MN 577 Midterm Alternative Assignment 

Sandra Smith is a 21 year old female G0P0 who presents to your office with complaints of 3 days of dysuria and vaginal discharge, she admits to recent, unprotected vaginal intercourse with a new male partner.

1. What do you need to include in your focused physical assessment of Sandra?

2. What diagnostic tests would you order?

3. List 3 differential diagnosis for this case study.

4. What are the potential sequele of unprotected sex? 

5. If this is an STI, what would be the course of action as a provider for the patient’s partner?

6. If you perform a wet mount, what could the results indicate?

7. What are other considerations that are needed in caring for a women’s health patient in the Primary care setting?

8. Explain your non-pharmacological management of this patient.

9. List pharmacological management of this patient. 

10. What would you need to include in your patient/family teaching?

Read Chapter on Davis Plus: Discussion of Triaxial of action: Policy, Politics,and Nursing

1- What is Policy?

2- Explain each of them:  

Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was Florence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

   (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organization practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does above scenario represent?