Monthly Archives: May 2023

Go to the NINR website: https://www.ninr.nih.gov and identify the four current priorities for nursing research under NURSING RESEARCH DEVELOPS KNOWLEDGE TO…. Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? Describe how these research initiatives can be translated into evidence-based practice in your work environment.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook

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.

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 750-1,000 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

  I NEED A RESPONSE FOR THE 2 SOAP NOTES (1 IS BELOW THE OTHER ONE IS ATTACHED). It is not another soap note, it is a response to the peer who did the soap note

PATIENT INFORMATION

Name: Mrs.: M.B.

Age: 44-year-old

Sex: Female

Source: Patient

Allergies: None

Current Medications: Ibuprofen 400 mg, I tab when feels pain

PMH: Denies any disease.

Immunizations: Influenza this September 2019

Surgical History: None

Family History: Father- alive 66 years old, healthy

Mother-alive, 67 years old, Asthma

Daughter-alive, 15 years old, healthy

Social Hx: Smoking history, 2 packs a day, occasional alcoholic beverage consumption on social celebrations.

SUBJECTIVE:

Chief complain: “I have painful periods and pain following sexual intercourse”.

Symptom analysis/HPI:

The patient is 44 years old female hispanic, who complaining of painful periods and she also refers pain following sexual intercourse. She experiences occasional heavy menstrual periods and bleeding between periods. The symptoms starting 4 months ago, now are worse. The patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. Denies any past medical condition.

ROS:

CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss.

HEENT: HEAD: Denies any head injury or change in LOC. Eyes: Denies any changes in

vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or

drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain,

hoarseness, difficulty swallowing.

Respiratory: Patient denies shortness of breath, cough or hemoptysis.

Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal

dyspnea.

Gastrointestinal: Denies abdominal pain or discomfort. Denies flatulence, nausea,

vomiting or diarrhea.

Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies

difficulty starting/stopping stream of urine or incontinence.

MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping

sound.

Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.

NEUROLOGIC: Denies headache, dizziness or changes in LOC. Denies history of

tremors or seizures.

Objective Data

CONSTITUTIONAL:

Vital signs:

Temperature: 97 °F,

Pulse: 66 x min.

BP: 130/80 mmhg.

RR 18 x min.

PO2-98 % on room air.

Ht- 5’5”

Wt 162 pns

BMI 22.5 m2.

Report pain 0/10.

General appearance: The patient is alert and oriented x 3. No acute distress noted.

HEENT: Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no

tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye

movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema,

or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary

sinuses no tenderness. Nasal mucosa moist without bleeding. Oral mucosa moist without lesions.

Lids non-remarkable and appropriate for race.

Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid

swelling or masses.

Cardiovascular: S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary

refill < 2 sec.

Respiratory: No dyspnea or use of accessory muscles observed. No egophony, whispered

pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on

auscultation.

Gastrointestinal: No mass or hernia observed. Upon auscultation, bowel sounds present in

all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding,

no rebound no distention or organomegaly noted on palpation

Musculoskeletal: No pain to palpation. Active and passive ROM within normal limits, no

stiffness.

Integumentary: intact, no lesions or rashes, no cyanosis or jaundice.

Gynecologic exam: During a pelvic exam, no abnormalities such as cysts in the

reproductive organs or scars behind the uterus were found.

NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time.

Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.

Assessment:

ICD 10: N80.9; Endometriosis based in the patient’s symptoms. I order some tests to rule

out other conditions. Chronic inflammatory condition defined by endometrial stroma and glands

found outside of the uterine cavity. The most common sites affected are the pelvic peritoneum

and ovaries. May present incidentally in asymptomatic patients, or more commonly in women of

reproductive age who complain of chronic pelvic pain and/or subfertility. Clinical suspicion is

generally sufficient to initiate therapy, but the diagnosis can only be confirmed by direct

visualization and focused biopsies during laparoscopy.

ICD 10: Z12.4; Encounter for screening for malignant neoplasm of cervix.

Differential diagnosis:

ICD 10: N80.0; Adenomyosis; Symptoms may be identical to those of endometriosis.

Preoperative MRI findings may show diffuse or focal widening of the junctional zone (inner

myometrium), islands of endometrial tissue or cystic dilation of glands or hemorrhage, linear

striations radiating out from the endometrium into the myometrium, mass within the

myometrium (adenomyoma). Laparoscopy may reveal a normal pelvis or concurrent

endometriosis. Histopathologic evaluation of the uterus after hysterectomy shows endometrial

glands/stroma in the myometrium.

ICD 10: N30.10; Interstitial cystitis; Symptoms primarily localized to the bladder, such as

urinary frequency and urgency. Patients complain of pain with a full bladder that is relieved upon

voiding. Diffuse chronic pain and dyspareunia are common and often indistinguishable from

endometriosis.

ICD 10: Ovarian cyst (benign); May be asymptomatic with an incidental pelvic mass or

present with acute rather than chronic pain, such as in the case of hemorrhagic cysts.

Plan

Laboratory Exam:

Ultrasound. To identify cysts associated with endometriosis (endometriomas).

Magnetic resonance imaging (MRI). To obtain a detailed information about the location

and size of endometrial implants.

Pharmacological treatment:

Ibuprofen (500 mg) 1 tablet 4 times a day if you feel pain

Elagolix (Orilissa) – 1 tablet taken twice daily

Non-Pharmacologic treatment:

If the pain persists you can try measures at home to relieve the discomfort taking warm

baths and a heating pad, helping relax pelvic muscles and reducing cramping and pain.

Follow-ups/Referrals

Follow up: in 2 weeks to evaluate current treatment.

Referrals No needed at this time.

NUR 513 Week 6 quiz

NURS513 Week 6 APA, CU Library Resources, and Scholarly Research

Question

The correct way to present the information for a book title
in an APA reference page is:

Robbins, S. P., & Judge, T. A. (2010). Essentials of
organizational behavior (10th ed.). Danvers, MA: Prentice Hall.

Robbins, S. P., & Judge, T. A. (2010). Essentials of
Organizational Behavior (10th ed.). Danvers, MA: Prentice Hall.

Robbins, S. P., et al. (2010). Essentials of Organizational
Behavior (10th edition). Danvers, MA: Prentice Hall.

Robbins, S. P., & Judge, T. A. (2010). Essentials of
Organizational Behavior (10th edition). Danvers, MA: Prentice Hall.

2

Where can you find APA resources in the GCU Library’s
Nursing & Health Sciences Library Guide?

Find Books

Agencies & Associations

Citing Sources

Contact the Library

3

Use the “Find Journals by Title” function to find
the 2014 Nurse Leader article “Using Evidence-Based Advocacy to Improve
the Nation’s Health.” According to the article abstract, which
organization uses evidence-based advocacy to “positively impact the nation’s
health and advance the nursing profession”?

American Academy of Nursing

Commission on Collegiate Nursing Education

Arizona Academy of Nursing

American Nurses Association

4

Caldwell and Hayes published an excellent paper in the 2007
issue of the Journal of Management Development and you would like to summarize
a claim from this resource. Which of the following represents the correct APA
in-text citation format?

Great leaders achieve their success because they understand
who they are.

Great leaders achieve their success because they understand
who they are (Journal of Management Development, 2007).

Great leaders achieve their success because they understand
who they are (2007).

Great leaders achieve their success because they understand
who they are (Caldwell & Hayes, 2007).

5

On page 263 of Caldwell and Hayes’ paper published in 2007,
they talked about some ideas they took from Likert’s work. This is the original
excerpt from their paper: “Relationship development behaviors encompass a
people-centered focus on leadership (Likert, 1961).” Which of the below
best represents how this sentence should be quoted in an APA-formatted student
paper?

“Relationship development behaviors encompass a
people-centered focus on leadership (Likert, 1961)”.

“Relationship development behaviors encompass a
people-centered focus on leadership” (Caldwell & Hayes, 2007).

“Relationship development behaviors encompass a
people-centered focus on leadership” (Likert, 1961, p. 263).

“Relationship development behaviors encompass a
people-centered focus on leadership” (Likert as cited in Caldwell &
Hayes, 2007, p. 263).

6

When a reference material has three or more authors (for
example, a 2008 article by Smith, Jones, and Johnson):

Use (Smith, Jones, & Johnson, 2008) in-text.

Use (Smith et al., 2008) all the time in the paper and on
the reference list.

Use (Smith et al., 2008) all the time in the paper, but list
all of the authors on the reference list Smith, Jones, & Johnson, 2008).

Use all the authors on the reference list: Smith, A., Jones,
F., & Johnson, J. (2008). Use all the authors when citing for the first
time in the body of the paper (Smith, Jones, & Johnson, 2008). After that,
you can use (Smith et al., 2008) in the body of the paper.

7

The Nursing & Health Science LibGuides page does not
offer which of the following resources?

A list of prescreened articles that are perfectly
appropriate for every assignment

Recommended databases for subject-specific article searches

A printable resource guide with quick tips for conducting
research

Contact information for the LibGuides’ Librarian

8

You are writing an essay and would like to direct the reader
to a specific article. The article is in the 86th volume of Journal of
Counseling and Development, written by Glenn W. Lambie, Shari M. Sias, Keith M.
Davis, Gerald Lawson, and Patrick Akos. It was called “A Scholarly Writing
Resource for Counselor Educators and Their Students.” It is an article
that came out in the Winter 2008 issue (the journal’s first issue of that
year), on pages 18-25. The information in the article should be presented on
the reference page as:

Lambie, G. et al. (2008). A Scholarly Writing Resource for
Counselor Educators and Their Students. Journal of Counseling and Development,
86(1), 18-25.

Lambie, Glenn W., Sias, Shari M., Davis, Keith, Lawson,
Gerald, & Akos, Patrick (2008). A Scholarly Writing Resource for Counselor
Educators and Their Students. Journal of Counseling and Development, 86(1),
18-25.

Lambie, G., Sias, S. M., Davis, K. M., Lawson, G., &
Akos, P. (2008). A Scholarly Writing Resource for Counselor Educators and Their
Students. Journal of Counseling and Development, 86(1), 18-25.

Lambie, G., Sias, S. M., Davis, K. M., Lawson, G., &
Akos, P. (2008). A scholarly writing resource for counselor educators and their
students. Journal of Counseling and Development, 86(1), 18-25.

9

Use the GCU Library to find a peer-reviewed article specific
to iodine deficiency in rural Australia. The article must be from 2010 or later
and should include considerations about regional and national health policy.
What are the findings of the article?

Australia’s national bread fortification program failed to
address iodine deficiencies within pregnant women in one region.

Australia’s iodine supplement policy, a national bread
fortification program, is unlikely to be successful.

Searching electronic results may not be sufficient for
formulating a national health policy or interventions.

All answers are true.

10

Which of the following is a correct APA in-text citation,
assuming it is the first time an author is cited in the paragraph:

The traits studied included physical stature, appearance,
social class, emotional stability, fluency of speech, and sociability
(Northouse, 2004).

The traits studied included physical stature, appearance,
social class, emotional stability, fluency of speech, and sociability (2004).

The traits studied included physical stature, appearance,
social class, emotional stability, fluency of speech, and sociability
(Northouse).

The traits studied included physical stature, appearance,
social class, emotional stability, fluency of speech, and sociability
(Northouse, P. G., 2004).

11

When creating an APA reference list:

You should include anything you read, even if you did not
cite it in the paper, to be sure you listed enough references.

You should include anything cited within the materials you
read.

You should include only those materials cited in your paper,
and double check that any ideas taken from reading other people’s work were
cited.

You should include some good articles that are related to
your paper, which the reader should access if they have time.

12

You want to supplement a paper with evidence-based research
about complementary practices. Which database would be a good place to start
your research?

Cochrane Library

Joanna Briggs Institute EBP

Natural Standard

PubMed

13

Access ProQuest Health and Medical Complete and search for
the 2014 article “Core Communication Competencies in Patient-Centered
Care.” According to the article, health literacy is a tool used in which
of the following?

Health promotion

Management of chronic illness

Quality of life

All answers are true.

14

A hanging indent on the reference page means:

The first line of a reference is indented 0.5″, and all
remaining lines of the same reference are at the left margin.

All of lines in a reference are at the left margin.

The first line of a reference is at the left margin, and all
remaining lines of the same reference are indented 0.5″.

As long as all the information is there, it does not matter
how it is typed on the reference page.

15

Use the CINAHL Complete database to search for articles
about adolescent development and spirituality. Select the article about
wellness and nursing which includes a comparison of an “Ideal State of
Wellness” and those of adolescents. Select the answer that best represents
findings of the wellness survey described in the article.

Spirituality contributes the most to adolescent wellness.

Adolescents in the study saw wellness as a multidimensional
concept, encompassing factors like healthy relationships, emotional stability,
and spirituality.

To improve adolescent wellness, nurses can take strategies
that focus on psychological factors and social media awareness.

The guiding framework for the study involved intellectual,
physical, psychological, social, and spiritual factors.

16

You are interested in reviewing past capstones that include
health literacy. After accessing the GCU Library Catalog (LopeCat), how do you
find these resources?

Search for “capstones”

Search for “health literacy capstones”

Search for “health literacy” and in the Refine by
search bar, select GCU Nursing Capstones

Search for “health literacy” and in the Refine by
search bar, enter “capstone” as an additional term

17

While conducting research about prostate cancer
interventions you read about a drug called Abarelix. Which specific Library
resource could you use to find out more information about clinical trials?

The Cochrane Library

Institute of Medicine

Natural Standard

None of these databases include clinical trials.

18

If you have two articles written by Jeff Smith in 2004 cited
in your paper and on your reference list:

You do not have to do anything else.

Both in-text and on the reference list, you should put
letters after the year to tell them apart (e.g., Smith, 2004a and Smith,
2004b).

You should use the titles in the in-text citation to
differentiate between the two.

You should use the first name spelled out on one of them so
the reader can see the difference.

19

Which of the following is not one of the Evidence-Based
Practice databases available through the GCU Library’s Nursing & Health
Sciences Library Guide?

Cochrane Library

Joanna Briggs Institute EBP

Institute of Medicine

American Health Care Association: Trends and Statistics

20

What resource would benefit students who want to receive
notifications when new research is available?

Ask a Librarian, available on the Library’s main page

Citing Sources, available at the Tutorials section of the
Library

Creating Search Alerts, available at the Tutorials section
of the Library

Interlibrary Loans, available on the Library’s main page

21

Students searching for “objective, detailed information
on clinical practice guidelines” would utilize which of the following
databases?

AHRQ: EPC Evidence Based Reports

CINAHL Complete

Institute of Medicine

National Guidelines Clearinghouse

22

Which of the following are correct formats for an APA paper:

Single spaced, 10 pt. font, with 1.0″ margins

Double spaced paper, 12 pt. font, centered text

1.0″ margins, double spaced paper, Calibri font

Times New Roman font, double spaced, 12 pt. font

23

Caldwell and Hayes published an excellent paper in the 2007
issue of the Journal of Management Development. You would like to directly quote
from page 275. Which of the following represents the correct APA in-text
citation format?

“The study shows that the actions of leaders in the
areas of image management and relationship development impact employees’
perceptions of trustworthiness” (page 275).

“The study shows that the actions of leaders in the
areas of image management and relationship development impact employees’
perceptions of trustworthiness” (Caldwell & Hayes, 2007, p. 275).

“The study shows that the actions of leaders in the
areas of image management and relationship development impact employees’
perceptions of trustworthiness” (2007).

Caldwell and Hayes said that the study shows that the
actions of leaders in the areas of image management and relationship
development impact employees’ perceptions of trustworthiness.

24

Which of the following is NOT a Boolean operator for an
EBSCO search?

And

Not

But

Or

25

Which of the following is most correct for a direct quote
(using APA format):

Integrity is the quality of honesty and trustworthiness
(Northouse, 2005).

“Integrity is the quality of honesty and
trustworthiness” (Northouse, 2005, p. 21).

“Integrity is the quality of honesty and
trustworthiness” (Northouse, 2005).

Integrity is the quality of honesty and trustworthiness
(Northouse, 2005, p. 21).

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M1: Lesson 3 – Discussion

1. Create an original posting with a minimum of 250-300 words.
2. Back up your arguments with reliable evidence.

The Research Process

Instructions:

1. Read an article published recently(less than 5 years) on a topic of your interest.
2. Provide the citation and a written summary of your answers to the following questions:
   1. What is the research problem?
   2. What is the purpose statement?
   3. What were the initial hypotheses for this study?
   4. What was the study design?
   5. Where the hypotheses rejected or accepted?
   6. What was the overall conclusion of this paper?

Instructions from my professor:

“List a local or national labor and health care policy that nurses can develop to improve the health of farmworkers rural communities?”(Chap. 24).

NOTE: 1-Use APA 7edition format.

            2-class’ textbook: Mason, D.J., Dickson, E; McLemore, M. R & Perez, G. A. (2021). 

                                        Policy & Politics in Nursing and Health Care (8th Edition).

          3-chapter 24 is attached.

         4- becareful with plagiarism, they use turn it in.

        5- use class’ textbook and some other biographies as references

Title: Professional Advocacy through Association Membership

Paper type Essay

Paper format APA

Course level Master

Subject Area Nursing

# pages 3   ( or 900 words Minimum)

Spacing Double Spacing

# sources 4

Paper Details

Professional Advocacy through Association Membership

Professional advocacy is about supporting the interests of one’s profession. Professional associations advocate for their members by uniting as a single voice and taking action to advance or remove barriers to the profession. Nurse practitioners (NPs) unite in member-created associations and organizations at many different levels: local, state, national, and international. They unite as specialty groups to further the goals or interests of their profession. Each of these organizations has a purpose or mission, membership benefits, and role in professional advocacy. While individually the NP may be able to contact a legislator on an issue of concern, a professional organization has the collective power of being able to be heard in numbers. These organizations are poised to take the course of action needed to influence the stakeholders. Just as these groups take action to make change, individual NPs must take action to promote their own professional interests and causes. One of the best ways a professional can support their profession is by joining an association or organization.

Directions

In a 3–5 page paper address the following:

Join a NP association at the local, state, national or international level. (join as a student) I HAVE ALREADY JOINED AANP

Discuss the mission and vision of this organization.

Describe the requirements for membership.

Explain at least five benefits to belonging to this organization.

Demonstrate understanding of the advocacy efforts of this organization by answering the following:

What are the current key issues of concern (name at least three)?

What actions are being taken by this organization to address these concerns?

What current legislative efforts are being done by this organization in one of the following areas:

expanding the NP scope of practice

NP regulation of practice

Healthcare policy

Payment issues

Prescriptive privileges

Reflect on how your membership to this organization can promote the NP profession.

Please let me know what else you need and I also included the criteria for the work as well.

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.    According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.    Does he need medication(s) given his history of MI?