1) Minimum 7 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

             Part 1: Minimum 2 pages

             Part 2: minimum 2 pages

             Part 3: Minimum 1 page 

             Part 4: minimum 1 page

             Part 5: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

Part 1: Pharmacology

Osteoporosis

J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 

1. List specific goals of therapy for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What OTC or alternative medicines might be appropriate for this patient?

7. What dietary and lifestyle changes might you recommend?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.

Part 2: Pharmacology

Osteoporosis

J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 

1. List specific goals of therapy for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What OTC or alternative medicines might be appropriate for this patient?

7. What dietary and lifestyle changes might you recommend?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.

Part 3: Pharmacology

 Vaginitis

R.S. is a 32-year-old woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing an odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a biweekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections. She denies any other associated symptoms. The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5.

Diagnosis: Bacterial Vaginosis 

1. List specific goals of treatment for this patient.

2. What drug therapy would you prescribe? Why?

3. Discuss specific patient education based on the prescribed therapy.

4. List one or two adverse reactions for the selected agent that would cause you to change therapy.

5. What OTC or alternative medications would be appropriate for this patient?

6.What dietary or lifestyle changes should be recommended?

Part 4: Nursing Leadership

One of the five elements of emotional intelligence is self-awareness. 

1. Explain why emotional intelligence is crucial for effective leadership. 

2. Discuss what behaviors someone with a high degree of self-awareness would demonstrate within the context of leading and managing groups. Provide an example.

Part 5: Nursing Leadership

1. Discuss the purpose of strategic planning in a health care environment. 

2. Explain what factors affect future planning in an organization and what tools can be used for future planning.

  

https://youtu.be/DbfyMXFwmho

https://youtu.be/jXmqsz7dn4A

Watch the video: “Reflective Discussion Video about a Request to Hasten Death” (Health Care Professionals from 12 years ago and updated version 2012)

       

Answer these questions:

1. What is happening?

2. What issues does the video raise?

3. What emotions come to your awareness for you, the doctor, the patient and the family? Explain.

 

One Minute paper

Replying to this post will count toward your participation credit. This is optional but will help you to see if you have a good grasp of understanding the concepts of this class. In a “One Minute Paper” please tell me what was the most important aspect you learned in class? Do you have any questions which remain unanswered?

(It does not have to be set up like a paper, just simply reply).

 

Objectives:

1. Discuss characteristics of successful students.
2. Propose strategies to support successful completion of a program of study.
3. Discuss the effect of plagiarism on the nursing profession.

Objectives:

Compare practice competencies between associate and baccalaureate nursing education.

Define the scope of practice for a baccalaureate-prepared nurse.

Discuss how the general public is educated about the role of nursing.

 

Objectives:

1. Describe how historical events and nursing leaders have influenced the practice of nursing.
2. Evaluate the use of nursing theory in nursing practice.
3. Evaluate the use of conceptual models in nursing practice.

My specialty registered nurse in Hospice healthcare.Texas 

 A newly married couple has just moved into your neighborhood and would like to start a family soon. They currently have no health insurance offered at their places of employment. You meet at a local coffee shop and they share this information with you knowing you are a registered nurse. They ask you “Any idea on what we should do to try and get affordable health insurance coverage?”. What questions might you ask to begin assisting? What information and resources might you give this couple to guide them in finding health insurance in your state? 

 

Topic: Chronic psychosocial Stress and Hypertension

“Genetic and behavioral factors do not fully explain the development of hypertension, and there is increasing evidence suggesting that psychosocial factors may also play an important role. Exposure to chronic stress has been hypothesized as a risk factor for hypertension, and occupational stress, stressful aspects of the social environment, and low socioeconomic status have each been studied extensively” (Spruill, 2010, p.10).

• Describe the participant protections provided by the researchers for participants. Participant protection provided was presenting the stressors in a lab, and not the real world.  The participants were then taught ways to cope.
• How were the participants selected? How might this impact ethical principles within the study? A cross sectional analysis of 2612 participants from 495 neighborhoods was done to choose the participants. The participants were chosen from people who were included in the multi-ethnic study of atherosclerosis. The participants were people experiencing low socioeconomic status, racial discrimination, and occupational stress which could impact ethical principles.
• Would the participants in this study be considered “vulnerable”? Why or why not? Yes, because the participant with bp issues is forced to confront stressors in a lab.   For example, African Americans living in the US suffer from higher rates of hypertension than whites and reasons remain poorly understood, (Spruill, 2010, p.12).  One aspect is that African Americans demonstrate elevated bp to race related lab stressors such as listening to audiotapes and watching videotapes of racist scenarios or recall of personal experiences.  Evidence showed that reactivity is influenced the degree to which the subjects attribute to race-related discrimination, (Spruill, 2010, p.12).
• Were participants subjected to any physical harm or discomfort or psychological distress as part of the study? What efforts did the researchers make to minimize harm and maximize good? Yes, they were forced to confront the stressor being studied, whereas in real life, they probably tried their best to avoid certain stressors. The participants were taught interventions to help reduce blood pressure such as muscle relaxation, biofeedback, meditation, and other coping mechanisms.
• Does the report discuss steps that were taken to protect the privacy and confidentiality of study participant? There is a disclosure note: Disclosure No potential conflicts of interest relevant to this article were reported.

“Much of the work to date regarding effects of rumination on BP has used laboratory stressors; though this approach is useful and important, the artificiality of the situation limits the generalizability of results to the real world. Response to laboratory stressors may be a poor indicator of the degree to which people ruminate about real-life stressors. Further, in the laboratory, the participant is forced to confront the stressor being studied, whereas in the field, the person may use various strategies (eg, distraction) to avoid such engagement. Thus, an important next step in evaluating rumination as a possible mechanism by which stress contributes to hypertension is to observe the effects of naturally occurring stressors on ruminative thoughts and BP outside the laboratory” (Spruill, 2010, p.14).

Spruill, T. M. (2010). Chronic psychosocial stress and hypertension. Current Hypertension Reports, 12(1), 10-6. doi:http://dx.doi.org/10.1007/s11906-009-0084-8

(2refences required)