week 1 2025

Details: Planning is the key to successful completion of this course and your overall program of study. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course mentor. You will need to establish a plan for successful completion of (1) deliverables associated with weekly course objectives (2), required practice immersion hours, and (3) deliverables associated with your capstone project. Access the “Individual Success Plan” resource in the Topic Materials. Read the information in the resource, including student expectations and instructions for completing the ISP document. Use the “Individual Success Plan” to develop a personal plan for completing your practice hours and how topic objectives will be met. Include the number of hours you plan to set aside to meet your goals. A combination of 100 supervised clinical hours in community health and leadership areas will be obtained through the application of the objectives listed in the Guidelines for Undergraduate Field Experiences manual. Practicum immersion experiences are required in a community health setting. Community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. According to HealthyPeople.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings include health care facilitie s. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490 course. If you are a registered nurse in Washington, your practicum experience must include a minimum of 50 hours in a community health setting. Students should apply concepts from prior courses to critically examine and improve their current practice. Students should also integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice. Consider the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course. How might you overcome these challenges? You can renegotiate these deliverables with your faculty and mentor throughout this course and update your ISP accordingly. Once your ISP has been developed and accepted by your course faculty, you will have your course mentor sign it at the beginning of, and upon completion of, each assignment that incorporates practice immersion hours. You will track all course practice immersion hours in the ISP. APA format is not required, but solid academic writing is expected. You are not required to submit this assignment to Turnitin. NRS-490-RS-IndividualSuccessPlan.docx

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Case Study 2025

The assignment below is a group project. Please the attached pdf of the case studies and the whole project instructions, however, you are to only answer questions 1 through 4 below as these are my assigned questions. I will also attach the some of the questions already answered by my group project members as a guide only. Use it as a chart also to complete the highlighted in yellow section only. Thanks! Use the attached chart to complete only the highlighted questions. This assignment is due by 9 am America New/York time tomorrow 01/18/18. In week 9 the case study team assumes full senior leader support on the validation of the two root causes identified. 1. Review the literature to find at least 4 peer reviewed research studies which evoke validation of the latest patient safety evidence in support of your root cause finding (Only locate 1 peer-reviewed article). 2. At this point, the case study team determines recommendations using the latest evidence from the literature on what is needed within these two hospitals to address these significant root causes. 3. Assume a three-month implementation timeframe, recognizing that full realization may take longer. 4. Construct a straw man Gantt chart or project plan to capture all necessary components to move the recommendations forward.

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NURS6501 Week 8 Quiz latest 2017 2025

Walden NURS6501 Week 8 Quiz latest 2017 Question 1 A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as: a. Visceral b. Somatic c. Parietal d. Referred Question 2 An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected? a. Insufficient bile production b. Gastric atrophy c. Hypersecretion of stomach acid d. Nutrient malabsorption Question 3 In alcoholic cirrhosis, hepatocellular damage is caused by: a. acetaldehyde accumulation. b. bile toxicity. c. acidosis. d. fatty infiltrations. Question 4 Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension? a. Sinusoids b. Bile ducts c. Hepatic portal vein d. Hepatic artery Question 5 Kwashiorkor is a severe dietary deficiency of: a. fat-soluble vitamins. b. carbohydrates. c. protein. d. calcium and magnesium. Question 6 A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has? a. A b. B c. C d. D Question 7 Prolonged diarrhea is more serious in children than adults because: a. children have lower adipose reserves. b. fluid reserves are lower in children. c. children have a lower metabolic rate. d. children are more resistant to antimicrobial therapy. Question 8 A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as: a. Intussusception b. A volvulus c. A hernia d. Adhesions Question 9 A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is: a. Increasing subepithelial bicarbonate production b. Accelerating the H+ (proton) pump in parietal cells c. Inhibiting mucosal prostaglandin synthesis d. Stimulating a shunt of mucosal blood flow Question 10 Acute pancreatitis often manifests with pain to which of the following regions? a. Right lower quadrant b. Right upper quadrant c. Epigastric d. Suprapubic Question 11 A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease? a. Reflux esophagitis b. Intestinal parasites c. Ingestion of salty foods d. Frequent use of antacids Question 12 The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding? a. Fecal impaction b. Pancreatic insufficiency c. Hyperactive peristalsis d. Ileal atresia Question 13 The most common cause of chronic vascular insufficiency among the elderly is: a. Anemia b. Aneurysm c. Lack of nutrition in gut lumen d. Atherosclerosis Question 14 The most common clinical manifestation of portal hypertension is _____ bleeding. a. rectal b. duodenal c. esophageal d. intestinal Question 15 A 54-year-old male is diagnosed with peptic ulcer disease.This condition is most likely caused by: a. Hereditary hormonal imbalances with high gastrin levels b. Breaks in the mucosa and presence of corrosive secretions c. Decreased vagal activity and vascular engorgement d. Gastric erosions related to high ammonia levels and bile reflux Question 16 The cardinal sign of pyloric stenosis caused by ulceration or tumors is: a. Constipation b. Diarrhea c. Vomiting d. Heartburn Question 17 A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is: a. Bacterial infection b. Viral infection c. Alcoholism d. Drug overdose Question 18 Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of: a. hyperbilirubinemia and jaundice. b. fluid and electrolyte imbalances. c. impaired ammonia metabolism. d. decreased cerebral blood flow. Question 19 The most common disorder associated with upper GI bleeding is: a. diverticulosis. b. hemorrhoids. c. esophageal varices. d. cancer. Question 20 A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow’s milk. The best explanation for her symptoms is: a. Deficiency of bile that stimulates digestive secretions and bowel motility b. Excess of amylase, which increases the breakdown of starch and causes an osmotic diarrhea c. Overgrowth of bacteria from undigested fat molecules, which leads to gas formation and de creased bowel motility d. Excess of undigested lactose in her digestive tract, resulting in increased fluid movement into the digestive lumen and increased bowel motility Question 21 A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the: a. Intrahepatic bile canaliculi b. Gallbladder c. Cystic duct d. Common bile duct Question 22 A 1-week-old female is brought to her pediatrician for abdominal distention and unstable temperature. Physical examination reveals bradycardia and apnea. Tests reveal hypoxic injury to the bowel resulting in bacterial invasion and perforation. This condition is referred to as: a. Infective enteropathy b. Necrotizing enterocolitis (NEC) c. Mucoviscidosis d. Ileus Question 23 For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning? a. Pyloric b. Lower esophageal c. Upper esophageal d. Gastric Question 24 Cholecystitis is inflammation of the gallbladder wall usually caused by: a. accumulation of bile in the hepatic duct. b. obstruction of the cystic duct by a gall-stone. c. accumulation of fat in the wall of the gallbladder. d. viral infection of the gallbladder. Question 25 A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as: a. Prolapse b. Pyloric stenosis c. Intussusception d. Imperforation Question 26 A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer. a. Infectious b. Cushing c. Ischemic d. Curling Question 27 Chronic gastritis is classified according to the: a. severity. b. location of lesions. c. patient’s age. d. signs and symptoms. Question 28 Reflux esophagitis is defined as a(n): a. Immune response to gastroesophageal reflux b. Inflammatory response to gastroesophageal reflux c. Congenital anomaly d. Secretory response to hiatal hernia Question 29 The cardinal signs of small bowel obstruction are: a. Vomiting and distention b. Diarrhea and excessive thirst c. Dehydration and epigastric pain d. Abdominal pain and rectal bleeding Question 30 The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation? a. Anemia b. Jaundice c. Hypobilirubinemia d. Ascites Question 31 A 20-year-old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea. a. Motility b. Hypotonic c. Secretory d. Osmotic Question 32 Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease? a. Pattern of remission/exacerbations b. Abdominal pain c. Malabsorption d. Diarrhea Question 33 A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has: a. Pyloric stenosis b. Hiatal hernia c. Gastric cancer d. Achalasia Question 34 The exocrine portion of the pancreas contains: a. alpha cells. b. beta cells. c. acinar cells. d. islets of Langerhans. Question 35 Outbreaks of hepatitis _____ often occur in young children attending day care centers and can be attributed to poor hand washing. a. A b. B c. C d. D

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MA Scenario -Revised 2025

Attached paper need s to be revised and corrected. Be sure to use correct English, spelling and grammar. Sources must be cited in APA format to included cited sources in text body. Your response should be four (5) double-spaced pages. NO PLAGIARISM! Part A: Kayla Christianson, CMA, has been employed six years by the cardiology practice of three physicians. She is a graduate of a CAAHEP-accredited school. Furthermore, Kayla received extensive hands-on training performing ECGs while doing her required externship. Kayla has completed an ECG ordered by Dr. Hsu for Mrs. Warner, a 76-year-old patient. Dr. Hsu, Kayla’s boss, has telephoned her explaining that he was behind schedule doing rounds at the hospital. He asked her to do him a favor and interpret Mrs. Warner’s ECG, sign his name, and fax the report to Mrs. Warner’s referring internist who is expecting the results.

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Issues in Health Care Reform (Interview) 2025

Assignment 1: Issues in Health Care Reform (Interview) According to the AACN (2006), “Political activism and commitment to policy development are central elements of professional nursing practice” (p. 13). Throughout this course, you will hone the skills and competencies required for this type of involvement in policy. Research is an essential step in the process of acquiring the skills and competencies, and interviews are one form of research that can serve as a valuable source of information. As such, this Assignment (which you will start this week, and submit by the end of Week 9) provides an opportunity for you to identify a health reform issue of interest and discuss the issue with a state or national politician (or their aide). To prepare: Identify a state or national politician (state representative or legislator, senator, congressman, governor, etc.), or aide, whom you would like to interview regarding current issues in health care reform. (I live in the state of Maryland. The 2 states senators are Chris Van Hollen since 2017 and Ben Cardin since 2007; the Governor name is Larry Hogan. You can also google any of the information about the state of Maryland in the US) As soon as possible, contact the individual’s office to request a meeting. Keep in mind that it may be difficult to get on their calendar, so plan accordingly. You may conduct the interview in person or by phone. In advance of the interview, ask yourself: What  health care policy issue is important to me personally? What  issue do I want to bring to this person’s attention? With this in mind, develop your list of questions for the interview around your selected health policy issue. In addition, you may wish to include questions related to health care reform: What  are your constituents most concerned about regarding health care reform? What  are the trade-offs associated with recent health care reform policy? To complete: Write a 3- to 4-page paper with at least 5 scholarly references providing a summary and analysis of the interview and the health care reform issues you discussed. Include an introduction and a conclusion. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate ( at least 5 references) . Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct. This assignment is due by Thursday 04/26/18 by 10 pm. Required Readings Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical. Chapter 5, “How Health Care is Organized – I: Primary, Secondary, and Tertiary Care” Chapter 6, “How Health Care is Organized – II: Health Delivery Systems” McClellan, M. (2010). Accountable care organizations in the era of health care reform. American Health & Drug Benefits, 3(4), 242–244. The PPACA of 2010 encourages the formation of accountable care organizations (ACOs) to improve the quality and efficiency of health care delivery. An ACO is a group of health care providers who coordinate care for their Medicare patients and share the financial incentives of health care improvement gains. Moore, K. D., & Coddington, D. C. (2010). Accountable care: The journey begins. Health Care Financial Management, 64(8), 57–63. This article provides information on the importance of health care provider organizations taking steps to become accountable care organizations (ACOs) and provides examples of systems that have historically functioned in this capacity. The authors also provide steps for developing and transitioning to an ACO structure. Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx This report discusses how nurses can and should play a fundamental role in meeting the challenges of increased demand for health care brought about by the implementation of the 2010 Affordable Care Act. In addition, it stresses the need for nurses to be partners with other health professionals and assume leadership roles in redesigning health care in the United States. Institute of Medicine. (2010). Report brief: The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf This report brief highlights the four key recommendations from the Robert Wood Johnson and Institute of Medicine the Future of Nursing: Leading Change, Advancing Health report. The recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking. HealthCare.gov. (n.d.). Understanding the Affordable Care Act. Retrieved from http://www.hhs.gov/healthcare/rights/index.html This website introduces the Affordable Care Act and presents the timeline for implementation of the various provisions of the Act. HealthCare.gov. (n.d.). Understanding the Affordable Care Act: About the law. Retrieved from http://www.hhs.gov/healthcare/rights/law/index.html Read the full Affordable Care Act law at this website. An overview of the law is also provided along with an outline of how the Affordable Care Act helps reduce health insurance costs. Required Media Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Reforming health care delivery: Accountable care organizations. Baltimore: Author. Note: The approximate length of this media piece is 7 minutes. In this media presentation, Dr. Kathleen White explains the structure of accountable care organizations (ACO) and discusses the benefits and challenges of becoming an ACO. Optional Resources APRN Joint Dialogue Group Report. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. Retrieved from http://www.aacn.nche.edu/education-resources/APRNReport.pdf Fisher, E. S., & Shortell, S. M. (2010). Accountable care organizations: Accountable for what, to whom, and how. JAMA: Journal of the American Medical Association, 304(15), 1715–1716. Fisher, E. S., Staiger, D. O., Bynum, J. W., & Gottlieb, D. J. (2007). Creating accountable care organizations: The extended hospital medical staff. JHealth Affairs, 26, w44-w57. doi:10.1377/hlthaff.26.1.w44–57 McClellan, M., McKethan, A. N., Lewis, J. L., Roski, J., & Fisher, E. S. (2010). A national strategy to put accountable care into practice. Health Affairs, 29(5), 982–990. Kaiser Health News. (2011). Accountable care organization proposed regulations: Resources. Kaiser Family Foundation. Retrieved from http://www.kaiserhealthnews.org/Stories/2011/March/31/ACO-Documents-In-The-News.aspx

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