1) Minimum 5 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 3 pages ( Can write in the firts person)

              Part 2: minimum 1 page

              Part 3: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

    Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Nursing and aging (Course reflection)

Purpose :

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.  

Organization:

a. Introduction

b. Course Reflection 

c. Conclusion

Include (Mendatory):

1. The students will identify the physiological process of aging. 

2. The students will be able to differentiate the adaptative human response to the aging process. 

3. The student will be able to manage and care older adults and their families.  

4.. Implement holistic, patient centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health illness continuum, across the lifespan, and in all healthcare settings. 

5. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network. 

6. Deliver compassionate, patient centered, evidence-based care that respects patient and family preferences.  

Part 2: Physiology 1

1. Describe the pathophysiology, clinical manifestations, evaluation, and treatment of tuberculosis or pneumonia.

Part 3: Physiology 1

1. Describe the stages of chronic kidney disease

2. summarize the pathophysiology, clinical manifestations, evaluation, and treatment of chronic kidney disease

  • Select a recent Health Care Legislature (within 5 years)

 • Literature review regarding issue (3 peer reviewed articles) 

• Statistical data related to issue: population impacted, and health outcome of issue and legislature

 • Nursing role in passing the legislature

 • APA Format

 • References within 5 years

 • 5-Page Maximum 

Case Study:

42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.

Please respond only to the prompts or questions relating to this case. For example, the anemia prompts do not correlate with this case.

Reading Material

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

·  Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review

· Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review

·  Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review

·  Chapter 27: Sexually Transmitted Infections, including Summary Review

·   Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review

· Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review

· Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review

Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challenges. PLoS Medicine, (12), e1002481

An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. 

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. 

Assignment ( 2-pages case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• The factors that affect      fertility (STDs).
• Why inflammatory markers      rise in STD/PID.
• Why prostatitis and      infection happens. Also explain the causes of systemic reaction.
• Why a patient would need a      splenectomy after a diagnosis of ITP.
• Anemia and the different      kinds of anemia (i.e., micro and macrocytic).

1- Discussion Question: Read a qualitative nursing study. If a different investigator had gone into the field to study the same problem, how likely is it that the conclusions would have been the same? How transferable are the research findings? 

2- 3 paragraphs 3 sentences each

3- APA style

4- 2 references

Patient Preferences and Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

 Lance Maddox RE: Discussion – Week 9COLLAPSE

Nurses can lead their role as nurse manger and nurse advocate in policy review. They can find that they are assets in the policy process. Nurses are the backbone of the hospital hence they have more authority to create, modify or remove polices. “Nurses are essential to the health care industry and maintaining quality nursing care is a primary concern of today’s health care managers” (Nejati, Shepley & Rodiek, 2016).  Challenges for them are created by other professionals or committee teams of the hospital. Sometimes the other professional has the leading role in policy review. If the nurse dose not have the leading role their suggestions maybe discounted, and they lose the ability to finalize decisions. Both of which are challenges.

To overcome these challenges, nurses must struggle to have a definitive position in the committee. To make the decision with a stronger foundation, the nurse may conduct periodic meetings among the committee and discuss the chances and opportunities available.  “…policy initiatives and professional organization position statements that hospital and nursing administrators should be familiar with to respond effectively to public and policy-maker concerns…” (Monroe, Vandoren, Smith, Cole & Kenaga, 2011).  It is important to be aware of opportunities and limitations. Also, they should be aware of any legal updates. By getting updated, they know their chances. They can lift their professional standards. Conferences, seminars, and classes are the strategies that could be used as a mode of communication to address the existence of opportunities.

Example:

Policy review for recruitment of staff and managing the shift duties for nurses. “The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses” (Taewha, Kyeong, Yu, Sung-Hyun & Eun-Young, 2014).  In these situations, nurses have more responsibility in dealing with the policy. Nurses know how and where to recruit other nurses and the areas to appoint them. Nurses are the ones knowledgeable about the problems of managing shift duties, hence should take the lead role in policy review.

Reference

Monroe, T., Vandoren, M., Smith, L., Cole, J., & Kenaga, H. (2011). Nurses Recovering from Substance Use Disorders: A Review of Policies and Position Statements. Journal of Nursing Administration, 41(10), 415–421. https://doi-org.ezp.waldenulibrary.org/10.1097/NNA.0b013e31822edd5f

Nejati, A., Shepley, M., & Rodiek, S. (2016). A Review of Design and Policy Interventions to Promote Nurses’ Restorative Breaks in Health Care Workplaces. Workplace Health & Safety, 64(2), 70–77. https://doi-org.ezp.waldenulibrary.org/10.1177/2165079915612097

Taewha Lee, Kyeong Hwa Kang, Yu Kyung Ko, Sung-Hyun Cho, & Eun-Young Kim. (2014). Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication. Journal of Korean Academy of Nursing Administration, 20(1), 106–116. https://doi-org.ezp.waldenulibrary.org/10.11111/jkana.2014.20.1.106

1. The nurse cares for a toddler diagnosed with immune thrombocytopenia purport. The child’s platelet count is 52,000/mm (52 x 10). The nurse prepares a care plan for the child. Which nursing diagnosis is most appropriate for this child?
2. Fatigue related to elevated platelet count. 
3. Risk for injury related to low platelet count. 
4. Risk for activity intolerance related to need for rest.
5. Impaired Physical mobility related to need for physical therapy.

2. The client takes heparin 12, 000 units daily by subcutaneous injection. Today’s aPTT level is  45 seconds. Which action does the nurse take first?

1. Nothing as this is a normal a PTT level
2. Notifies the health care provider to decrease the dosage.
3. Changes the route from subcutaneous to intramuscular.
4. Notifies the health care provider to increase the dosage.

3. The client is the single parent of the 2 week old baby, the firstborn child. The client had considered terminating the pregnancy but continued the pregnancy. There is little client family support. The client has a history of an editing disorder. The nurse knows which nursing diagnosis is most important for the client?

1. Risk for impaired attachment related to lack of knowledge of child care.
2. Situational Low Self-Esteem related to body changes of childbirth. 
3. Risk for ineffective coping related to postpartum depression. 
4. Disturbed sleep Pattern related to care of infant at night.

4.A nurse provides care for the newborn in the delivery area. The baby is breathing and crying well with good color. The nurse knows which priority is next?

1. Prevent cold stress.
2. Record Apgar. 
3. Initiate physical assessment.
4. Begin bonding with parents. 

5. The nurse care for the adolescent diagnosed with acquired aplastic anemia. The diagnosis is related to the practice of huffing substances with benzene. Which goal is the most important for this client during immunosuppression?

1. Will have increased production of red blood cells.
2. Will manage pain related to growth factor injections. 
3. Will cope with probability of death from disease. 
4. Will verbalize feelings about lack of bone marrow donor.

6. The nurse is preparing to insert an indwelling urinary catheter. Prioritize the order of steps..

From start to finish. All options must be used.

Unordered options

1. Lubricate tip of the catheter.
2. Drape the client 
3. Insert the catheter 
4. Put on sterile gloves
5. Cleanse the meatus 

7.The nurse assesses the position of the fetus at the beginning of labor. The nurse feels the fetal occiput toward the left side of the pregnant clients sacrum. How does the nurse interpret thus finding?

1. Right occiput anterior (ROA); fetus is currently in correct position for birth.
2. Left sacrum anterior (LSA); fetus will need to flip end to end prior to birth.
3. Left occiput transverse (LOT); fetus will turn head slightly prior to birth.
4. Left occiput posterior (LOP); fetus will need to burn head prior to birth.

8. A client diagnosed with infective endocarditis is discharged home on IV antibiotic therapy. The nurse knows the client understands the discharge treatment plan when the client makes which statement?

1. “when I get home, I can take of these compression stockings when I am walking.”
2. “I can help care for my grandchildren when they are sick and stay home from school”
3. “I can go back to my job next week and start back traveling”
4. “I will tell my dentist about this illness before having my teeth cleaned.”

9. The client sustained a right hip fracture. The client had surgery to repair the hip. The nurse prepares for the client to return from surgery to the surgical unit. Which equipment is out important for the nurse to have available?

1. Sandbags and pillows 
2. Walker and wheelchair
3. Elevated toilet seat
4. Continuous passive motion machine.

10. The nurse care for the 4 year old child. The parents report the child is irritable and has lost weight. The nurse assesses the child and discovers an irregular heart rate at 18- beats per minute and rest at 24 per min. Which does the nurse do first?

1. Assesses the Childs temperature
2. Notifies the health care provider
3. Tells the parent the child has a heart disorder
4. Asks the child if there is any chest pain

11. The nurse care for a client with as kin rash. The client scratches the rash and the skin starts to bleed. The nurse includes which nursing diagnosis in the clients plan of care?

1. Ineffective health maintenance.
2. Impaired skin integrity 
3. Impaired tissue integrity
4. Risk for bleeding 

12. A nurse in the clinic performs a pregnancy test and tells the couple they are pregnant. They are both excited and appear happy. At the next clinic visit, the client tells the nurse the partner is quiet and withdrawn although seeming initially happy at the news. Which is the best response by the nurse?

1. When the pregnancy is more obvious, the partner will feel better.
2. The changes in their life may be causing the partner anxiety 
3. The clients should be less enthusiastic around the partner
4. The partner should seek psychiatric help for depression. 

13. The Hospitalized client is scheduled for a paracentesis because of ascites. The nurse identifies which client goal related to the procedure?

1. Client will have pain reduced from 10 to 8
2. Client will ave increased peripheral perfusion
3. Client will understand reasons for the medication.
4. Client will have bowel function return to normal.

14. A client reports indigestion that is not relieved with antacids. The client appears pale and ashen and the skin is cool and clammy. Which additional assessment data does the anticipate? (Select all that apply)

1. Temperature above 102 F (38.9 C)
2. Dyspnea
3. Constipation and abdominal pain
4. Extreme thirst and hunger
5. Chest tightness 
6. Pain in the left arm and back

15. A client is 30 weeks pregnant. The delivery will be by cessarean birth due to a breech presentation. Which information does the nurse give the client regarding the delivery? (Select all that apply) 

1. Will have an IV started in the preoperative area.
2. Will plan for epidural anesthesia 
3. Wil be given medication to relax prior to surgery 
4. Will have a full bowel prep
5. Will be admitted the night before surgery
6. Will have an indwelling urinary catheter inserted 

16. The nurse obtains a specimen for arterial blood gasses from a client. Which principles guides the nurse?

1. May use peripheral IV site if no IV fluids present 
2. Continuous intra arterial monitoring is required
3. Air in the syringe will after the blood values
4. Clotted blood will reserve the blood gas values

17. The client takes rifampin and isoniazid for turberculosis. The nurse knows the client understands the teaching about rifampin when which client statement is made?

1. My urine may change color and become bluish.”
2. “Because I have kidney disease, my dose is less than my spouse’s.”
3. “I will need to have liver test done every week.”
4. “I will take my medication 1 hour before I eat.”

18. A parent brings an infant client to the emergency department after the infant fell out of the high chair. The nurse assess the infant for a head injury. Which assessment data indicates the infant needs further testing? (select all that apply)

1. Blurred vision 
2. Difficult to arouse from sleep
3. Severe headache
4. Difficulty speaking 
5. Bulging anterior fontanel
6. Right eye pupil dilated

19. A psychiatrist nurse cares several clients with personally disorders. The nurse recognizes that clients diagnosed with narcissistic personality disorder exhibit which characteristic? (Select all that apply.)

1. Exploitative habaviors 
2. Self-multilating behaviors
3. Grandiosity 
4. Preoccupation with orderliness 
5. Hypersensitivity to criticism 
6. Attention seeking behavior. 

20. The nurse presents a Program on Lyme disease. The nurse determines teaching is needed when a child makes which statement?

1. “I will make sure I get the vaccination for lyme disease this spring”
2. “if I get a tick bite, I will watch for a bullseye rash for up to 30 days”. 
3. “my dog has a new flea and tick collar, and I will check for ticks very day”. 
4. Insect repellent with DEET will help keep ticks from biting me”.

21. A client diagnosed with psoriasis is treated with etanercept. The nurse knows the client understands the disease and treatment when the client makes which statement. 

1. “I will stop the medication when I no longer have any symptoms.”
2. “I Can apply this medication will cure the psoriasis.”
3. “I am so glad this medication will cure the psoriasis”. 
4. “I will take this medication until I come to the clinic again” 

22. The Nurse cares for the 13 year old child diagnosed with vesicoureteral reflux secondary to strictures caused by repeated bladder infections. The child receives continuous low dose antibiotics. The nurse assesses the compliance of treatment. Which questions does the nurse ask the child? 

(Select all that apply)

1. “How much fluid do you drink each day”
2. Are you active in any sports?”
3. “how much sleep do you get at night?”
4. “When do you take your medications”?
5. “What foods do you like best and eat often?”
6. “How often do you void during the day?

23. A client had a myocardial infarction. The nurse teaches the client to seek immediate treatment for which symptoms? (select all that apply)

1. Shortness of breath with cough and nasal drainage.
2. Jaw pain with dyspnea and dizziness. 
3. Heave its photophobia 
4. Chest pain with nausea and vommiting 
5. Abdominal pain with constipation 
6. Chest heaviness with pressure 

TOPIC IS :

 DRUG ADDICTION 

NARCAN USE 

DRUG REHAB

1. Create an infographic teaching tool for the community educational project. View these links on how to create infographics: 
   • https://www.visme.co/make-infographics/
   • http://blog.hubspot.com/blog/tabid/6307/bid/34223/5-Infographics-to-Teach-You-How-to-Easily-Create-Infographics-in-PowerPoint-TEMPLATES.aspx
   • http://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-ht

Submit  an 8 X 11.5 color (one page Word or pdf. document) infographic teaching  tool for your chosen community. Please also submit a reference page in  APA format with at least two references you used as sources for the  information on the infographic.

Chapter 12: Personal Loss: Bereavement and Grief

1. Discuss what is complicated grieving. Mention at least 3 clues for identifying complicated grief reaction. 

no more than 21 % of plagiarism 

• Recently, immunizations have become a major topic in health care at the governmental level. Based on community-level data, you have identified the need to increase immunization rates in the refugee and immigrant population in your community. Whom might you enlist as partners in planning and implementing programs to achieve desired health outcomes at the community level? Why did you select these partners?

1 page including at least 1 rreference not older than 2015