Question

Question 1 1 / 1 point

Digoxin levels need to be monitored closely when the following medication is started:

Question options:

Loratadine

Diphenhydramine

Ipratropium

Albuterol

Question 2 1 / 1 point

When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:

Question options:

They need to get any live vaccines before starting the medication.

Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective.

Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush.

They can triple the dose number of inhalations of medication during colds to prevent

needing systemic steroids.

Question 3 1 / 1 point

Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:

Question options:

More effective than first-generation antihistamines

Less sedating than the first-generation antihistamines

Prescription products, therefore are covered by insurance

Able to be taken with central nervous system (CNS) sedatives, such as alcohol

Question 4 1 / 1 point

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry?

Question options:

High-dose colchicine

Low-dose colchicine

High-dose aspirin

Acetaminophen with codeine

Question 5 1 / 1 point

Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:

Question options:

Metformin, a biguanide to prevent diabetes

Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease

Naproxen, an NSAID to treat joint pain

Furosemide, a diuretic to treat fluid retention

Question 6 1 / 1 point

Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:

Question options:

Black tarry stools

Vomiting

Tremors

Tinnitus

Question 7 1 / 1 point

Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified as asthma symptoms that occur:

Question options:

Daily

Daily and limit physical activity

Less than twice a week

More than twice a week and less than once a day

Question 8 1 / 1 point

Patients with a COPD exacerbation may require:

Question options:

Doubling of inhaled corticosteroid dose

Systemic corticosteroid burst

Continuous inhaled beta-2-agonists

Leukotriene therapy

Question 9 1 / 1 point

Asthma exacerbations at home are managed by the patient by:

Question options:

Increasing frequency of beta-2-agonists and contacting their provider

Doubling inhaled corticosteroid doses

Increasing frequency of beta-2-agonists

Starting montelukast (Singulair)

Question 10 1 / 1 point

The most common bacterial pathogen in community-acquired pneumonia is:

Question options:

Haemophilus influenzae

Staphylococcus aureus

Mycoplasma pneumoniae

Streptococcus pneumonia

Question 11 1 / 1 point

The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be:

Question options:

Levofloxacin

Amoxicillin

Ciprofloxacin

Cephalexin

Question 12 1 / 1 point

Wing-Sing is a 4-year-old patient who has suspected bacterial pneumonia. He has a temperature of 102°F, oxygen saturation level of 95%, and is taking fluids adequately. What would be appropriate initial treatment for his pneumonia?

Question options:

Ceftriaxone

Azithromycin

Cephalexin

Levofloxacin

Question 13 1 / 1 point

Instructions for a patient who is starting nicotine replacement therapy include:

Question options:

Smoke less than 10 cigarettes a day when starting nicotine replacement.

Nicotine replacement will help with the withdrawal cravings associated with quitting tobacco.

Nicotine replacement can be used indefinitely.

Nicotine replacement therapy is generally safe for all patients.

Question 14 1 / 1 point

If prescribing bupropion (Zyban) for tobacco cessation, the instructions to the patient include:

Question options:

Bupropion (Zyban) is started 1 to 2 weeks before the quit date.

Nicotine replacement products should not be used with bupropion.

If they smoke when taking bupropion they may have increased anxiety and insomnia.

Because they are not using bupropion as an antidepressant, they do not need to worry about increased suicide ideation when starting therapy.

Question 15 1 / 1 point

The most appropriate smoking cessation prescription for pregnant women is:

Question options:

A nicotine replacement patch at the lowest dose available

Bupropion (Zyban)

Varenicline (Chantix)

Nonpharmacologic measures

Question 16 1 / 1 point

Drug resistant tuberculosis (TB) is defined as TB that is resistant to:

Question options:

Fluoroquinolones

Rifampin and isoniazid

Amoxicillin

Ceftriaxone

Question 17 1 / 1 point

Kaleb has extensively resistant tuberculosis (TB). Treatment for extensively resistant TB would include:

Question options:

INH, rifampin, pyrazinamide, and ethambutol for at least 12 months

INH, ethambutol, kanamycin, and rifampin

Treatment with at least two drugs to which the TB is susceptible

Levofloxacin

Question 18 1 / 1 point

Ezekiel is a 9-year-old patient who lives in a household with a family member newly diagnosed with tuberculosis (TB). To prevent Ezekiel from developing TB he should be treated with:

Question options:

6 months of Isoniazid (INH) and rifampin

2 months of INH, rifampin, pyrazinamide, and ethambutol, followed by 4 months of INH

9 months of INH

12 months of INH

Question 19 1 / 1 point

Myles is a 2-year-old patient who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:

Question options:

Azithromycin

Amoxicillin

Ceftriaxone

Trimethoprim/sulfamethoxazole

Question 20 1 / 1 point

Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for sinusitis in an adult who has a child in daycare is:

Question options:

Azithromycin 500 mg q day for 5 days

Amoxicillin-clavulanate 500 mg bid for 7 days

Ciprofloxacin 500 mg bid for 5 days

Cephalexin 500 mg qid for 5 days

 

 

 

 

Max Points: 80

Details:

The ability to communicate, interact with different cultures, and think critically is essential in the medical field. The interactive media scenario you will use for this assignment illustrates a situation that could easily arise when working in health care. To complete this assignment:

1. Go to the “Allied Health Community” media link: http://lc.gcumedia.com/hlt307v/allied-health-community/allied-health-community-v1.1.html
2. Click “Enter” to begin.
3. Click on the box that says “SCENARIOS.”
4. Click on “View Scenario” for the “Critical Decision Making for Providers.”
5. Examine how the described problem might happen in your facility and the impact it could have. Work through this situation by examining allof the choices presented in the scenario.
6. When you get to the end of the scenarios, one scenario will have the word “Transcultural” on the top right corner. Click on “Transcultural.” Read the scenario and answer the four questions that are provided.

While APA format is not required for 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.

You are not required to submit this assignment to Turnitin.

 

 

Health Statistics and Populations

Professional Competency addressed in this Assignment:

PC-4.3: Apply concepts of multiculturalism and diversity to become an agent of change.

Directions

Select a health topic of interest such as breastfeeding, coronary heart disease, or juvenile diabetes that affects a specific population such as older adults or women of reproductive age or race. Locate health statistics for your selections. You must include national and state data. Your work may also include local county or city data if available.

Additionally, research content regarding concepts of multiculturalism and diversity, and include interventions that address health disparities.

Input your responses using a table similar to the one below. You may recreate the table in Word©. Excel© files are not accepted. Include a title page and reference page. Length of Assignment should be 2- 3 pages. Content section will expand as you describe your findings in a comprehensive manner.

Data Search Directions

Summarize Your Findings

Identify the population of interest and health condition/event to your practice. Specify how you define the population (e.g. age, gender, health status, etc.).

Summarize your search process. Specify what sources, organizations and agencies for health statistics were searched to find relevant health statistics. Be specific and thorough in your search.

Provide the health information obtained in the search. Include any significant statistics and information on risk factors and trends in epidemiology data on your topic.

Interpret your findings and determine if there is any evidence of health disparities based on the population examined. Be sure you understand what health disparities are and address if your topic is or is not impacted. Provide several examples and include interventions that would improve this disparity.

DUE: to Dropbox on end of Day 7 of Unit 6.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

How to Submit:

When you are ready to submit your Assignment, select the unit  Dropbox and then attach your file. Make sure to save a copy of the Assignment you submit.

  

Sampling

The temptation to form premature theories upon insufficient data is the bane of our profession.

—Sherlock Holmes (from The Valley of Fear, by Sir Arthur Conan Doyle)

Sherlock Holmes, the great fictional logician, may have made this reprimand in reference to the science of criminal investigation, but the underlying principle holds true for all branches of research. Now that you have identified a research problem and developed hypotheses, the next step is to identify your sample and begin gathering data that will answer your research questions. The process of sampling to gather data is a crucial step in the research process in that you must be sure that the instruments and sample population mesh well with the study’s goals and objectives so that they will produce valid and reliable results.

For this Discussion, you identify a target population and sample appropriate for addressing the research problem you formulated in the Week 2 Discussion. (see attached file).

To prepare:

• Review      this week’s media presentation and consider Dr. Pothoff’s comments on      sampling.
• Recall      the research problem, question, and hypothesis you developed in Week 2’s      Discussion. With this in mind, ask yourself: What population is most      relevant, and accessible, for exploring my research problem?
• Consider      how you could reach this target population to gather data. What are some      challenges you might encounter?
• Determine      a data collection approach for your target population. Develop an informed      rationale for selecting that approach.

By tomorrow Wednesday 09/13/17, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:

Post a cohesive response that addresses the following questions:

1) What are the researchable populations in your area of practice? Which would be most appropriate for use in your research study?

2) What are the challenges of obtaining a sample from this population? How could you address those challenges?

3) What approach would you use to collect data from the sample? Provide a rationale for the approach you choose based on this week’s Learning Resources.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Quantitative research: Sampling. Baltimore, MD: Author.

Note: The approximate length of this media piece is 7 minutes.

In this week’s video, the presenter explores some key considerations in health care research for the sampling process.

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 15, “Sampling”

Chapter 15 introduces key concepts and components of sampling theory and the sampling process. The chapter discusses several important sampling considerations, including target population, hypothetical population, accessible population, elements, subjects, participants, and generalizability of research findings based on sampling methods.

Chapter 20, “Collecting and Managing Data”

Chapter 20 explains how data collection is an integral part of research and presents methods for collecting and managing data.

Corrigan, P. W., Tsang, H. H., Shi, K., Lam, C. S., & Larson, J. (2010). Chinese and American employers’ perspectives regarding hiring people with behaviorally driven health conditions: The role of stigma. Social Science & Medicine, 71(12), 2162–2169. doi:10.1016/j.socscimed.2010.08.025

This article discusses a mixed-method study of the work opportunities for people with behaviorally driven health conditions such as HIV/AIDS and drug and alcohol abuse. The article describes the results of qualitative interviews and quantitative surveys of employers in China and the United States in an effort to analyze employer perspectives, stigma, and the possibility for stigma change.

Williams, H., Harris, R., & Turner-Strokes, L. (2009). Work sampling: A quantitative analysis of nursing activity in a neuro-rehabilitation setting. Journal of Advanced Nursing, 65(10), 2097–2107.

This article describes a quantitative research study on the amount of time nurses spend on direct patient care in a neuro-rehabilitation setting. The article offers suggestions for future studies that focus on work sampling and discusses how staffing requirement estimates should consider indirect care and non-patient activities in addition to direct patient care needs.

Optional Resources

Fawcett, J., & Garity, J. (2009). Evaluation of samples. In Evaluating research for evidence-based nursing (pp. 91–131). Philadelphia, PA: F. A. Davis. Retrieved from http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2010424062&site=ehost-live&scope=site

Walden University. (n.d.). Collecting quantitative data. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_collecting_quantative_data.html

   

Levels of Measurement

There are many different methods for analyzing quantitative data; each method is dependent on the type of data gathered as well as the research question being addressed. The first step in analyzing data is to determine what kind of data you have—the level of measurement. Determining the level of measurement is a method of classifying the variables within a research study. Classifying a variable into its appropriate level of measurement helps a researcher determine the most appropriate statistical analysis for those data and to interpret the data the variable generates.

In this Discussion, you identify independent and dependent variables in your research problem, which you identified in the Week 2 Discussion. You classify these variables into their appropriate levels of measurement and determine suitable ways of analyzing the data generated by each variable.

To prepare:

• Review the materials presented in Chapter 1 of      the Polit textbook. 
• Consider Dr. Pothoff’s comments in this week’s      media presentation on data analysis.
• Recall your research problem statement      developed for the Week 2 Discussion. Based on your problem statement,      develop a research question to address the problem.
• Ask yourself:

 

• Does the research question involve a       comparison of groups or the relationship of variables?
• How many independent variables do I have?       Dependent variables? What are they?
• Is the independent variable categorical or       continuous?
• Is the dependent variable categorical or       continuous?
• What might be the advantages, or       disadvantages, of each variable’s level of measurement?

By tomorrow Thursday 09/20/17, 8 am, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one and two headings as numbered and lettered below:

Post a cohesive summary of the following: 

1) Post your research question. (formulate a research question based on “the nursing shortage” assignment u did for me last week – See attached file) it must be using “PICO”

a) Describe the independent and dependent variables

2) Identify the level of measurement of both the independent and dependent variables. 

b) Provide a brief rationale for your classification of each variable.

3) Discuss considerations of analyzing data related to each variable based on its level of measurement. 

c) Identify any advantages or challenges you might encounter in your statistical analysis of each variable.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Quantitative research: Data analysis. Baltimore, MD: Author.

Note: The approximate length of this media piece is 10 minutes.

In this week’s video, the presenter describes challenges to collecting and utilizing quantitative data and offers suggestions for assessing and improving data quality. The strategic use of quantitative data by health care organizations is also considered.

Introduction to SPSS”

Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Descriptive Statistics”

Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA

Note: The approximate length of this media piece is 12 minutes.

Note: The approximate length of this media piece is 11 minutes.

Top of Form

Required Readings

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

• Chapter      21, “Introduction to Statistical Analysis”

This chapter discusses the concepts of statistical analysis with regard to hypothesis testing. The chapter also identifies and defines common statistical terminology.

Polit, D. (2010). Statistics and data analysis for nursing research (2nd ed.). Upper Saddle River, NJ: Pearson Education Inc.

• Chapter      1, “Introduction to Data Analysis in an Evidence-Based Practice      Environment”

This chapter provides an introduction to quantitative and qualitative data in evidence-based practice. The chapter introduces levels of measurement and types of statistical analyses relevant to different types of research studies.

• Chapter      2, “Frequency Distributions: Tabulating and Displaying Data”

Chapter 2 discusses frequency distributions as well as the different methods of presenting data, especially when data are very extensive. The chapter includes information on the use of bar charts, pie charts, histograms, and frequency polygons.

• Chapter      3, “Central Tendency, Variability, and Relative Standing”

This chapter examines the many ways data distribution for a quantitative variable can be described through shape, central tendency, and variability.

Software

IBM SPSS Statistics Standard GradPack (current version). Available in Windows and Macintosh versions. Please refer to the IBM SPSS Software area in the Course Overview section on the left navigation bar for more information on how to install, register, and license this software.

Optional Resources

Bilheimer, L. T., & Klein, R. J. (2010). Data and measurement issues in the analysis of health disparities. Health Services Research, 45(5), 1489–1507. doi:10.1111/j.1475-6773.2010.01143.x

Granberg-Rademacker, J. S. (2010). An algorithm for converting ordinal scale measurement data to interval/ratio scale. Educational & Psychological Measurement, 70(1), 74–90.