Scenario 4: 45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.In your Case Study Analysis related to the scenario provided, explain the followingThe cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.Any racial/ethnic variables that may impact physiological functioning.How these processes interact to affect the patient.

Global health initiatives are often pivotal in the advancement of human rights. When addressing global public health issues, international organizations have a responsibility to develop policies and practices that support marginalized groups’ basic human rights. Policies that affect a woman’s reproductive and sexual health can be contradictory of the basic human right if it challenges the moral imperative of creating conditions that allow women to decide freely and responsibly on the number, spacing, and timing of their children or the ethical obligation to ensure equitable access to contraceptive options and safe reproductive service. This can become increasingly more of an issue when conditions arise that affect a woman and her unborn child, such as Zika virus.Discuss your interpretation of the right to health. Explain how policies that affect a women’s sexual and reproductive health may be impacted by the introduction of a virus. Discuss the policies that countries impacted by Zika have developed around women’s sexual and reproductive health. Do any of these policies violate a woman’s right to health? Discuss if the global public health threat of Zika is severe enough to limit sexual and reproductive rights and freedoms. Conversely, is the threat of Zika-associated fetal anomalies sufficient to change existing restrictive laws and policies?

Discussion 1: Leadership Theories in PracticeA walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.To Prepare:Review the Resources and examine the leadership theories and behaviors introduced.Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.Reflect on the leadership behaviors presented in the three resources that you selected for review.Web links:https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3https://www.youtube.com/playlist?list=PLopRJPO6GaifsYPGP_jcWXZzU10H3AaX7Assignment:Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents.Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources.

1. Letter for Graduation (30 points/24%)a. Your assignment is to write a letter to yourself on your graduation day.b. Consider the following questions as you compose your letter.i. How do you hope you have changed in terms of knowledge and skills, and personally?ii. What would you like to remind yourself about your inspiration for choosing this career?iii. You will be preparing to take the NCLEX exam and to start your first job as a baccalaureate-prepared nurse. Are there any words of encouragement that you would like to tell your future self?iv. Are there any words of caution you want to tell yourself—pitfalls to avoid?v. What kind of nurse do you hope you have become? What further growth and change do you envision for yourself?2. Inspiration (30 points/24%)a. create a page that represents your inspiration for becoming a nurse. It may be a picture, a collage, a series of quotes, and so forth. Choose words and images that are meaningful to you. This should be a picture that you can post somewhere, perhaps where you study, in order to motivate yourself as you move forward on your journey to become a nurse.3. Reflections Presentation (65 points/52%)a. Write a short 5-minute speech that discusses the following topics.i. What does your inspiration mean?ii. Name one concept that challenged you during this course.iii. What has been the greatest lesson you have learned?iv. How will what you have learned help you be successful at Chamberlain?