NSG426 Integrity In Practice Ethic And Legal Considerations Week 4 Assessment

Summative Assessment: Ethics in Practice

Exam Content

Review “An Integrated Ethical-Decision-Making Model for Nurses” from the University Library Readings.

Apply the ethical decision-making model in the article to access this case study from the Center for Practical Bioethics:?Our Pregnant Daughter Didn’t Want This…

Review the Questions for Discussion following the case.

Follow the steps provided in the model, including the following:

Step 1: Explain the ethical issues, other relevant ethical considerations, and ethical principles relevant to this case study and how they affect the nursing practice.

Step 2: Collect and analyze additional information?related to this case study, including researching and explaining any legal considerations. NSG426 Integrity In Practice Ethic And Legal Considerations Week 4 Assessment

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Step 3: Develop alternatives (different options) and compare them.

Step 4: Determine your position and justify it:

What specific actions should be taken to ensure an appropriate outcome?

Why is your position important, needed, or beneficial for vulnerable populations?

Are the?legal and ethical responsibilities in alignment with each other? If they are not in alignment, how does your position deal with that?conflict?

Step 5: Find strategies to implement the plan:

What ethical arguments could you use to persuade someone who disagrees with your position?

Format your assignment as an 875- to 1,050-word paper.

Cite at least 3 peer-reviewed sources published within the last 5 years.

Note: At least 1 of the sources should provide evidence for your resolution recommendation or plan of action.

Include an APA-formatted reference list.

Note to student:

This week’s assignment, Legal and Ethical Responsibilities, has been identified as a tool to assist in the University’s programmatic assessment process. Completed assignments will be periodically gathered for program analysis purposes.

This assignment has been aligned to one or more of the program’s student learning outcomes, and the collected data will assist the College in making improvements to the program. Use your knowledge and skills learned throughout the program to complete this assignment. NSG426 Integrity In Practice Ethic And Legal Considerations Week 4 Assessment

UOP NSG426 Assessments Latest 2022

NSG426 Integrity In Practice Ethic And Legal Considerations

Week 2 Assessment  

Summative Assessment: Policy and Regulation in Practice

Assignment Content

In this assessment, you select a legal issue in health care to determine relevant legal issues and regulations as well as actions that could be taken to improve the outcome.

The health care industry is heavily regulated from multiple sources. It is important for nurses to understand health care policy and regulatory environments for their local area to make sure they are following industry standards as well as not performing tasks nurses are not allowed to do locally.

Research common legal issues in health care that nurses frequently face or choose one of the legal case studies from the Nurses Service Organization.

Select a legal case study of interest or area in which you have experience.

Analyze the legal case study and ensure you include the following:

Summarize the legal issues present in the case.

Explain how these legal issues impact nursing practice.

Summarize regulations, laws, and industry standards present in the case.

Explain how the regulations, laws, and standards impact the nursing practice.

Brainstorm risk mitigation techniques that the hospital could have employed to prevent the situation and increased compliance with the regulations, laws, or standards relevant to the situation. UOP NSG426 Assessments Latest 2022

Determine actions the nurse could have taken to improve the outcome and increased compliance with the regulations, laws, or standards relevant to the situation.

Cite at least 3 evidence-based, peer-reviewed sources published within the last 5 years to support your positions.

Format your assignment as one of the following:

18- to 20-slide presentation

The slides themselves should only contain essential information and as little text as possible. Do not design a slide presentation made up of long bullet points. Your speaker notes convey the details you would give if you were presenting. See this link for more help.

875-word paper?

Another format approved by your instructor

Include an APA-formatted reference list.

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NSG426 Integrity In Practice Ethic And Legal Considerations

Week 4 Assessment  

Summative Assessment: Ethics in Practice

Exam Content

Review “An Integrated Ethical-Decision-Making Model for Nurses” from the University Library Readings.

Apply the ethical decision-making model in the article to access this case study from the Center for Practical Bioethics:?Our Pregnant Daughter Didn’t Want This…

Review the Questions for Discussion following the case.

Follow the steps provided in the model, including the following:

Step 1: Explain the ethical issues, other relevant ethical considerations, and ethical principles relevant to this case study and how they affect the nursing practice.

Step 2: Collect and analyze additional information?related to this case study, including researching and explaining any legal considerations.

Step 3: Develop alternatives (different options) and compare them.

Step 4: Determine your position and justify it:

What specific actions should be taken to ensure an appropriate outcome?

Why is your position important, needed, or beneficial for vulnerable populations?

Are the?legal and ethical responsibilities in alignment with each other? If they are not in alignment, how does your position deal with that?conflict? UOP NSG426 Assessments Latest 2022

Step 5: Find strategies to implement the plan:

What ethical arguments could you use to persuade someone who disagrees with your position?

Format your assignment as an 875- to 1,050-word paper.

Cite at least 3 peer-reviewed sources published within the last 5 years.

Note: At least 1 of the sources should provide evidence for your resolution recommendation or plan of action.

Include an APA-formatted reference list.

Note to student:

This week’s assignment, Legal and Ethical Responsibilities, has been identified as a tool to assist in the University’s programmatic assessment process. Completed assignments will be periodically gathered for program analysis purposes.

This assignment has been aligned to one or more of the program’s student learning outcomes, and the collected data will assist the College in making improvements to the program. Use your knowledge and skills learned throughout the program to complete this assignment.

ORDER   A PLAGIARISM-FREE PAPER   NOW

NSG426 Integrity In Practice Ethic And Legal Considerations

Week 5 Assessment  

Summative Assessment: Accountability

Exam Content

Nurses are faced with situations where legal and ethical considerations are complex and sometimes don’t have a simple or clear solution. Unfortunately, nurses are frequently held accountable in these complex situations, which is why it is important for nurses to understand what they can and can’t do, what they will be accountable for, and what they are responsible for. In this assessment, you will analyze a complex topic from an ethical and legal perspective. You should also analyze its impact on nurses and accountability.

Select 1 of the following topics, or another topic approved by your instructor:

Health care as a right or privilege

Futile care

Whistleblowing

Euthanasia and assisted suicide

Clinical uses for illicit substances (e.g., medical marijuana, MDMA for PTSD)

Research your selected topic.

Analyze a nurse’s legal responsibilities related to your selected topic.

Analyze a nurse’s ethical responsibilities related to your selected topic.

Take a position on the topic and explain your position in detail.

Summarize the steps in the ethical decision-making model you employed and the process used to arrive at your position.

Discuss how your position affects nurses and how nurses can be held accountable in situations related to your selected topic. UOP NSG426 Assessments Latest 2022

Cite at least 3 evidence-based, peer-reviewed sources published within the last 5 years to support your position(s).

Format your assignment as one of the following:

18- to 20-slide presentation

The slides themselves should only contain essential information and as little text as possible. Do not design a slide presentation made up of long bullet points. Your speaker notes convey the details you would give if you were presenting. See this link for more help.

875-word paper

Another format approved by your instructor

Include an APA-formatted reference list. UOP NSG426 Assessments Latest 2022

NR513 Discussions Latest 2022 March (Full)

NR513 Professional Role Enhancement

Module 1 Discussion

This week insight into the theory that supports nursing and the nursing metaparadigm that includes the four key concepts of human being, environment, health and nursing that promotes a holistic approach to care.

Please address the following:

When reviewing these four concepts are there any that are difficult in achieving success in your current practice?

What are the barriers that create this difficulty? For example, does a patient refuse to change their lifestyle or acknowledge their illness which can make teaching and support difficult?

How do you address these barriers when they arise? NR513 Discussions Latest 2022 March (Full)

NR513 Professional Role Enhancement

Module 4 Discussion

This module addressed the importance of effective leadership styles to promote both staff support and patient satisfaction. There were many examples of leadership styles provided.

Please discuss which of the leadership styles most represents you and how you will utilize it in practice? Give an example of an experience that would promote this style?

 

NR513 Professional Role Enhancement

Module 6 Discussion

This week addressed the importance of quality assurance and quality improvement and how they are utilized within an organization to promote best outcomes. As noted in your lesson one of the organizations that evaluate practice to the standards is the Joint Commission.

Review the current National Patient Safety Goals by the Joint Commission surrounding your current practice setting. The following link provides access to the various settings https://www.jointcommission.org/standards_information/npsgs.aspx (Links to an external site.). Please address the following questions.

How does your organization utilize the National Patient Safety Goals for practice?

Address a time where your organization had to take initiative to improve an area of safety and what resources were utilized. NR513 Discussions Latest 2022 March (Full)

Address the outcomes of this initiative and impact on patient safety.

Any new learning based upon review of these safety goals that would benefit your practice setting.

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NR513 Professional Role Enhancement

Module 8 Discussion

As we look at the future of nursing we need to continue to advocate for this great profession and ensure we are using appropriate and credible resources to guide our practice.

For this week’s collaboration what are some valuable resources you have learned about in Module 8 and how will you use them in your future role as a professional nurse? Are there any professional organizations you may want to further explore and if so, why? NR513 Discussions Latest 2022 March (Full)

South University NRSG6420 mid term

Question 1.

1. Your patient has been using chewing tobacco for 10 years. On physical eamination, you observe a white ulceration surrounded by

erythematous base on the side of his tongue. The clinician should recognize that very often this is: (Points : 2)

Malignant melanoma

Squamous cell carcinoma

Aphthous ulceration

Behcet’s syndrome

Question 2.

2. Which of the following would be considered a “red flag” that requires more investigation in a patient assessment? (Points : 2)

Colon cancer in family member at age 70

Breast cancer in family member at age 75

Myocardial infarction in family member at age 35

All of the above

Question 3.

3. The pathophysiological hallmark of ACD is: (Points : 2)

Depleted iron stores

Impaired ability to use iron stores

Chronic uncorrectable bleeding

Reduced intestinal absorption of iron

Question 4.

4. It is important to not dilate the eye if ____ is suspected. (Points : 2) South University NRSG6420 mid term

Cataract

Macular degeneration

Acute closed-angle glaucoma

Chronic open-angle glaucoma

Question 5.

5. A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of

cigarettes per day since age 16. This would be recorded in the chart as: (Points : 2)

50 2-pack years

100-pack years

50-year, 2-pack history

100-pack history

Question 6.

6. When teaching a group of older adults regarding prevention of gastroesophageal reflu disease symptoms, the nurse practitioner will include

which of the following instructions? (Points : 2)

Raise the head of the bed with pillows at night and chew peppermints when symptoms of heartburn begins.

Raise the head of the bed on blocks and take the proton pump inhibitor medication at bedtime.

Sit up for an hour after taking any medication and restrict fluid intake.

Avoid food intolerances, raise head of bed on blocks, and take a proton pump inhibitor before a meal.

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Question 7.

7. A 56-year-old male complains of anoreia, changes in bowel habits, etreme fatigue, and unintentional weight loss. At times he is constipated

and other times he has episodes of diarrhea. His physical eamination is unremarkable. It is important for the clinician to recognize the

importance of: (Points : 2)

CBC with differential

Stool culture and sensitivity

Abdominal -ray

Colonoscopy

Question 8.

8. Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-sided shoulder pain. Pain begins

after strenuous activity, including walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago,

intermittent, aggravated by eercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely

affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal

heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be most likely? (Points : 2) South University NRSG6420 mid term

Musculoskeletal chest wall syndrome with radiation

Esophageal motor disorder with radiation

Acute cholecystitis with cholelithiasis

Coronary artery disease with angina pectoris

Question 9.

9. A common auscultatory finding in advanced CHF is: (Points : 2)

Systolic ejection murmur

S3 gallop rhythm

Friction rub

Bradycardia

Question 10.

10. Which of the following symptoms is common with acute otitis media? (Points : 2)

Bulging tympanic membrane

Bright light refle of tympanic membrane

Increased tympanic membrane mobility

All of the above

Question 11.

11. Rheumatic heart disease is a complication that can arise from which type of infection? (Points : 2)

Epstein-Barr virus

Diphtheria

Group A beta hemolytic streptococcus

Streptococcus pneumoniae

Question 12.

12. In eamining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has

been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? (Points : 2)

Fictional keratosis

Keratoacanthoma

Lichen planus

Leukoplakia

Question 13.

13. Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, midsternal chest pain and generalized

fatigue for the past two days. She denies any cough or sputum production. She states that when she takes Ibuprofen and rest that the chest

pain does seem to ease off. Upon eamination the patient presents looking very ill. She is leaning forward and states that this is the most

comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lung

sounds are clear. With these presenting symptoms your initial diagnosis would be: (Points : 2)

Mitral Valve Prolapse

Referred Pain from Cholecystitis

Pericarditis

Pulmonary Embolus

Question 14.

14. Which of the following findings should trigger an urgent referral to a cardiologist or neurologist? (Points : 2)

History of bright flash of light followed by significantly blurred vision

History of transient and painless monocular loss of vision

History of monocular severe eye pain, blurred vision, and ciliary flush

All of the above

Question 15.

15. Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse

practitioner plan for a patient who has a positive Helicobacter pylori test? (Points : 2)

It is highly contagious and a mask should be worn at home.

Treatment regimen is multiple lifetime medications.

Treatment regimen is multiple medications taken daily for a few weeks.

Treatment regimen is complicated and is not indicated unless the patient is symptomatic.

Question 16.

16. The best evidence rating drugs to consider in a post myocardial infarction patient include: (Points : 2)

ASA, ACE/ARB, beta-blocker, aldosterone blockade

ACE, ARB, Calcium channel blocker, ASA

Long-acting nitrates, warfarin, ACE, and ARB

ASA, clopidogrel, nitrates

Question 17.

17. The most common cause of eye redness is: (Points : 2)

Conjunctivitis

Acute glaucoma

Head trauma

Corneal abrasion

Question 18.

18. A specific eam used to evaluate the gall bladder is: (Points : 2)

Psoas sign

Obturator sign

Cullens sign

Murphy’s sign

Question 19.

19. An 82-year-old female presents to the emergency department with epigastric pain and weakness. She admits to having dark, tarry

stools for the last few days. She reports a long history of pain due to osteoarthritis. She self-medicates daily with ibuprofen, naprosyn, and

aspirin for joint pain. On physical eamination, she has orthostatic hypotension and pallor. Fecal occult blood test is positive. A likely etiology

of the patient’s problem is: (Points : 2)

Mallory-Weiss tear

Esophageal varices

Gastric ulcer

Colon cancer

Question 20.

20. Which of the following is not a contributing factor to the development of esophagitis in older adults? (Points : 2)

Increased gastric emptying time

Regular ingestion of NSAIDs

Decreased salivation

Fungal infections such as Candida

Question 21.

21. Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent,

daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the

same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? (Points : 2)

Seasonal allergies

Acute bronchitis

Bronchial asthma

Chronic bronchitis

Question 22.

22. A 59-year-old patient with history of alcohol abuse comes to your office because of ‘throwing up blood”. On physical eamination, you note

ascites and caput medusa. A likely cause for the hematemesis is: (Points : 2)

Peptic ulcer disease

Barrett’s esophagus

Esophageal varices

Pancreatitis

Question 23.

23. Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain that can last 4-6 hours or less,

often radiates to the back (classically under the right shoulder blade) and is often accompanied by nausea or vomiting and often follows a

heavy, fatty meal. (Points : 2)

Acute pancreatitis

Duodenal ulcer

Biliary colic

Cholecystitis

Question 24.

24. Mr. A presents to your office complaining of chest pain, mid-sternal and radiating to his back. He was mowing his lawn. He reports the pain

lasting for about 8 minutes and went away after sitting down. What is his most likely diagnosis based on his presenting symptoms? (Points : 2) South University NRSG6420 mid term

Acute MI

GERD

Pneumonia

Angina

Question 25.

25. In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in

diagnosing ACD and IDA? (Points : 2)

Serum iron

Total iron binding capacity

Transferrin saturation

Serum ferritin

Question 26.

26. If it has been determined a patient has esophageal reflu, you should tell them: (Points : 2)

They probably have a hiatal hernia causing reflu

They probably need surgery

They should avoid all fruit juices

Smoking, alcohol, and caffeine can aggravate their problem

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Question 27.

27. Which of the following imaging studies should be considered if a pulmonary malignancy is suspected? (Points : 2)

Computed tomography (CT) scan

Chest -ray with PA, lateral, and lordotic views

Ultrasound

Positron emission tomography (PET) scan

Question 28.

28. 2. (*There are multiple questions on this eam related to the following scenario. Be sure to read the whole way through to the question.)

Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of

significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,

was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His

pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore

denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor

genitourinary symptoms.

When all lab work is returned within normal limits, what is the most practical imaging study to order, considering cost, availability, and sensitivity?

(Points : 2)

Abdominal upright and flat plate -ray

Abdominal MRI

Abdominal CT scan with contrast

Abdominal ultrasound

Question 29.

29. Emphysematous changes in the lungs produce the following characteristic in COPD patients? (Points : 2)

Asymmetric chest epansion

Increased lateral diameter

Increased anterior-posterior diameter

Pectus ecavatum

Question 30.

30. (*There are multiple questions on this eam related to the following scenario. Be sure to read the whole way through to the question.)

Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset

of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,

was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain

seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore

denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor

genitourinary symptoms.

The chosen imaging study reveals: “GB normal in size without wall-thickening, but with 5-6 stones with shadowing. Common bile duct not

dilated. Liver is homogenous and normal in size. Pancreas and kidneys are normal.” What is the most effective therapeutic/management

option at this point? (Points : 2)

Trial of ursodiol

‘Watchful waiting’

Surgical consult

HIDA scan

Question 31.

31. A 26-year-old, non-smoker, male presented to your clinic with SOB with eertion. This could be due to: (Points : 2)

Eercise-induced cough

Bronchiectasis

Alpha-1 deficiency

Pericarditis

Question 32.

32. (*There are multiple questions on this eam related to this scenario. Be sure to read the whole way through to the question.)

Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset

of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,

was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His

pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore

denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor

genitourinary symptoms.

Of the following lab studies, which would provide little help in determining your differential diagnosis? (Points : 2)

Abdominal plain films

Liver function tests

Amylase/lipase

Urinalysis

Question 33.

33. A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain, which has been worsening over the

last 24 hours. On eamination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician

should recognize the importance of: (Points : 2)

Digital rectal eamination

Endoscopy

Pelvic eamination

Urinalysis

Question 34.

34. A nurse practitioner reports that your patient’s abdominal -ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic

finding found in: (Points : 2)

Appendicitis

Cholecystitis

Bowel Obstruction

Diverticulitis

Question 35.

35. Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of hoarseness that has developed over

the last few months. It is important to eclude the possibility of: (Points : 2)

Thrush

Laryngeal cancer

Carotidynia

Thyroiditis

Question 36.

36. Functional abilities are best assessed by: (Points : 2)

Self-report of function

Observed assessment of function

A comprehensive head-to-toe eamination

Family report of function

Question 37.

37. Essential parts of a health history include all of the following ecept: (Points : 2)

Chief complaint

History of the present illness

Current vital signs

All of the above are essential history components

Question 38.

38. An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid

malfunction, this condition is often due to: (Points : 2)

Acoustic neuroma

Cerumen impaction

Otitis media

Ménière’s disease

Question 39.

39. Upon assessment of respiratory ecursion, the clinician notes asymmetric epansion of the chest. One side epands greater than the other. South University NRSG6420 mid term

This could be due to: (Points : 2)

Pneumothora

Pleural effusion

Pneumonia

Pulmonary embolism

Question 40.

40. When interpreting laboratory data, you would epect to see the following in a patient with Anemia of Chronic Disease (ACD): (Points : 2)

Hemoglobin <12 g/dl, MCV decreased, MCH decreased

Hemoglobin >12 g/dl, MCV increased, MCH increased

Hemoglobin <12 g/dl, MCV normal, MCH normal

Hemoglobin >12 g/dl, MCV decreased, MCH increased