For this paper you must cite and reference 2 sources. The paper should be 2–3 pages and written using current APA format. Your paper should address the following:

a. How would you prepare for the following situation?  (provide realistic examples and details for safety and survival)

(Scenario) At this moment, you are sitting at home working on your WCU class. Suddenly, the National Weather Bureau sends an alert across your cell phone—a tornado is headed your way. You have 15 minutes before touchdown in your neighborhood. What is your plan? This is a ‘shelter in place’ scenario, you cannot outrun the tornado. Identify a safe place in your home to take shelter.

You must include research. Cite and reference two sources and explain the recommended safety measures in a tornado emergency and how you would apply them to your specific living arrangements.

b. How prepared are you in the event of a disaster? Describe your level of disaster preparedness using specific examples and references to your “go-bag” and preparedness checklist assignments. 

Example: “I am more prepared for a water-related disaster than a fire-related disaster even though I live in a highly secluded, forested area. I have a boat as transportation in the event of flooding, but I do not have rain barrels or fire barrier supplies on hand.”

Example:  “There were many missing items on my preparedness checklist. I realized that I do not own a flashlight. If I had to use my phone as a light it would drain the battery very quickly. 

c. Reflect on how prepared you were before this class and compare it with how prepared you are now. 

• Have you acquired any new emergency items?
• Do you plan to take any additional trainings or certification courses?
• Have you shared your knowledge with friends and family? 

 SELECT ONLY ONE QUESTION TO WORK ON!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

·      Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Chapter 4: Competencies for Professional Nursing Practice

1.  You are assigned to care for Ms. C., an 81-year-old patient who was admitted today with symptoms of increasing shortness of breath over the last week. She is currently receiving oxygen through a nasal cannula at 3 L/min. You go into the room to assess her. You find that she is sitting up in bed at a 60-degree angle. She is restless and her respirations appear labored and rapid. Her skin is pale with circumoral cyanosis. You ask if she feels more short of breath. Because she is unable to catch her breath enough to speak, she nods her head yes. Which action should you take first? Why?

•      Listen to her breath sounds.

•      Ask when the shortness of breath started.

•      Increase her oxygen flow rate to 6 L/min.

•      Raise the head of the bed from 75 to 85 degrees

2.  What do all of the following scenarios have in common?

•      An elderly male becomes acutely confused and refuses to follow directions for his safety.

•      A teen comes into an urgent care setting requesting information about sexually transmitted infections.

•      A mother visits a school nurse and requests information about how the school handles sex education.

•      A team leader needs to rearrange assignments when one team member goes home sick.

•      Nursing staff in an intensive care unit need to develop an evacuation plan.

3.  You will be taking care of a patient in a nursing home for the first time. Your assignment is to care for an older man who has heart disease. In addition, he has five other medical problems and takes 20 medications. While developing a plan of care for this patient, you can identify 8 to 10 nursing problems. You have no previous experience with nursing homes, and most of what you have heard and read about them is negative. Will you find yourself dreading the clinical day and expecting a negative experience before you even begin?

4.  Think about a clinical experience that was troubling to you. Reflect on what bothered you about the experience. What could you have done differently? What were the reasons behind your actions? Try to create and clarify meaning or a new understanding of the particular situation.

5.  Beginning nursing students often tend to focus primarily on their routines, including to get their list of tasks done, including assessments, ordered treatments, daily care, and charting. What if an unexpected situation occurred during the day? Do you think you would be able to reason, plan, and take appropriate action—think critically?

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