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2025 WEEK1 ANSWER TO PROFESSOR DICUSSION first part is my discussion Physical Examination Physical examination is the evaluation of anatomic findings by
by adminnursing assessment 2025
WEEK1/ANSWER TO PROFESSOR/ DICUSSION first part is my discussion Physical Examination Physical examination is the evaluation of anatomic findings by using observation, percussion, palpation, and auscultation to obtain information about the patient. Many people who visit healthcare providers follow their instructions but wonder what they are doing or what they are looking for. During a physical examination, a healthcare practitioner is gathering cues to be able to diagnose. When a physical examination is thoughtfully integrated with the information that they provide, history, and path physiology, they should yield at least 20% data that is necessary for diagnosis and management of the patient (Sawyer, 2012). An examination of a 12-year-old child to find the likely cause of the symptoms portrayed would assist in diagnosing the child. You are admitting a 12-year-old child to your unit. The mother states that the child has a history of unexplained blackout episodes, headaches, sleep disturbances, and is presently exhibiting tremors. What is the most likely cause of these symptoms? What actions would you take during the interview process? Explain . I have chosen the 12 year old patient for this discussion. When conducting a physical assessment on children it is imperative to start the collaboration relationship process between the patient and their family members and myself, as the nurse with effective communication strategies. I would first introduce myself to the patient and mother of the patient and explain to the both of them the purpose of the assessment being performed and how the information that they provide will be utilize appropriately. One important aspect to explain to both of them is that the information that they provide to me is protected by HIPAA. I would then use open-ended questions (i.e. what brings you in today) to direct the interview to gain the patient’s history from either the child or from the mother. If more information is needed then I would utilize closed-ended questions or direct statements (i.e. how long has these symptoms been going on) to clarify any additional information. Next, I would take the patient’s vitals and a complete head-to-toe assessment with an emphasis on the neurological system exam, all while explaining to the patient and the mother the reason for me having to do this. By me explaining step-by-step what I am doing will help me to better build a rapport with them as well as giving the patient and the mother a sense of being aware of what is going on, so that if they have any questions I will be able to answer these for them. It would be pretty apparent that with the symptoms that the patient is experiencing may be due to some type of neurological condition. Patient would then need to be referred to a neurologist for further testing to confirm a proper diagnosis. Reference: Assessment Technologies Institute. (n.d.). Physical assessment (child). Retrieved from http://www.atitesting.com/ati_next_gen/skillsmodules/content/physical-assessment-child/viewing/Neurological-a.html Sawyer, S. (2012). Pediatric physical examination & health assessment. Sudbury, MA: Jones & Bartlett Learning. Professor question/ needs to be answer. Strong work. When we thinking about our 1st pt- Considering all aspects of the patient medical history, including the history of close family members, is important to ensure the complete clinical picture is evident. Asking if family members have a history of depression is an important point we must raise during a history assessment of our first patient. Would you agree?
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2025 For the Course Project you identify and apply relevant research to a specific nursing topic or problem You begin
by admin6052 Assignment 1 2025
For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice. Before you begin, review the Course Project Overview document located in this week’s Learning Resources. Course Project: Part 1—Identifying a Researchable Problem One of the most challenging aspects of EBP is to actually identify the answerable question. —Karen Sue Davies Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results. In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions. To prepare: Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions. Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem. Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem. Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale. Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question? Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question. Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question. To complete: Write a 3- to 4-page paper that includes the following: A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice The 5 questions you have generated and a description of how you analyzed them for feasibility Your preliminary PICOT question and a description of each PICOT variable relevant to your question At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
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2025 The project must be typewritten double spaced and very limited in length maximum 12 pages Part I 25 A
by adminNURS 6208 final assignment 2025
The project must be typewritten, double spaced and very limited in length (maximum 12 pages). Part I (25%) A NP researcher randomly sampled 100 women aged 50-65 years and measured their minutes of exercise in the past week, BMI, and depression. Depression was measured using a Likert type scale consisting of 20 items. The summation score ranged from 20 to 100 and the higher the score, the higher the level of depression. The Pearson correlation coefficients (r’s) are summarized in the following table. For the analyses, statistical significant level was set at α=0.05. Table 1: correlation among minutes of exercise, BMI and depression Exercise in past week (minutes) BMI BMI -0.15 Depression score -0.30* 0.20 *p < 0.05 1. Write a research and null hypotheses regarding the relationship between exercise and depression. 2. Based on the test statistics in table 1, what is your conclusion regarding your research hypothesis? (Hint: discuss both the magnitude and direction of the relationship). 3. What proportion of variance is shared by minutes of exercise and depression among women 50-65 years of age? 4. For the relationship between minutes of exercise and BMI, a. what was the estimated power of the statistical test? (Using the power table on page 202, table 9.1, Polit 2010). b. What was the risk that a type II error was committed? 5. If -0.20 is a good estimation of population correlation, what sample size would be needed to achieve power of 0.80 at a significance α=0.05? PART II. (25%) Using the “N6208 Final Project Data”, a). select two variables with nominal or ordinal level measurements, and perform the descriptive statistics (frequency and percentage). [Please select only dichotomous variables from the following list: poverty, smoker, PoorHealth ]. b). perform the bi-variate descriptive statistics using crosstabulation. c). Hand calculate the ARs, ARR, RR, and OR. Show all your calculations. d). Perform a chi-square analysis. e). Using APA format, write a full report with the following sections: 1. Introduction : Describe your research question and hypothesis. Include the variables, measurement levels, the bivariate research question, and the hypothesis [ for example, the event of adverse risk (using your variable name here, for instance, alcohol usage) will be higher/or lower in the risk exposed group (i.e., marijuana use) compare to the non-exposed group (non-users of marijuana)] . 2. Method : Include the sample description (sample size, eligibility criteria) and statistical methods used for data analysis. (The sample information can be found in “Polit Dataset Description” in SPSS Data Sets folder). 3. Results : Include frequencies and percentages for the two variables, crosstabulation results, risk indexes (ARs, ARR, RR, and OR), and chi-square test results. Include a summary table for the results and write your interpretation. (Attach SPSS outputs). 4. Discussion : Write a report including summary and interpretation of the findings reported in the previous sections relative to the research questions you posed in your introduction. Part III. (50%) Run a one-way ANOVA using the dataset “N6208 Final Project Data”. The Dataset contains 462 cases from the original PolitDatasetA. Two variables will be used for this analysis: Satisfaction and Houseproblem . The variable Houseproblem is created using the variable housprob , a summary index of eight variables about current housing problems for the women in this sample—for example, whether or not they had their utilities cut off, had vermin in the household, had unreliable hear, and so forth. The variable housprob is a count of the total number of times the women said “yes” to these eight questions. The variable housprob is recoded into Houseproblem based on number of housing problems. The coding for Houseproblem is: 1=no housing problems, 2=one housing problem, and 3= two or more housing problems. Satisfaction measures the overall satisfaction with material sell-being. This variable is a summated rating scale variable for women’s responses to their degree of satisfaction with four aspects of their material sell-being—their housing, food, furniture, and clothing for themselves and their children. Each item was coded from 1 (very dissatisfied) to 4 (very satisfied), so the overall score for the four items could range from a low of 4 (4 X 1) to 16 (4 X 4). Higher score indicates greater satisfaction. This scale has an internal consistency Cronbach’s alpha of 0.90. The content validity and construct validity have been established in previous research. For this analysis, use the variable Houseproblem as the independent (group) variable and variable Satisfaction as the outcome variable. To run the one-way ANOVA, click Analyze → Compare Means → Oneway. In the opening dialogue box, move Satisfaction into the Dependent List and Houseproblem into the slot for Factor. Click the Options pushbutton, and click Descriptives and Homogeneity of Variance, then continue. Next, click the Post Hoc pushbutton and select LSD. Click continue, then OK, and answer the following questions using compete sentences : What are the mean levels of satisfaction in the three groups? Report the mean, SD, minimum, maximum and sample size in a table . Write a research question. Write the research hypothesis (Ha) and the null hypothesis (Ho). What was the value of the F statistic and its p-value? Can the null hypothesis be rejected? What were the degrees of freedom? According to the LSD test, were any group means significantly different from any others? If yes, which ones? Write a paragraph summarizing all the results. Attach the relevant SPSS printouts. Nursing Assignment Help 2025
2025 Calculating Odds Ratio Data can be qualitative or quantitative Qualitative data is helpful to generate a hypothesis
by adminCalculating Odds Ratio 2025
Calculating Odds Ratio Data can be qualitative or quantitative. Qualitative data is helpful to generate a hypothesis and gather information if little is known about an expected association. Focus groups, key informant interviews, and case studies are types of qualitative data collection methods used to identify common themes from which to build a hypothesis. Quantitative data collection and analysis is used to test a hypothesis and make comparisons to determine the direction and strength of a potential association. The Behavioral Risk Factor Surveillance System (BRFSS) is cross-sectional panel survey used to collect quantitative data on adult behaviors and risk factors. It is one of the largest U.S. health data collection efforts. The data can be used to analyze associations on a state or country level. Follow the steps to obtain a 2×2 contingency table (also known as a “cross tabulation”) crossing binge drinking with depression. 1. Retrieve the “BRFSS Web-Enabled Analysis Tool” resource provided in the Topic Materials. 2. Select “Cross Tabulation.” 3. Select “2015” for the year. 4. Select “Arizona” for the state. 5. Select “Alcohol Consumption: Binge drinkers (males having five or more drinks on one occasion, females having four or more drinks on one occasion)” for Step 2 Select Row. 6. Select “Chronic Health Conditions: Ever diagnosed with a depressive disorder, including depression, major depression, dysthymia, or minor depression” for Step 3 Select Column. 7. Skip Steps 4 and 5. 8. Select “Sample Size” for Step 6 Select Statistics and run the report for the cross tabulation. Part 1 Using the data from the cross tabulation results, calculate the odds ratio for depression among those exposed to binge drinking. Interpret the odds ratio and discuss if the odds ratio is a good estimate of the relative risk in this situation. Why or why not? Show your 2×2 table and all calculations. Present or describe the formula you used to arrive at your answer. Part 2 Use the Topic Material, “BRFSS Web-Enabled Analysis Tool,” located on the CDC website, and run a report for two variables of interest to you. Create a 2×2 table and calculate the odds ratio for this association. Interpret the odds ratio and discuss the public health importance of the association. Show your 2×2 table. Present or describe the formula you used to arrive at your answer. Refer to the “Creating a 2×2 Contingency Table” resource for guidance in creating 2×2 contingency tables. General Requirements APA style is not required, but solid academic writing is expected. 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. Use the “BRFSS Web Enabled Analysis Tool,” located on the Centers for Disease Control and Prevention (CDC) website, to complete the topic assignment. URL: https://nccd.cdc.gov/weat/#/
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