physiology – 2025 Q1 A nurse is caring for a client in crisis who has endured a

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physiology – 2025

 

Q1. A nurse is caring for a client in  crisis who has endured a physical assault. The nurse would expect to  see which behavior associate with the integration phase of crisis? Select all that apply. 

The client tries to make sense of what happened 

The client tries to control every situation 

The client becomes isolated from others 

The client starts to resolve feelings of blame 

The client gets angry when talking about the event

Q2. A 46-year-old client is  experiencing symptoms of post-traumatic stress disorder after being  involved in a traumatic accident. The client has symptoms of nightmares  and flashbacks about the event.c The nurse knows that these symptoms most likely develop because of which of the following?

The body secretes too much melatonin, which leads to an increase in nightmares 

The client may have a hyperactive amygdala that leads to an increase in feelings of fear 

The client’s pituitary gland works in overdrive and consistently causes flashbacks 

The client is no longer able to regulate levels of serotonin

Legislation Comparison Grid and Testimony/Advocacy Statement – 2025 NOTE Please pay attention to the assignment instructions Zero plagiarism Five references The Assignment 1

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Legislation Comparison Grid and Testimony/Advocacy Statement – 2025

NOTE:

Please pay attention to the assignment instructions

Zero plagiarism

Five references 

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?
  • Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • Recommend at least one amendment to the bill in support of your position.

Soap note of Fibromyalgia Rubric Attached No Plagiarism ( Adults) – 2025 Students must post one interesting case that he she has seen in the clinical The

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Soap note of Fibromyalgia Rubric Attached No Plagiarism ( Adults) – 2025

 Students must post one interesting case that he/she has seen in the clinical  The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan.   In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence –dated within the past 5 years.   

Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews – 2025 Assignment Evidence Based Project Part 3 Advanced Levels of Clinical Inquiry and Systematic Reviews Your quest to purchase a

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Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews – 2025

  

Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.

· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

By Day 7 of Week 5

Submit Part 3 of your Evidence-Based Project.

Rubric Detail

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews
 

Create a 6- to 7-slide PowerPoint presentation in which you do the following:
 

·   Identify and briefly describe your chosen clinical issue of interest.
 

·   Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
 

·   Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
 

·   Provide APA citations of the four peer-reviewed articles you selected.
 

·   Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

The presentation clearly and accurately identifies and describes in detail the chosen clinical issue of interest.
 

The presentation clearly and accurately describes in detail the developed PICO(T) question.
 

The presentation clearly and accurately identifies four or more research databases used to conduct a search for the peer-reviewed articles selected.
 

The presentation clearly and accurately provides full APA citations for at least four peer-reviewed articles selected, including a thorough and detailed explanation of the strengths of using systematic reviews for clinical research.
 

The presentation includes specific and relevant examples that fully support the research.
 

The presentation provides a complete, detailed, and accurate synthesis of two outside resources related to the peer-reviewed articles selected, and fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.

Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
 

A clear and comprehensive purpose statement, introduction, and conclusion are provided, which delineates all required criteria.

Organizational Risk Management Interview – 2025 Select a local health care organization where you can conduct an interview with an employee who is

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Organizational Risk Management Interview – 2025

 

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

  1. Risk management strategies used in the organization’s risk control program, along with specific examples.
  2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
  3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
  4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
  5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose an 800-words summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

  1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
  2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

Prepare this assignment according to the guidelines 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.

RUBRIC

1.  Risk management strategies used in the risk control program are comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

2.  A description of how the risk management program addresses key professional, legal, and ethical issues is comprehensive, supported by detailed, relevant examples. Level of detail is appropriate. 

3.  An explanation of the facility policies for managing emergency triage in high-risk areas of health care service delivery is present and comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

4.  A comprehensive description of the challenges the organization faces in managing and controlling high-risk health care is provided. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

5.  A description of the strategies the facility utilizes to monitor and maintain its risk management program is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

6.  An assessment of the risk management program inclusive of high-risk health care and legal concerns is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

7.  An inventory of the proposed action steps to improve the risk management program inclusive of rationale is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

8.  Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

9.  Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

10.  Writer is clearly in command of standard, written, academic English. 

11.  All format elements are correct. 

12.  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 

PLEASE FOLLOW THE RUBRIC ACCORDINGLY. 

Discussion: Digestive System – 2025 Write a short discussion about digestive system Let s follow the path of a delicious ham and

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Discussion: Digestive System – 2025

Write a short discussion about digestive system. 

 

Let’s follow the path of a delicious ham and cheese sandwich with lettuce and pickles as it is eaten and digested! Start at the beginning and discuss the anatomical parts as well as the biochemical roles that contribute to this sandwich being turned into chemical energy. Be sure to include mechanical and chemical mechanisms, along with how they are metabolized in the body!

What happens if one part does not function? For example, what happens to digestion if the person is missing many teeth but can’t afford dentures or perhaps has a digestive disorder?

  1. What stress factors may cause issues in the digestive tract for some people?
  2. How can a regular exercise program aid in the development of a healthy digestive tract?
  3. How might digestion and metabolism be different over the life span?

Case Study: Mr. M. – 2025 Evaluate the Health History and Medical Information for Mr M presented below Based on this information formulate

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Case Study: Mr. M. – 2025

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

  1. Temperature: 37.1 degrees C
  2. BP 123/78 HR 93 RR 22 Pox 99%
  3. Denies pain
  4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

  1. WBC: 19.2 (1,000/uL)
  2. Lymphocytes 6700 (cells/uL)
  3. CT Head shows no changes since previous scan
  4. Urinalysis positive for moderate amount of leukocytes and cloudy
  5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750 words, critically evaluate Mr. M.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mr. M.
  2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
  3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
  4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
  5. Discuss what interventions can be put into place to support Mr. M. and his family.
  6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Week 4: Quantitative and Qualitative Summary (Abstract) – 2025 Topic Effect of Nutrition of Diabetic Patient PICOT Questions 1 In diabetic patients above 65 years of

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Week 4: Quantitative and Qualitative Summary (Abstract) – 2025

Topic: Effect of Nutrition of Diabetic Patient.

PICOT Questions 

1. In diabetic patients above 65 years of age, how does nutrition compared to no 

nutrition influence the health of the patient over one week?

2. In diabetic patients below the age of 65 years, how does nutrition compared to 

physical exercise influence the health of the patient over one week?

3. In a diabetic patient of any age, how does nutrition compared to other treatments 

influence the health of the patient over one week?

Week 4: Quantitative and Qualitative Summary (Abstract)

This week, you will submit summaries of quantitative and qualitative studies. The purpose of this assignment is to become familiar with published research, research designs, and methodologies. For the assignment, you will select one quantitative research study and one qualitative study related to the field of nursing and write a summary of each study. Each summary must be accurate, succinct, and clear. These articles should be somewhat related to your PICOT questions.

Ensure the following questions are addressed in each summary:

1. What type of research is it (quantitative, qualitative, and design)?
2. What was the research question(s) or hypothesis?
3. What is the sample, the sample size, and sample attributes?
4. What was the setting of the study?
5. What were the researcher’s findings? (Identify one.)

You must submit the research study articles along with your summaries.

  • Each summary should be between 150–250 words. 
  • Use current APA format to style your paper and to cite your sources.

Review the rubric for further information on how your assignment will be graded.

Due Sunday, 11:59 p.m. (Pacific time)

Points  150

nur521reply – 2025 Reply1 Hi Maria I didn t think about it while pondering my own values but I have to admit

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nur521reply – 2025

Reply1Hi Maria,

I didn’t think about it while pondering my own values but I have to admit that autonomy is one of the things I value above others.  I can see that you also have similar values as my own.  I think that nurses in general will have similar values since we are in the business of caring for others, don’t you agree?  I see your answers are in regards to nursing and your work mostly.  I myself was thinking more about my personal life when contemplating my values.  Was it easy for you to think up what your values and beliefs are?  I had a difficult time to be honest.  I agree with your statement about your choices being limited by the policies in place, I suppose this is also true for me at my current job.  

Reply2

What are values? 

Q. What are your personal values? 

My personal values are my family, time and career. 

Q. Why do you value them? 

Family is everything, I chose nursing career to provide and stability for my son.  Time with family is priceless, once you lose the time you can’t get it back.  

Q. What are the values in your society? 

Social values accountability, honesty, knowledge, and independence 

Q. How do you make choices? 

I make choices by evaluating the outcome, what are the pros and cons, and if it is beneficial for me and my family 

Q. Are your choices based on your values? 

Yes, my choices are based on safety and wellness of my family  

Q. What values are useful in society? 

Useful in society knowledge, learning from different culture and beliefs. 

What are the limits to personal choice? 

Q. Who limits your choices? 

Myself and my son, my limit is what the outcome would be 

Q. Are limits to choices good? 

Yes, it is good depending on your choices, but for education and wealth sky is the limit you can be what you want to be, have faith.  

Q. Do you limit other people’s choices? 

My son, bad choices I will give the mom and son talk, but other people that is their choice, it is their right.  

Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances? 

Limiting choices takes away freedom, and independence of people.  Healthcare is good example, is it people’s right to get free healthcare or is it luxury?  Meaning if people choose medical, HMO, or PPO. Medical from the government where it is limited of where you can go for healthcare, whereas PPO you can choose where you want to go.  

A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption? 

Nurses’ being the influential member of the health care field, their choices along with commitment plays an essential role for the welfare and safety of humanity. Their decision-making efficiency molded from the framework of their personal, cultural and spiritual values often lead them to ethical dilemma. In situations with conflicting moral values, the nurses are expected to be professional and ethical, and point to the Code of Ethics to obtain guidance on the ethical dilemma of allowing nurses to deliver quality care.   

NR632 Phase 5 – 2025 Phase 5 Implementation and Evaluation Table of Contents Implementation of the Planned Change Practicum Project In earlier phases you developed

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NR632 Phase 5 – 2025

 

Phase 5: Implementation and Evaluation

Table of Contents

Implementation of the Planned Change Practicum Project

In earlier phases, you developed a measurable project outcome and an action plan to facilitate achievement of the outcome. During this phase, you will implement the action plan.

As you implement the action plan, be mindful of the following:

  • What are the financial, human, and material resources being utilized?
  • How effective are the strategies?
  • To what extent do the action steps facilitate achievement of the project outcome?
  • Do the action steps align with evidence-based practice?
  • What support and collaboration is needed from stakeholders to carry out the action plan?

Evaluation of hte Planned Change Practicum Project

Once an action plan is implemented, measurement of achievement of the project outcome will take place. Refer to your evaluation plan, completed in Phase 3, and carry out the necessary steps to evaluate the effectiveness of your action plan.

Think About It

  • What is the outcome measure in your evaluation plan?
  • What is the method you will use to gather data to evaluate your project outcome?
  • What was the indicator of success, and was your outcome successfully achieved?

Practicum Application and Activities

  • Prepare a plan with specific talking points to meet with your faculty (and practicum mentor if available) regarding the implementation and evaluation of your planned change project.
  • Meet with your faculty (and practicum mentor if available) to discuss implementation and evaluation of the planned change project.
  • Validate your work on Phase 5 with your faculty (and practicum mentor if available) as needed.

Suggested activities to consider for hypothetical implementation and evaluation might include (but are not limited to) the following:

  • Create a concept map that portrays application of a change model to the hypothetical implementation of the MSN Project. Submit the concept map and a brief explanation with the practicum log.
  • Based upon your planned change project (actual or hypothetical), reflect upon professional competencies necessary for successful implementation and evaluation of the planned change. Submit your reflection of necessary competencies along rationale with your practicum log.
  • Revisit the Johns Hopkins Action Planning Tool (Appendix I) and consider its usefulness in the implementation and evaluation phases. Develop a visual chart, table, or graph to convey project action steps and target dates that are identified in Appendix I; submit your visual tool with the practicum log.
  • Revisit your action planning tool and consider the variables or barriers that could interrupt the implementation process (for example a change in stakeholder support, funding stream, time, material, or human resources, among others). Identify two potential barriers that may arise and construct a plan to each; submit your plan with the practicum log.
  • Describe an actual or hypothetical plan for communication (or modification of a plan already developed in coursework) that would be applied during the implementation and evaluation phases; submit your plan with the practicum log.
  • Create or refine a budget (real or hypothetical) that conveys the projected cost, actual cost, as well as variance; submit your budget with the practicum log.
  • Construct a plan to address any cost variance that may occur while implementing the MSN Project; submit your plan with the practicum log.
  • Construct a hypothetical scenario involving evaluation of outcomes, noting how the specific outcome measure, indicator(s) of success, and outcome achievement hypothetically attained. Submit your scenario with the practicum log.
  • From a hypothetical perspective, expand the scope MSN Project and create a plan to execute the expanded project; submit your expanded plan with the practicum log.
  • Based upon your hypothetical plans for an expanded project, develop a plan to disseminate the information gained. Explain the rationale for your dissemination strategies; submit your plan with the practicum log.
  • Reflect upon your professional growth through the implementation and evaluation phases of the planned change project (actual or hypothetical). In what ways have your competencies been strengthened? Where might there be opportunities for continued enhancement? Submit your reflections with the practicum time log.