FUNDAMENTAL OF NURSING ASSIGNMENT

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Organization Values Presentation

Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.
  1. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.
  2. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving. Incorporate how system needs and the culture of health may influence the outcomes. How does this relate to health promotion and disease prevention in the larger picture?
  3. Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

Solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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RUA Health History & Physical Assessment

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Cases Study

CASE STUDIES

I- Case Study: Care of the Child in Inpatient and Outpatient Settings

Jordan is 9-year-old male who is a direct admit for observation. He has a history of vomiting and diarrhea for 48 hours.

Subjective Data

  • Nausea and vomiting for 24 hours
  • Has not voided today
  • Unable to tolerate oral fluids

Objective Data

  • Vital signs: T 37.8° C, P 120, R24, BP 110/60
  • Weight: 34 kg
  • Hyperactive bowel sounds to auscultation

1. Question 1

When should the discharge teaching begin for Jordan and his family?

2. Question 2

What is the best way to approach Jordan regarding the IV that has been ordered.

3. Question 3

What would be good distractions for a child of Jordan’s age?

II- Case Study: Pediatric Cancer

Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.

Subjective Data

  • Complains of hurting all over
  • States he feels very tired
  • States he feels dizzy when he stands up

Objective Data

  • Weight 26.1 kg
  • Vital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%
  • Purpural rash on extremities
  • WBC 0.7
  • HGB 3.1
  • Hct 8.5
  • Plt .08
  • ANC 0.1

4. Question 1

Which of Mario’s presenting symptoms must be treated and stabilized before chemotherapy induction?

5. Question 2

What testing is required for a definitive diagnosis of meningitis?

6. Question 3

What should the nurse do in this clinical situation? Prioritize actions.

III-  Case Study: Pediatric Respiratory System

Will is a 4-month-old infant born at 34 weeks of gestation. Will’s mother states that he has not been able to go to day care because he has been coughing with a fever for the past 3 days. She states today he is unable to feed well from the bottle because of nasal secretions.

Subjective Data

  • Mother complains that infant has had cough for 3 days
  • Mother states that infant is having trouble sleeping
  • Not voided in past 6 hours

Objective Data

  • Birth Weight: 1.9 kg
  • Today’s Weight: 5.5 kg
  • Vital Signs: T 38° C, P 186, R 60, BP 90/52, Pulse Oximetry 93%
  • Thick yellow nasal secretions
  • Nasal flaring with moderate intercostal retractions
  • Breath sounds decreased with crackles bilaterally to auscultation

7. Question 1

What risk factors does Will have for contracting bronchiolitis?

8. Question 2

What is the first priority for Will’s treatment?

9. Question 3

What should the nurse do in this clinical situation? Prioritize actions.

IV-  Case Study: Pediatric Gastrointestinal System

Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.

Subjective Data

  1. Mother states infant has been vomiting undigested formula after feedings
  2. Mother states that infant has not had fever or diarrhea
  3. Mother states that infant has had 8 wet diapers in the past 24 hours

Objective Data

  1. Weight 4.8 kg (birth weight 3.5 kg)
  2. Vital signs: T 37.1° C (rectal), P 130, R 30, BP 92/52
  3. Mucous membranes moist, anterior fontanel flat and soft
  4. Awake and alert, lusty cry
  5. Good muscle tone
  6. Olive-sized mass palpated at epigastrium

10. Question 1

What test will be used to diagnose pyloric stenosis?

11. Question 2

What should the nurse do in this clinical situation? Using the case study above, the first prioritization step the nurse would take is ____.

12. Question 3

The second prioritization step the nurse would take is ____.

13. Question 4

The third prioritization step the nurse would take is ____.

14. Question 5

The fourth prioritization step the nurse would take is ____.

15. Question 6

The fifth prioritization step the nurse would take is ____.

16. Question 7

The sixth prioritization step the nurse would take is ____.

17. Question 8

The seventh prioritization step the nurse would take is ____.

18. Question 9

The eighth prioritization step the nurse would take is ____.

V- Case Study: Pediatric Cardiovascular System

Michael is a 7-week-old breastfed infant who presents with a 2-day history of irritability and poor feeding.

Subjective Data

  • Mom states patient has been “fussy” for past 2 days
  • Only feeds for a “few” minutes at a time
  • Breathing heavily and fast for 2 days

Objective Data

  • Weight: 4.8 kg
  • Vital Signs: T 36.8° C, P 250, R 65, BP 84/58
  • Breath sounds clear to auscultation
  • Oxygen Saturation 95%
  • Central capillary refill 4 sec

19. Question 1

What is the treatment for an unstable patient with SVT?

20. Question 2

Decreased cardiac output from prolonged SVT will produce what complication?

21. Question 3

In this clinical situation what should the nurse do? Prioritize actions.

VI-  Case Study: Hematologic System

Liam is an 8-year-old male with a history of hemophilia. Liam presents today with a 1-day history of right elbow pain.

Subjective Data

  • Right elbow pain for 1 day
  • Patient states he hit his right elbow on desk yesterday
  • Patient complains that he cannot move his elbow

Objective Data

  • Weight 31.6 kg
  • Vital sighs: T 37.4° C, P 82, R 20, BP 108/68
  • Rates pain 6 on scale of 10

22. Question 1

How should the nurse respond when Liam’s father explains that they watched and waited to see if Liam needed treatment after his injury?

23. Question 2

Why are neuro checks an important part of Liam’s physical exam?

24. Question 3

What should the nurse do in this clinical situation? Prioritize actions.

VII- Case Study: Common Disorders of the Red Blood Cells

Susan is a 26-year-old G1P0 at 6 weeks of gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1C is 9. She uses glyburide 10 mg PO daily. The physician has switched her to insulin at this time.

1. Question 1

What is the nursing priority at this time?

2. Question 2

What should Susan be taught about insulin needs during pregnancy?

3. Question 3

What additional risk factor does Susan have?

4. Question 4

How should Susan be counseled regarding weight gain in pregnancy?

5. Question 5

What advice can be given to Susan regarding exercise?

VIII-  Case Study: Pediatric Genitourinary System

Lilly is a 3-year-old female who presents with complaints of abdominal pain and fever since yesterday.

Subjective Data

  • Complains of lower abdominal pain
  • Fever for 24 hours
  • Lilly has ‘wet her pants’ despite being recently potty trained

Objective Data

  • Vital signs: T38.5° C, P 114, R 32, BP 104/62
  • Urine positive for WBCs, nitrites, blood

6. Question 1

What risk factors does Lilly have for UTI?

7. Question 2

What might prevent Lilly from a recurring UTI?

8. Question 3

What should the nurse do in this situation? Prioritize actions.

IX-  Case Study: Pediatric Neurologic System

Abby is a 1-year-old female who presents after a reported seizure at day care.

Subjective Data

  • Fever for 1 hour
  • Eating and drinking normally per mother

Objective Data

  • Vital signs: T 40° C, HR 160, R 44, BP 104/68
  • Awake and alert
  • Skin hot to touch, otherwise normal physical examination

9. Question 1

How should the nurse respond to Abby’s mother when she asks if Abby has epilepsy?

10. Question 2

How should the nurse respond to Abby’s mothers question about brain damage?

11. Question 3

In this clinical situation what should the nurse do?

 

 

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Business Writer

 Details:

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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NURS6001 Week 1 Quiz

QUESTION 1

When will you lose access to your completed courses (excluding this Student Readiness Orientation)?

a. Never

b. 30 days after the course end date

c. 60 days after the course end date

d. 120 days after the course end date

1 points Save Answer

QUESTION 2

When you submit an assignment, when should you have the assignment complete by on the day assigned?

a. 11:59 p.m. Mountain Time (MT)—which is 1:59 a.m. Eastern Time (ET) the next day; the time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone

b. 11:59 p.m. Central Time (CT)—which is 10:59 p.m. Mountain Time (MT); the time stamp in the classroom will reflect Mountain Time (MT), regardless of your time zone

c. 11:59 p.m. Eastern Time (ET)—which is 8:59 p.m. Pacific Time (PT); the time stamp in the classroom will reflect Pacific Time (PT), regardless of your time zone

d. 10:59 p.m. Mountain Time (MT)—which is 12:59 a.m. Eastern Time (ET) the next day; the time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone

1 points Save Answer

QUESTION 3

Where in your online course will you find the contact information for your Instructor?

a. Syllabus

b. Student Support

c. Contact the Instructor

1 points Save Answer

QUESTION 4

If you are having trouble accessing your online classroom, what should you do first?

a. Clean your browser’s cookies and cache

b. Check firewall settings

c. Deactivate pop-up blockers

1 points Save Answer

QUESTION 5

In an online course, students can participate in the online classroom and submit assignments whenever it is convenient for them to do so.

True

False

1 points Save Answer

QUESTION 6

In which area will you retrieve written assignments with comments from your instructor?

a. Discussion

b. My Grades area

c. Assignment Link

1 points Save Answer

QUESTION 7

If you have a question about which courses you should register for next term, who should you contact?

a. Student Support Team

b. One of your current instructors

c. Your Academic Advisor

1 points Save Answer

QUESTION 8

As long as you save your work to your home computer’s hard drive, you are safe.

True

False

1 points Save Answer

QUESTION 9

When sending and e-mail to your Instructor or any Walden staff, your e-mail should:

a. Include color stationary as a background

b. USE ALL CAPITAL LETTERS SO THEY KNOW YOUR EMAIL IS IMPORTANT

c. Include your full legal name, your program or course, and your Walden ID Number

1 points Save Answer

QUESTION 10

The online classroom area where you can post an assignment and have your classmates and instructor respond to your ideas is called:

a. My Grades area

b. Discussion

c. Assignment Link

1 points Save Answer

QUESTION 11

Students can always edit their posting in Discussion.

True

False

1 points Save Answer

QUESTION 12

Who should you contact with questions about online classroom technical concerns?

a. Your Instructor

b. Walden Academic Advisor

c. Student Support

d. Program Director

1 points Save Answer

QUESTION 13

Since your online classroom could unexpectedly time out on occasion, what should you do before submitting a long Discussion posting?

a. Type and save the assignment as a word-processed document first.

b. Tell your instructor you are going to submit an assignment.

c. Create a new topic.

d. Call the Student Support Team for help.

1 points

Save Answer

QUESTION 14

Students should avoid referencing Wikipedia as a scholarly resource in their assignments.

True

False

1 points Save Answer

QUESTION 15

Online students are expected to behave with academic integrity and honesty.

True

False

 

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Assessing Client Progress

                  Assignment: Practicum – Assessing Client Progress

To prepare:

· Reflect on the client you selected for the Week 3 Practicum Assignment.

· Review the Cameron and Turtle-Song (2002) article in this week’s Learning

Resources for guidance on writing case notes using the SOAP format.

The Assignment

Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):………THE WEEK 3 ASSIGNMENT IS ATTACHED

· Treatment modality used and efficacy of approach

· Progress and/or lack of progress toward the mutually agreed-upon client goals

(reference the Treatment plan—progress toward goals)

· Modification(s) of the treatment plan that were made based on progress/lack of

progress

· Clinical impressions regarding diagnosis and/or symptoms

· Relevant psychosocial information or changes from original assessment (i.e.,

marriage, separation/divorce, new relationships, move to a new

house/apartment, change of job, etc.)

· Safety issues

· Clinical emergencies/actions taken

· Medications used by the patient (even if the nurse psychotherapist was not the

one prescribing them)

· Treatment compliance/lack of compliance

· Clinical consultations

· Collaboration with other professionals (i.e., phone consultations with physicians,

psychiatrists, marriage/family therapists, etc.)

· Therapist’s recommendations, including whether the client agreed to the

recommendations

· Referrals made/reasons for making referrals

· Termination/issues that are relevant to the termination process (i.e., client

informed of loss of insurance or refusal of insurance company to pay for

continued sessions)

· Issues related to consent and/or informed consent for treatment

· Information concerning child abuse, and/or elder or dependent adult abuse,

including documentation as to where the abuse was reported

· Information reflecting the therapist’s exercise of clinical judgment

                                                     Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 5, “Supportive and Psychodynamic Psychotherapy”      (pp. 238–242)
  • Chapter      9, “Interpersonal Psychotherapy” (pp. 347–368)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Abeles, N., & Koocher, G. P. (2011). Ethics in psychotherapy. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), History of psychotherapy: Continuity and change (pp. 723–740). Washington, DC: American Psychological Association. doi:10.1037/12353-048

Cameron, S., & Turtle-Song, I. (2002). Learning to write case notes using the SOAP format. Journal of Counseling and Development, 80(3), 286–292. Retrieved from the Academic Search Complete database. (Accession No. 7164780)

Nicholson, R. (2002). The dilemma of psychotherapy notes and HIPAA. Journal of AHIMA, 73(2), 38–39. Retrieved from http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4http://library.ahima.org/doc?oid=58162#.V5J0__krLZ4

U.S. Department of Health & Human Services. (n.d.). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/

Required Media

Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practice [Video file]. Mill Valley, CA: Psychotherapy.net.

Stuart, S. (2010). Interpersonal psychotherapy: A case of postpartum depression [Video file]. Mill Valley, CA: Psychotherapy.net.

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NUR3045 Module 1 Quiz – Chapter 3 2017

 

Question 1 Statistics for 2008 to 2009 indicated that 20.7% of children lived in poverty. What health implications can be drawn from this statistic?

Select all that apply.

1. These children run a higher risk of poor overall health status.

2. Public health clinics can provide preventive care.

3. Medicaid assistance can enable these children to receive health care.

4. Increased funding for children’s health has resulted from these statistics.

Question 2 Which criterion limits access to health care?

1. No public transportation

2. Employment opportunities

3. Transition programs for newly arrived legal residents

4. Advocacy groups for immigrants

Question 3 A patient in the Emergency Department is concerned about the cost of treatment because of no financial income. What areas would the nurse include when assessing this patient?

Select all that apply.

1. Preventive care

2. Nutritional status

3. Number of accidents

4. Shelter

5. Status of current immunizations

Question 4 While taking the health history, a Black Hispanic patient tells the nurse about having difficulty finding employment. The nurse realizes that which is a factor that causes income disparity within this segment of the population?

1. Shift to labor requiring higher technological skills

2. Increase in the real minimum wage potential

3. Increase in traditional labor skills for these groups

4. Shift of skilled jobs to unskilled labor

Question 5 The nurse notes that a larger number of foreign-born patients are being seen in the hospital. From which countries are the majority of foreign-born legal permanent residents?

Select all that apply.

1. Mexico

2. China

3. India

4. Europe

5. South America

Question 6 A patient explains how a former job has been outsourced to another country. What impact has globalization had on the economy?

1. Increased income inequality for some groups in the United States

2. Improved income for all minority groups in the United States

3. Increased membership in labor unions

4. Decreased immigration

Question 7 Legal permanent residents tend to initially settle in urban areas. What can be inferred from this?

1. Employment may be found but will probably be in lesser-paying jobs.

2. Unemployment will not be a concern.

3. Employment is easy to obtain in urban areas.

4. Income earning potential is higher.

Question 8 A foreign-born patient tells the nurse about preparing for the naturalization exam. What kinds of questions will be on this exam?

Select all that apply.

1. Questions about the Constitution

2. Parts of the US government

3. Who makes federal laws

4. The number of justices on the Supreme Court

5. Words of the US national anthem

Question 9 While shifts in the population profile are occurring, what is an important consideration to address in health care?

1. Cultural health needs of varying groups must be considered.

2. Health care needs to be streamlined for consistent care delivery.

3. More physicians need to be trained to deliver health care.

4. Health care providers need to be younger to care for an aging population.

Question 10 According to the 2010 Census, the percentage of the 65+ population of White non-Hispanics is at 13%. How will health planning needs be affected by this percentage?

1. This population will have greater demands on the health care system as it ages.

2. Planning needs for other segments of the population can be revised downwards.

3. There is no need to increase manufacture of childhood immunizations.

4. Cultural accommodations for other minority groups can be decreased.

Question 11 A patient tells the nurse that she lives in Section 8 housing. The nurse realizes that eligibility for this program is determined by:

1. Low-income guidelines

2. Family size

3. Geographic address

4. Employment history

Question 12 A patient, an immigrant from another country, is waiting to be seen in the Emergency Department. What difficulties is this patient dealing with since coming to a new country?

Select all that apply.

1. Learning a new language

2. Adapting to a new climate

3. Eating new foods

4. Fitting in with the new culture

5. Rejecting old customs in favor of new ones

Question 13 The nurse is comparing the patient population at a health care organization with the US Bureau of the Census population statistics. Which statement would the nurse use to make this comparison?

1. The percentage of US citizens who were people of color in 2010 was 36.3% of the population.

2. The percentage of Black Americans dropped considerably between 2000 and 2010.

3. People of color are the majority population within the United States.

4. People of color as a percentage of the overall US population are decreasing.

Question 14 Prior to completing an admission assessment, a foreign-born patient provides the nurse with a green card. What does this green card represent?

Select all that apply.

1. Proof of legal permanent residency

2. All rights of a US citizen with exceptions

3. Inability to vote

4. Restrictions to become a citizen

5. Automatic US citizenship

Question 15 When determining health care needs for a patient population, the health care organization analyzes the percentage of races represented within the organization with those of the US Census. What was the change in the White population between the 2000 and 2010 censuses?

1. 2.7%

2. 1.2%

3. 0.3%

4. 3.8%

Question 16 While completing demographics for a new admission, the nurse notes that there are separate categories for race and Hispanic origin.What influenced this change to occur in demographic data  reporting?

1. Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.

2. The number of people identified as non-White was increasing out of proportion to the population.

3. Identifies which health plans the patient is eligible to enroll in

4. Better differentiates categories within the African-American group

Question 17 How might immigration contribute to income inequality in the United States?

1. Many immigrants’ willingness to do jobs for less money than native-born residents

2. Being the primary income earners in the family

3. Advocating for higher minimum wages

4. A willingness to join labor unions as in previous immigrant trends

Question 18 Which characteristic would the nurse assess in a family experiencing multi-generational poverty?

1. Repeated cycles of decreased educational opportunities leading to poorer income potential and poorer health outcomes

2. Members not wishing to improve their life circumstances

3. Decreased interest by lawmakers in reducing poverty circumstances

4. Increased government efforts to provide money to improve incomes

Question 19 The health care administrator is comparing the 2000 Census Bureau data with patient demographic data. Which cultural group represented 12.5% of the population in 2000?

1. Hispanic or Latino

2. Asian

3. African American

4. American Indian and Alaskan Native

Question 20 What does the nurse identify as reasons why income influences health?

Select all that apply.

1. Increases access to health care

2. Enables people to live in better neighborhoods

3. Enables people to afford better housing

4. Enables people to live in areas without environmental hazards

5. Reduces despair

 

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NURSING POSTER

I KIND OF FORGOT ABOUT THIS POSTER FOR SCHOOL AND NEED THIS DONE ASAP!!   ANYONE WILLING TO HELP WOULD BE GREAT NEED ASAP*******LMK ASAP IF YOU NEED ANY ADDITIONAL INFORMATION

 

Phi Nu, Walden University Chapter of Sigma Theta Tau the International Nursing Honor Society

Scholarship of Practice Poster Session

The Scholarship and Research committee invites you to submit a Scholarship of Practice Poster for the Phi Nu Scholarship and Induction Ceremony to be held during a Walden University Commencement. This is the Honor Society’s open-house celebration of Walden student scholarly activities.

Call for Posters

You will be notified of the deadlines for abstract submissions for the Annual Scholarship of Practice Poster Session by Walden University School of Nursing.

To be eligible to submit, an applicant must be:

  1. A current Walden student or Alumni who is an active Phi Nu Chapter member
  2. Able to present her/his poster at a Walden University Commencement
  3. Project must be completed by date of poster presentation

Applicants should submit abstracts based on their Scholarship of Practice.

Practicum projects are especially encouraged. This is a great opportunity to showcase your practicum work in a mentored environment.

Please follow the direction on the attached form and submit by the due date (to be determined).

One outstanding poster in each of the three categories per program (BSN, MSN and DNP) will be selected for a $100 award.

Blind reviews will be completed by a panel of Walden University faculty.

Names will be removed from the abstracts to ensure anonymity of the applicant.

Persons who have been selected to participate will be notified.

Abstracts must follow the required format to be considered.

Travel will be at the presenter’s expense.

 

 

 

 

 

ABSTRACT SUBMISSION FORM

Nursing Scholarship of Practice Poster Session

Poster presentations submitted should describe innovative projects and lessons learned in the practice of nursing.

1. Authors’ names, credentials, and affiliations (primary and co-authors):

2. Corresponding author’s e-mail address and phone number:

3. Nursing Program or practice Specialization that best fits your poster presentation:

____    A.        Nursing Education

____    B.        Nursing Leadership and Management

____    C.        Nursing Informatics

____    D.        BSN Student Project

_____  E.         DNP Student Project

_____  F          Other Nursing Specialty Project

4.  Title of presentation:

5.  Beginning date of project:  __________            

6.  Ending date of project: __________ (if project is ongoing indicate that here)

Please describe your project by answering items 7–14 below.

Do not exceed 500 words total in your responses.

7.  Setting of project:

8. Problem addressed:

9. Objectives of project:

10. Intervention or change implemented, if any:

11. Actions and methods used to solve the problem and meet the objectives:

12. Evaluation Strategies used to determine whether the objectives were met:

13. Outcomes:

 

14. Lessons learned (conclusions and recommendations for practice):

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