluate the effectiveness of your campaign.

Learning Objectives

Students will:

  • Apply methods to implement a public health campaign
  • Analyze barriers to the implementation of a public health campaign
  • Analyze the implementation and evaluation process of a communication plan
  • Identify criteria to evaluate the effectiveness of a public health campaign

References

Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2015). Health behavior: Theory, research, and practice (5th ed.). San Francisco, CA: Jossey-Bass.

  • Chapter 16, “Implementation, Dissemination, and Diffusion of Public Health Interventions”
  • Chapter 21, “Social Marketing”

Health Communication in the New Media Landscape

  • Chapter 16, “New Media: A Third Force in Healthcare”

Marketing Public Health: Strategies to Promote Social Change

  • Chapter 5, “Introduction to Marketing Principles”
  • Chapter 12, “Outcome Evaluation”

Document: Communication Plan Guidelines (Word document)

Discussion: Implementation

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard, edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources, as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct.

Initial posting this week must be 500–750 words (not including references).

Effective implementation of a public health campaign includes strategic marketing methods, appropriate timing, and monitoring (Resnick & Siegel, 2013).

Review your communication plan and consider ways you plan to implement your campaign and how the timing is critical to its success.

It is not uncommon to experience some barriers in the implementation of a public health campaign. For example, funding sources might be delayed, stakeholders in communities may decide to withdraw their participation, or technology may temporarily collapse. Consider possible barriers or challenges you might face in the implementation of your public health campaign and how you might address those barriers.

By Day 3=Wednesday

Post a brief explanation of how you might implement your public health campaign. Then explain two potential barriers which might impact the implementation process and one way you might address one barrier. Be specific and use examples to illustrate your points.

Be sure to support your postings and responses with specific references to the Learning Resources.

Week 9 PART B

PART B

Assignment: Evaluation Methods

Every public health campaign or program initiative should be evaluated for effectiveness otherwise it would be unclear as to whether the campaign or program achieved the desired results. Consider what type of evaluation would be appropriate for your campaign and if the evaluation measure you select evaluates the expected outcomes. Otherwise you may create change, yet be unable to evaluate its effect or success.

For this Application Assignment, you will use what you have learned in the previous weeks to continue to create your Communication Plan by selecting and justifying the implementation and evaluation process best suited for your campaign.

Using the Communication Plan Guidelines handout in this week’s Required Resources, complete Part IV of your Communication Plan.

By SUNDAY

Submit the assignment: Part IV: Implementation and Evaluation of the Communication Plan (3–4 pages).

Support your Application Assignment with specific references to all resources used in its preparation. You are to provide a reference list for all resources, including those in the Learning Resources for this course.

Your written assignments must follow APA guidelines. Refer to the Publication Manual of the American Psychological Association to ensure your in-text citations and reference list are correct.

Submit Your Assignment by Day 7-SUNDAY

To submit your Assignment:

Week 9 Assignment

Describe how you will address this gap in nursing practice with your preceptor. Write out exactly what you might say to this RN to professionally address the current evidence for the nursing care of patients.

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Nursing

For the initial discussion post, review the article by Miller, Drummond and Carey:

  • Miller, J., Drummond Haye, D., & Carey, K. W. (2015). 20 QUESTIONS: Evidence-based practice or sacred cow? Nursing, 45(8), 46-55. doi:10.1097/01.NURSE.0000469234.84277.95

Scenario:

  • You begin your career in an acute care hospital as a newly licensed RN. During your orientation, you observe your preceptor checking gastric feeding tube placement by injecting air and auscultating the abdomen, stopping continuous enteral tube feedings before a patient is turned or repositioned, and routinely inserting rectal tubes for patients with diarrhea. You know that ALL three (3) of these practices are currently NOT supported by nursing evidence. When asked, your preceptor responds, “This is the way we have always cared for patients with tube feedings and diarrhea.” You prepare to talk to this peer about necessary changes in nursing practice.

Initial Discussion Post:

Address the following:

  • Choose ONE (1) of the practices described in the scenario.
  • Describe how you will address this gap in nursing practice with your preceptor. Write out exactly what you might say to this RN to professionally address the current evidence for the nursing care of patients.
  • Include when and where you would communicate this information
  • Consider any additional information you might provide to your preceptor to support changing nursing practice

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

What is the initial step you would take before designing the program?

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nursing

    1. Read the scenario below.
    2. Respond to the questions in full sentences. Be sure to use standard English grammar and spelling
    1. Why is information on health literacy essential for this group?
    2. What is the initial step you would take before designing the program?
    3. What role/function would you play in the beginning of the assessment phase?
    4. What role/function would you play at the end of the program?
    5. What additional resources would be needed to implement this program?
    Scenario:As a Community Health Nurse, you are assigned to develop a health literacy program at the Yvonne Learning Center to promote health literacy in a low-income urban area. This program will focus on children ages 3-7 years old, 9-12 years old and 14 to 18 years old .You will provide basic health information and services about health and teach the children about their bodies and how having a positive attitude and good behaviors influence their health in general.The goal of information literacy is to promote self-learning and the ability to be self-sufficient.

2). Describe your experience in assessing and managing the patient and his or her family.

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nursing

WEEK 9

Assignment Practicum Journal Entry: Pediatrics

1). Reflect on a PEDIATRIC Patient (CHILD or ADOLESCENSE)  who presented with gastrointestinal disorders during your Practicum experience.

2). Describe your experience in assessing and managing the patient and his or her family.

3). Include details of your “aha” moment in identifying the patient’s disorder.

4). Then, explain how the experience connected your classroom studies to the real-world clinical setting.

NOTE:  If you did not have an opportunity to evaluate a patient with this background during the last 9 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

NOTE: This paper is on a child; not an ADULT patient.

WRITE a 1 (one) PAGE PAPER.

–Due Saturday 4/28/17; before Midnight

—Must have Nursing background to take this job.

–Deliver scholarly written material not high school stuff I saw.

—APA format with at least 3-4 references on your topic of choice.

—All references cited on paper and must be within 5 years old.

— Must be original and FREE OF PLAGIARISM.

NOTE: Each paper is run through Turn-it- in

Answer

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The Nurse's Role in Supporting the Organization's Strategic Agenda

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NURSING

ApplicationPLEASE MAKE SURE IT’S IN APA STYLE FORMAT. CITE ACCURATELY.

The Nurse’s Role in Supporting the Organization’s Strategic Agenda

As hospitals seek to reduce the incidence of Never Events and improve the overall quality of health care provided, it is apparent that ultimate success will require the effort of the entire medical staff. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes. For this application you are asked to interview a quality manager in an acute care or long-term care agency of your choice. Your goal is to determine the manager’s view regarding the impact of the direct care nurse’s role in clinical outcomes for the organization. How does this influence the ability of the organization to achieve its strategic agenda? Before you attend the interview, create a list of relevant questions that will help you better understand the effect a nurse can have on the successful treatment of the patient. Write a 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?Hide 

Decreased hemoglobin and hematocrit

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nursing

. A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation? (Points : 0.4)

      Decreased mean corpuscular volume (MCV)

      Decreased hemoglobin and hematocrit

      Microcytic, hypochromic red cells

      Decreased erythropoietin levels

Question 2. 2. A child has been diagnosed with thalassemia. Which of the following other health problems is the child at risk for? (Points : 0.4)

      Hypocoagulation

      Iron and ferritin deficiencies

      Splenomegaly and hepatomegaly

      Neutropenia

Question 3. 3. A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: (Points : 0.4)

      A mild parasitic infection

      A severe bacterial infection

      A mild viral infection

      A severe fungal infection

Question 4. 4. A couple who are expecting their first child have been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple have approached their nurse practitioner with this request and are seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting them. How can the nurse practitioner best respond to the couple’s inquiry? (Points : 0.4)

      “Stem cells can help correct autoimmune diseases and some congenital defects.”

      “Stem cells can be used to regenerate damaged organs should the need ever arise.”

      “Stem cells can be used as a source of reserve cells for the entire blood production system.”

      “Stem cells can help treat some cancers and anemias, but they must come from your child himself or herself.”

Question 5. 5. A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis? (Points : 0.4)

      The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph noes.

      Her liver and spleen are both enlarged.

      Blood work reveals an increased white blood cell count.

      Chest auscultation reveals crackles in her lower lung fields bilaterally.

Question 6. 6. A 60-year-old woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to rule out Hodgkin lymphoma? (Points : 0.4)

      Her neoplasm originates in secondary lymphoid structures.

      The lymph nodes involved are located in a large number of locations in the lymphatic system.

      The presence of Reed-Sternberg cells has been confirmed.

      The woman complains of recent debilitating fatigue.

Question 7. 7. A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation? (Points : 0.4)

      Tissue destruction results from neutrophil deactivation.

      Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.

      Macrophages are unable to digest the bacteria, resulting in immune granulomas.

      Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

Question 8. 8. A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely? (Points : 0.4)

      The woman has depleted blood volume due to her ongoing blood loss.

      She will have iron-deficiency anemia due to depletion of iron stores.

      The patient will be at risk for cardiovascular collapse or shock.

      She will have delayed reticulocyte release.

Question 9. 9. A nurse practitioner student is familiarizing herself with the overnight admissions to an acute medical unit of a university hospital. Which of the following patients would the student recognize as being least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history? (Points : 0.4)

      A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident

      A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks

      A 30-year-old female with a diagnosis of left leg DVT and a pulmonary embolism

      A 21-yer-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use

Question 10. 10. A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude? (Points : 0.4)

      “Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”

      “Interferon can help limit the replication of the virus that’s affecting your father.”

      “Interferon helps your father’s body recognize infected cells more effectively.”

      “Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

Question 11. 11. A nurse practitioner is providing prenatal care and education for a first-time expectant mother, 22 weeks’ gestation, who has a diagnosis of a sexually transmitted infection. Which of the following statements by the expectant mother demonstrates an adequate understanding of vertical disease transmission and congenital infections? (Points : 0.4)

      “Gonorrhea and chlamydia pose the greatest risks of transmission from mother to child.”

      “I know that my baby will need observation for HIV signs and symptoms in the weeks following my delivery.”

      “My baby could become infected either across the placenta or during the birth itself.”

      “Prophylactic immunization will reduce my baby’s chance of being born with an illness.”

Question 12. 12. The blood work of a 44-year-old male patient with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating? (Points : 0.4)

      Impaired immune function

      Acid-base imbalances

      Impaired thermoregulation

      Fluid imbalances

Question 13. 13. A 30-year-old man has spent 5 hours on a cross-country flight seated next to a passenger who has been sneezing and coughing, and the man has been inhaling viral particles periodically. Which of the following situations would most likely result in the stimulation of the man’s T lymphocytes and adaptive immune system? (Points : 0.4)

      Presentation of a foreign antigen by a familiar immunoglobulin

      Recognition of a foreign MHC molecule

      Recognition of a foreign peptide bound to a self MHC molecule

      Cytokine stimulation of a T lymphocyte with macrophage or dendritic cell mediation

Question 14. 14. Which of the following phenomena would be least likely to result in activation of the complement system? (Points : 0.4)

      Recognition of an antibody bound to the surface of a microbe

      The binding of mannose residues on microbial glycoproteins

      Activation of Toll-like receptors (TLRs) on complement proteins

      Direct recognition of microbial proteins

Question 15. 15. A tourist presented to a primary care health clinic complaining of malaise, fever, and headache. She has subsequently been diagnosed with Rocky Mountain spotted fever, a pathology caused by Rickettsiaceae. Which of the followed statements best captures a characteristic trait of Rickettsiaceae? (Points : 0.4)

      They are eukaryotic.

      They have both RNA and DNA.

      They have a distinct spiral-shaped morphology.

      They are neither gram-negative nor gram-positive.

Question 16. 16. A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy? (Points : 0.4)

      Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.

      Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.

      Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.

      Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

Question 17. 17. A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion? (Points : 0.4)

      Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.

      Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.

      Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.

      Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

Question 18. 18. Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team? (Points : 0.4)

      Increased thrombopoietin levels

      Decreased platelet count

      Normal vitamin K levels

      Normal leukocyte levels

Question 19. 19. A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient? (Points : 0.4)

      “Inflammation can help to remove the body tissue cells that have been damaged by infection.”

      “Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.

      “Inflammation helps your body to produce the right antibodies to fight the infection.”

      “Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

Question 20. 20. A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines? (Points : 0.4)

      “A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”

      “Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”

      “Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”

      “Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

Question 21. 21. A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms? (Points : 0.4)

      The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.

      Viruses are killing some of his B cells and becoming incorporated into the genomes of others.

      The EBV inhibits the maturation of white cells within his peripheral lymph nodes.

      The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

Question 22. 22. Sputum samples from a patient with pneumonia contain an infective agent that has a peptidoglycan cell wall, expresses endotoxins, replicates readily in broth and on agar, grows in clusters, has pili, and does not stain when exposed to crystal violet. This pneumonia is most likely: (Points : 0.4)

      Chlamydial

      Viral

      Mycoplasmal

      Baterial

Question 23. 23. A patient has been admitted to an inpatient medical unit of a hospital with an acute viral infection. The health care team providing care for the patient would recognize which of the following statements as an accurate description of the role of viruses in human infections? (Points : 0.4)

      Viruses have limited or absent genetic material of their own.

      Some viruses are capable of transforming normal host cells into malignant cells.

      Viruses are often implicated in cases of transmissible neurodegenerative disease.

      Viruses require stimulation after a latent period before they are able to produce symptoms.

Question 24. 24. Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow? (Points : 0.4)

      A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use

      A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM

      A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells

      A 9-year-old girl who has a diagnosis of IgA deficiency

Question 25. 25. A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections? (Points : 0.4)

      Antibody production by plasma cells is compromised because of impaired communication between B and T cells.

      The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.

      The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.

      The child lacks the antigen presenting cells integral to normal B-cell antibody production.