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pathophysiology and nursing management of client’s health

pathophysiology and nursing management of client’s health

Question descriptionIn a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale

Functional groups Carboxyls Hydrocarbons Carbonyls Carbonygens

Quiz Instructions
Question 1 1 pts
Functional groups
Carboxyls
Hydrocarbons
Carbonyls
Carbonygens
Compounds that are composed of carbon and hydrogen are called
Question 2 1 pts
Alkane
Alkene
Alcohol
Ketone
Functional group
C2H4 is an
Question 3 1 pts
Alkane
Alkene
C2H6 is an
Alcohol
Ketone
Functional group
Question 4 1 pts
Polymorphic
Hydrophobic
Hydrophilic
Isomers
Ions
Hydrocarbons with the same molecular formula but different structures are called
Question 5 1 pts
0
1
2
3
4
The alkane CH3CH2CH3 has ________ isomers.
Question 6 1 pts
Contain oxygen and/or nitrogen and are polar
Most of the important functional groups on biological molecules
Contain oxygen and/or nitrogen and are nonpolar
Contain carbon and hydrogen and are polar
Contain carbon and hydrogen and are nonpolar
Question 7 1 pts
Bonding and shape
Types of intermolecular interactions
Physical properties
Chemical reactions
All of these
Functional groups are important because they determine the following property(ies) of a molecule
Question 8 1 pts
Carboxyl
Hydroxyl
Carbonyl
Sulfhydryl
Phosphate
Aldehydes and ketones have this functional group
Question 9 1 pts
F1wF. The functional groups present in norepinephrine (shown in the figure) are:
Carboxyl and ammonia
Carboxyl and amino
Hydroxyl and carboxyl
Hydroxyl and amino
Carboxyl and sulfhydryl
Question 10 1 pts
Carboxyl, phosphate and amino
Carboxyl, phosphate and carbonyl
Carboxyl, amino and methyl
Hydroxyl
Carbonyl
F3wF. Which functional groups are present in the circular form of glucose?
Question 11 1 pts
Carboxyl
Hydroxyl
Carbonyl
Sulfhydryl
Phosphate
The functional group ­OH is a(n)
Question 12 1 pts
Ketones
Aldehydes
Alcohols
Aromatics
Alkanes
The functional group ­OH is found in
Question 13 1 pts
Hydroxyl
Carboxyl
Carbonyl
Methyl
Amino
This functional group can be fully negatively charged:
Question 14 1 pts
Hydroxyl
Carboxyl
Carbonyl
Methyl
Amino
This functional group can be fully positively charged
Question 15 1 pts
Hydroxyl
Carboxyl
Carbonyl
Methyl
Amino
This functional group is uncharged, i.e. hydrophobic:
Question 16 1 pts
Hydroxyl
Carboxyl
Carbonyl
Methyl
Amino
Which group would be likely to be found in a hydrophobic pocket of a protein?
1 pts
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Question 17
What is the chemical formula for the molecule on the left below ?

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Question 18
Is the molecule on the left below likely to be water soluble? Explain.

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Question 19 1 pts
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The molecule on the right is the same as the molecule on the left, but it has two of the carbons numbered. Can carbon 2
be a chiral center ­ that is, is carbon 2 bound to 4 different substituents so that enantiomers form?

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Question 20
The molecule on the right is the same as the molecule on the left, but it has two of the carbons numbered. Can carbon 3
be a chiral center ­ that is, is carbon 3 bound to 4 different substituents so that enantiomers form?

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Question 21 1 pts
What is the chemical formula for the molecule below (Chem4.jpg)?
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Question 22
What is the chemical formula for the molecule below (Chem5.jpg)?

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Question 23
Is this molecule likely to be water soluble (Chem4.jpg)? Explain

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Question 24 1 pts
Is this molecule likely to be water soluble (Chem6.jpg)? Explain
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1 pts
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Question 25
Is this molecule likely to be water soluble (Chem5.jpg)? Explain

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Question 26
What are you finding the most difficult? If you aren’t finding anything particularly difficult, what are you finding the most
interesting or surprising?

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Determine two (2) specific forces in the external environment that will have the most impact on your organization. Provide a rationale for your decision.,THE PURPOSE OF THIS DETERMINE YOUR ORGANIZATIONS ABILITY TO CONTINUE TO PROVIDE QUALITY CARE AND REMAIN FINANCIALLY SOLVENT IN THE FACE OF THESE CHALLENGES.

THE PURPOSE OF THIS DETERMINE YOUR ORGANIZATIONS ABILITY TO CONTINUE TO PROVIDE QUALITY CARE AND REMAIN FINANCIALLY SOLVENT IN THE FACE OF THESE CHALLENGES.

Assignment 1: Conducting an Environmental
Analysis
Due Week 4 and worth 300 points

For all assignments assume that you are the administrator of a
fictitious organization of your choice. The organization can be any type
of health care organization such as a hospital, nursing home, rehabilitation
center, clinic, etc. As the administrator, you are faced with the challenges of
declining reimbursements from insurance providers and increasing demands for
patient services due to dramatic changes in the external environment. Such
changes include those imposed by the Patient Protection and Affordable Care
Act.
Your first step in evaluating the position of your organization
will be conducting an environmental analysis. The purpose of this is to
determine your organizations ability to continue to provide quality care and
remain financially solvent in the face of these challenges.

Write a six to eight (6-8) page paper in which you:
1.
Determine two (2) specific
forces in the external environment that will have the most impact on your
organization. Provide a rationale for your decision.
2.
Determine two (2) specific
internal factors that the organizations leaders need to consider in preparing
for the future of health care and the future of the organization. Provide a
rationale for your decision.
3.
Discuss the impact of both the
identified internal and external forces on the organizations ability to
develop a competitive strategy.
4.
Recommend one (1) strategy that
involves the organizations managers in implementing and maintaining the
momentum of the strategic plan.
5.
Use at least three (3) quality
academic resources in this assignment.Note: Wikipedia and other
Websites to not qualify as academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using
Times New Roman font (size 12), with one-inch margins on all sides; citations
and references must follow APA or school-specific format. Check with your
professor for any additional instructions.

Include a cover page containing
the title of the assignment, the students name, the professors name, the
course title, and the date. The cover page and the reference page are not
included in the required assignment page length.

The specific course learning outcomes associated with this
assignment are:

Differentiate between strategic
management, strategic thinking, strategic planning, and managing strategic
momentum.

Analyze the significance of the
external environments impact on health care organizations.

Examine the purpose and
importance of service area competitor analysis.

Examine the role of internal
environmental analysis in identifying the basis for sustained competitive
advantage.

Use technology and information resources
to research issues in the strategic management of health care organizations.

Write clearly and concisely
about strategic management of health care organizations using proper writing
mechanics.

WHAT IS ALCOHOLISM AND HOW DOES IT BEGIN?,WHAT IS ALCOHOLISM AND HOW DOES IT BEGIN?

WHAT IS ALCOHOLISM AND HOW DOES IT BEGIN?

Literature Review Rough Draft Checklist
•    Title page
o    APA format
    Title, name, affiliation,
    Running head, page number
•    These two are included in the header of every page of paper, but the words “Running head:” are only on the title page
•    Abstract

o    Overview of paper
o    Thesis statement – what subtopics are covered
o    See examples in text
•    Introduction paragraph
o    Grabs the reader’s attention
    Could include statistics (e.g., % of people affected) and/or demonstrate the importance of the topic (e.g., how people are affected)
o    Gives an overview of the topic (you could cite articles here if needed)
o    Ends with a thesis statement which includes the subtopics you will review
•    Body
o    Divided into subtopics with headings for each subtopic (see APA format)
o    Group together similar articles and write about a paragraph summary for each
    Who was in the study?
    How was the study done?
    What did they find?
o    Use transitions so they flow together
•    Summary
o    One paragraph summary in your own words summing up the body
•    Suggestions for future research on your topic
•    Conclusion
•    References
o    Start on a new page at the end
o    APA format (hanging indent, alphabetical order, etc.
    Library database can help you – click “cite”, then double check
o    Make sure all 20 articles in the paper are on the reference page, plus any additional references you may have used
•    Take the paper to the Writing Center for extra credit, but leave enough time to make corrections
•    Carefully proofread for clarity, grammar, spelling, flow, and APA format errors
o    Try reading the paper out loud
o    Treat the draft as though it is the final paper

Must use 20 peer reviewed articles from a certain website. Only use information from studies not general literary info.

What family type and stage does the Davis family represent?

Day Two Assignment

Answer the following case study in an APA formatted paper. Research sources to answer this question must be identified in your paper.“The Davis family consists of Andrea, age 46 years; Thomas, age 48; maternal grandmother Theresa, age 79; Thomas Jr., age 20; Claire, age 17; and Megan, age 15. They all live together in a two-story, four-bedroom house. The house has a total of three bathrooms: two are on the top floor, and one is located in the finished portion of the basement. Thomas Jr. has his own bedroom, whereas the girls, Claire and Megan, share a room. Grandmother Theresa sleeps in her own room next to the girls’ room. Thomas has been smoking two packs of cigarettes a day since he was a teenager. He has a strong wish to quit smoking but has yet to find a way to be successful. Thomas works as a millwright in a lumberyard. In recent years he has been complaining of intermittent back pain. His last physical examination was 2 years ago. Tests showed that he was in good general health except for being 15 pounds overweight. Andrea and the children are in good health. Theresa has arthritis that makes walking difficult.”
  1. What family type and stage does the Davis family represent?
  2. What health needs can you identify for these family members?

Create a PowerPoint presentation entitled Ethical and Professional Issues in Psychological Testing. Ethical and Professional Issues in Psychology Testing

Create a PowerPoint presentation entitled Ethical and Professional Issues in Psychological Testing.
Ethical and Professional Issues in Psychology Testing

Prior to beginning work on this assignment, please read the required textbook chapters and articles for this week.

Create a PowerPoint presentation with 16 to 20 slides (not including the title and reference slides) entitled Ethical and Professional Issues in Psychological Testing. Your presentation must provide 2 to 3 slides for each of the required topics and include appropriate citations of your referenced sources. Separate reference slides, which follow APA formatting guidelines for a References page, must be included at the end of the presentation. You must create your own template and organize your presentation in the sequence provided. Do not use a font smaller than 20 pt. You are encouraged to insert relevant figures and graphics. Make sure to appropriately cite any images you use. If you include a table or figure from a journal article, cite it according to APA guidelines. The notes section of each slide must include the text for oral comments you would make while presentating the materials to a live audience.

References must be cited according to APA guidelines as outlined in the Ashford Writing Center. For assistance with creating a visually engaging and readable presentation, you may review Garr Reynolds’s tips for creating presentations.

The presentation must cover each of the following topics in the order presented below.

The Ethical and Social Implications of Testing

Provide an overview and brief evaluation of the ethical and social implications of psychological assessment.

Professional Responsibilities

Describe the responsibilities of both test publishers and test users.

Testing Individuals Representing Cultural and Linguistic Diversity

Analyze and describe issues related to the testing of cultural and linguistic minorities.

Reliability


 

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Discuss the basic epidemiological concepts, which pertain in general and specifically to your selected topic

Discuss the basic epidemiological concepts, which pertain in general and specifically to your selected topic.
Describe, in detail, the epidemiology of your selected health-related state or event (e.g., .disease, disability ,chronic condition).
Describe the occurrence, signs and symptoms, and control of your selected health-related state or event (e.g., .disease, disability, chronic condition).

Identify a gender development-related issue of critical importance to individuals and society.

psychology

Gender Differences In Early Development

Chapter 12 in the course textbook discusses the impacts of caregivers and culture on gender development in early childhood. Based on the textbook chapter and one peer-reviewed journal article, write a paper discussing the gender differences in development from a psychoanalytic and systems perspective.

Your paper should account for or reply to each of the following:

  • Identify a gender development-related issue of critical importance to individuals and society.
  • Summarize a psychoanalytic and a systems perspective approach to, and related positions on, this issue.
  • Compare and contrast the two theories’ views on how gender development occurs, identifying and explaining implications for scholarly and professional practice.
  • Present and defend your position as to which theory is most relevant and valid with respect to your issue as you have explained it.

Your paper should be 1200-1600 words in length and support your thinking by citing and integrating at least two peer-reviewed journal articles and at least one real life example.Chapter 12 in the course textbook discusses the impacts of caregivers and culture on gender development in early childhood. Based on the textbook chapter and one peer-reviewed journal article, write a paper discussing the gender differences in development from a psychoanalytic and systems perspective.

Interview a nurse manager who has the responsibility of managing a minimum of ten employees, responsible for evaluations, approving time and responsible for day to day operations of a department

Please use a fictitious nurse manager

Assignment Directions:

Interview a nurse manager who has the responsibility of managing a minimum of ten employees, responsible for evaluations, approving time and responsible for day to day operations of a department.

From your interaction with the selected nurse manager, determine the following and include in your presentation:

Manager’s location and span of control • Type of institution in which the manager is employed (private, public, teaching, magnet status, etc.) • Description of the unit/department under this manager’s control • Description of the number and type of employees (staff mix) • Discussion of the manager’s responsibilities

Description of Manager and Style • Preparation for leadership (education, training, certifications, years and types of experiences) • Leadership style, methods of delegation and effectiveness • Communication style and conflict management methods • Major challenges faced by the manager and plan of correction • Manager’s overall vision for the unit

Analysis of the Effectiveness • Analyze of the manager’s effectiveness in the position • Discuss strengths of this manager • Discuss growth opportunities that might benefit the manager • Analyze the policy decision making process utilized by manager

o   Incorporate the policy-making process to affect change

o   Demonstrate knowledge of ways to affect change using appropriate policy pathways

o   Provide comprehensive evidence of all 7 main components of the analysis and effectiveness criteria

• Outline strategies for building an evidence-based practice culture in an organization

o  Discuss importance of using EBP interventions to improve patient outcomes

• Comprehensive examination of risk management interface with health care safety and quality & performance improvement

•Discuss significance of risk management

•Recognize health care safety and performance indicators

•Comprehensive discussion of the impact and implication identified trends have on the organizational structure, function, responsibility and authority

•Cite appropriate references to support the analysis

How important are external relationships with other agencies to having an efficient evacuation plan?

How important are external relationships with other agencies to having an efficient evacuation plan?

In an emergency evacuation of patients, training plays an important role. Here is an incidence of emergency evacuation of Phillips County Regional Medical Center discussed by Vogt and Sorenson (1999):

Shortly after 1:00 p.m. on Thursday, May 8, 1997, clouds of foul-smelling smoke began pouring from an herbicide and pesticide packaging plant in West Helena, Arkansas. An alert was sounded, employees evacuated, and the West Helena fire department was called. As three firefighters prepared to enter the plant, the chemical compounds exploded, collapsing a solid concrete block wall, and killing all three firefighters. As the odorous smoky cloud drifted away from the plant, authorities ordered residents in a 2-mile area downwind of the plant to evacuate and those in the 2- to 3-mile zone to shelter in . . . The findings indicate that 90% of those that were told to evacuate did so but only 27% of those told to shelter-in-place did so, with 68% opting to evacuate instead. The implications of these findings for emergency managers is that people will likely choose to evacuate when both warnings to evacuate and warnings to shelter are issued to residents in close proximity to each other (Abstract section, para. 1).

The evacuation of the medical center was facilitated by efforts taken 6 months earlier to update the hospital’s evacuation plan and reconfirm support agreements for relocation sites and supplies. At that time of updating the plan, the entire staff had also participated in a mock drill. When the safety officer observed the buildings across the highway being evacuated and started questioning officials on the possibility of also being evacuated, evacuation plans familiar to staff were in place and had been practiced. When the Director of Nursing gave the “Code White” alert (the signal that an evacuation to an off-site facility would follow) staff was amply prepared to move patients (p. 11).

Interviews with staff indicated that all patients that could be discharged were sent home with a physician’s nurse. Another four or five patients (the most seriously ill) were transferred to a hospital about a half hour away. The majority of the patients 11 (approximately 17) in the rehabilitation unit were transferred to a vacant wing of the Crestpark Nursing home accompanied by hospital support staff. Only one maternity patient evacuated to the Phillips College—Community College where the hospital staff had evacuated and opened emergency room services. The evacuation of patients began at 1:40 p.m. and all patients (except for two on ventilators and one being stabilized in the emergency room) were out 55 minutes later. The remaining three patients were evacuated 15 minutes later. A variety of vehicles transported patients—vans, school buses, ambulances, private cars, and mortuary services. As a precaution, National Guard personnel provided security at the evacuated hospital (pp. 11–12).

On the basis of y


 

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