NURS 6512 Week 11 Quiz Answers

1. One of the most important aspects to consider in the orthopedic screening examination is:
2. Which portion of the physical examination is best done with the patient standing?
3. Which patient position facilitates inspection of the chest and shoulders?
4. The least reliable indicator of newborn distress is: 
   Proprioception should be assessed while the patient is:
5. Part of the screening orthopedic component of the examination includes evaluating the person while:
   

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6. To promote your examination time with a cooperative child, your approach to the examination should be to:
7. Palpation of epitrochlear nodes is part of the: NURS 6512 Week 11 Quiz Answers.
8. Throughout the history and physical examination, the clinician should:
9. The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
10. When conducting a geriatric assessment, basic activities of daily living (ADLs) include:
11. At your first meeting with a patient, it is usually best to say:
12. The goals of preparticipation sports evaluation include:
13. The reliability of health-related findings and observations is the responsibility of the:
14. To inspect the abdominal muscles, ask the: NURS 6512 Week 11 Quiz Answers.
15. The sequence of the physical examination should be individualized to:
16. The cranial nerves are usually assessed while the patient is in which position?
17. When a patient has not been compliant with instructions, an examiner should:
18. When conveying bad or distasteful news to the patient and family, it is best to:
19. When interviewing a disabled patient, it is best to speak to: NURS 6512 Week 11 Quiz Answers.

NURS 3151 Foundations of Nursing Research Assignments and Exams

734.3.1: Principles of Leadership – The graduate applies principles of leadership to promote high-quality healthcare in a variety of settings through the application of sound leadership principles.
734.3.2: Interdisciplinary Collaboration – The graduate applies theoretical principles necessary for effective participation in an interdisciplinary team.
734.3.3: Quality and Patient Safety – The graduate applies quality improvement processes intended to achieve optimal healthcare outcomes, contributing to and supporting a culture of safety.
734.3.4: Healthcare Utilization and Finance – The graduate analyzes financial implications related to healthcare delivery, reimbursement, access, and national initiatives.
Introduction:

National initiatives driven by the American Nurses Association have determined nursing-sensitive outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-sensitive indicators:

� Complications such as urinary tract infections, pressure ulcers, hospital acquired pneumonia, and DVT
� Patient falls
� Surgical patient complications, including infection, pulmonary failure, and metabolic derangement
� Length of patient hospital stay
� Restraint prevalence
� Incidence of failure to rescue, which could potentially result in increased morbidity or mortality
� Patient satisfaction
� Nurse satisfaction and staffing

Scenario:

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately. Diagnosis of Mild Dementia Paper.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J�s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, �Oh, that is not anything to worry about. It will go away as soon as he gets up.� The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was �regular, kosher, chopped meat.� The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, �regular, chopped meat.� The tray contained the remains of a chopped pork cutlet.

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The nurse notified the supervisor, who said, �Just keep it quiet. It will be okay.� The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient�s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient�s daughter, �I�m so sorry about the pork cutlet last night.� The daughter asked what had happened and was told that there had been �a mix up in the order.� The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, �Half a pork cutlet never killed anyone.�

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town�s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.

Task:

Analyze the scenario (suggested length of 2�3 pages) by doing the following:

A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care. Diagnosis of Mild Dementia Paper.

B. Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario.

D. When you use sources to support ideas and elements in a paper or project, provide acknowledgement of source information for any content that is quoted, paraphrased or summarized. Acknowledgement of source information includes in-text citation noting specifically where in the submission the source is used and a corresponding reference, which includes:
� Author
� Date
� Title
� Location of information (e.g., publisher, journal, or website URL) Diagnosis of Mild Dementia Paper.

For this assessment, you will navigate areas of focus that include professional presence, mindfulness practice, and healing environments. These areas of focus will help you to create a professional presence plan that has both personal and professional application. You will be analyzing your inner world (thoughts, beliefs, and values) and your outer world (activities, relationships, and experiences). Each section of this assessment will gauge how you use and interact with those two worlds. To aid you in understanding your inner and outer worlds, you will take the Keirsey Temperament Sorter-II, an online personality test. With the test’s results, you will better understand your strengths and weaknesses and how you can be an effective individual and leader. Authentic leadership requires as much care and understanding for yourself as for those you will serve and lead. Your professional presence plan will integrate your insights, goals, and beliefs into a coherent whole.

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Requirements:

Note: Be sure to cover each prompt in sufficient detail and support.
A. Professional Presence

1. Discuss with substantial details the differences between two models of health and healing (e.g., physical body, body-mind, body-mind-spirit/bio-psycho-social,) as they relate to what it means to be human. Keirsey Temperament Personality Test

2. Provide plausible analysis, with substantial support, of the differences between one of the models discussed in part A1 and your professional presence (i.e., current beliefs, attitudes, and actions regarding health and healing).

3. Provide logical discussion with details of how your professional presence (mindful or distracted) influences your nursing practice.

B. Personality Preferences

1. Submit your results from the Keirsey Temperament personality test.

(myKeirsey Temperament personality test result indicate that my personality type is that of: Guardian).

For questions 2a and 2b: Please go to Keirsey.com, and under 4 temperaments, read on “Guardian” to help with questions 2a, 2b.

2a. Provide plausible analysis with substantial details of your test results, including areas that may or may not align with how you view yourself.

b. Evaluate how the preferences identified by the test align with your relationships, favorite activities, and career choices.

c. Discuss two potential challenges or barriers (e.g., barriers in communication, decision-making) that could be minimized by your enhanced self-awareness when working with opposite personality types.

C. Mindfulness Practice

1. Develop a mindfulness practice plan consistent with your interests, goals, and beliefs by doing the following:

a. Create two specific goals for each of the four Aspects of your whole person (physical, vital/rhythmic, mental/emotional, and biographical/spiritual body) to maintain balance.

b. Discuss how you will achieve each of the goals created in part C1a, including how you will adjust to the changing of your whole person.

D. Healing Environments

1. Analyze two optimal healing environments in healthcare to identify the common elements of internal, interpersonal, behavioral, and external environments.

2. Discuss how you intend to apply self-awareness and insights gained from part D1 to promote professional presence in your current healthcare setting.

E. When you use sources, include all in-text citations and references in APA format.
Note: When using sources to support ideas and elements in a performance assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the performance assessment.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. Keirsey Temperament Personality Test

New Models for Evidence-Based Practice Essay

NURS 8410 Week 5 Discussion: New Models for Evidence-Based Practice Essay

New Models for Evidence-Based Practice

A professional goal for DNP-prepared nurses is to produce new evidence-based models of care and develop evidence-based guidelines. As you continue to develop and engage in your EBP Assignment, keep this aim in mind. What could help to facilitate the acceptance of new practices?

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As noted in earlier weeks, every specialty area should base practice on research and evidence. For example, in informatics, an informatician who plans to implement a new health information system would be wise to follow a model that research shows has been effective. New Models for Evidence-Based Practice Essay. Similarly, those involved in leadership or management can review change models and theories, exploring current evidence on best practices that produce positive results. For this Discussion, you evaluate evidence-based practice models, change theories, and frameworks that assist with the adoption of new evidence-based practice approaches.

To prepare for New Models for Evidence-Based Practice:

• Reflect on your practicum setting and the use of evidence-based practice models. How are these models used? If they are not used, how might the integration of an evidence-based practice model change practice?
• Review the Rosswurm and Larrabee article presented in the Learning Resources focusing on the model they present for integrating new evidence-based practices.
• Research and locate an evidence-based practice model from nursing or another discipline that could be used in your specialty area to lead a systematic change to evidence-based practice approaches. You may also use a model or framework discussed in your course text, Translation of Evidence Into Nursing and Health Care Practice. New Models for Evidence-Based Practice Essay.
• Consider how using a model for evidence-based practice can facilitate adoption of new approaches to practice.

By Day 3 of New Models for Evidence-Based Practice

Post a cohesive response that addresses the following:

• Discuss the use of evidence-based models in your practicum setting.
• Describe a model for evidence-based practice or change theories and frameworks that you could utilize to facilitate the adoption of new approaches to practice. Substantiate your selection with evidence from the literature.

Read a selection of your colleagues’ postings.

By Day 6 of New Models for Evidence-Based Practice

Respond to two of your colleagues in one or more of the following ways:

• Provide specific feedback on your colleague’s chosen research method and selected evidence-based practice model.
• Suggest another model if appropriate.
• Ask a probing question, substantiated with additional background information, evidence, or research.
• Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library. New Models for Evidence-Based Practice Essay.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

New Models for Evidence-Based Practice Essay