NR503 Midterm Exam Latest/ NR503 Midterm Exam Latest 2025

Question 1 Endemic means that a disease: a. Occurs clearly in excess of normal expectancy b. Is habitually present in human populations c. Affects a large number of countries simultaneously d. Exhibits a seasonal pattern e. Is prevalent among animals Table who ate egg salad & who did not eat egg salad Total number of persons who ate each specified combination of food items Ate tuna Did not eat tuna Ate egg salad 75 100 Did not eat egg salad 200 50 Total number of persons who ate each specified combination of food items & who later became sick (with acute sore throats) Ate  tuna Did not  eat tuna Ate egg  salad 60 75 Did not  eat egg salad 70 15 Question 2 What is the sore throat attack rate in persons who ate both egg salad & tuna? a. 60/75 b. 70/200 c. 60/133 d. 60/275

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Ques/1 TR 2025

Instructions: Response must be at least 310 words written in current APA format with at least two academic references cited. References must be within the last five years. Response must exten, refute/correct, or add additional nuance. Nursing theory is a systematic outline of ideas and objectives intended to drive nursing practice. Some of the first nursing theories can be dated back to the late 1800s, due to a strong importance being placed on the formal education of nurses. Florence Nightingale is considered to have the first nursing theory of environmental. In her theory she states that external influences can contribute to or prevent death and disease, and with her emphasis on environment this led to changes in practice with nutrition, sanitation, and hydration, along with addressing the patients both physical and spiritual needs, whole person care. In addition, she founded what is referred to as the laws of nursing, this is what has directed nursing education in America through the 1950’s. After that several other nursing theorists came about directing education practice and research (Stolley et al., 2019). The association of practice in relation to nursing theory and research are closely connected. Both theory and research play a role the development toward expert nursing practice. Both have the similar objectives which are geared to improving the quality of nursing care to individuals. Through the development of research and theory evidence-based practice occurs. Evidence based practice is recognized as the standard for the improvement of medical care. For example, one evidenced based study shows that after placing a nasogastric tube instead of ordering the usual x-ray utilizing an aspirate pH test is just as definitive and more economical when verifying placement (Chien, 2019). However, throughout the years the usefulness of utilizing nursing theories in practice has been questioned. Another study conducted decided to look at theories and examine the effectiveness of theory guided practice in relation to a more traditional evidence-based practice and they found that theory guided nursing practice is still very relevant and showed an overall improvement in all practice outcomes that were conducted in the study (Younas & Quennell, 2019). When looking at these two studies both show relevance and how there is an interrelationship between theory, practice, and research. In addition, further looking at the interrelationship between theory, practice, and research there are 4 main concepts that seem to stand out and can be found in each field. They exist individually and work in conjunction with theory, practice, and research. The first concept is the individual who can be identified as a patient, family, group, or community. The second can be identified as the environment which can be the internal and external factors that can cause positive or negative effects on the individual. The third can be health which is the wellness or the well-being of the individual and the fourth is nursing which is the attributes and actions of the nurse and the care provided (Gaines, 2020). In conclusion the individual, environment, health, and the nurse, all 4 can act independently within each field of practice, research, and therapy, but also foster the interrelationship between the three areas. For example, Peplau’s theories examining interpersonal relations can narrow the focus on specific concepts such as, the effects nurses have on patient outcomes and the patient’s hospital experience. Research can then be focused on the direct impact nursing has on improving patient outcomes and if a patients hospital experience plays a direct role with positive or negative outcomes. The data from the research can be used to improve healthcare practice and implemented to make policy and procedure improvements to provide better direct patient care. This incorporates the individual, environment, health, and nurse along with theory, research and practice, further showing the interrelationship connection. A similar process was used to develop the framework for Consumer Assessment of Healthcare Providers and Systems–Hospital (HCAHPS) which is a way for patients to report on their hospital experience and provide information which can assist in positive changes in the healthcare system (Hagerty et al., 2017).

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Week 10 Discussion Pharm 2025

Howard is a 24 year-old male who presents to the clinic with his wife for what he states is severe lower back pain. He states the pain is so bad that he rates it as a “50 out of 10.” He also tells you that due to a past medical history of an ulcer, he cannot take any medications “like Motrin.” He states that the pain is from a car accident in 2012, and that it flairs up and he needs pain medications. He also tells you that he has a high pain tolerance, and that when he gets pain meds he requires the higher doses. Discussion 1 What would you do first prior to prescribing any medication? What are the various schedules of medications for controlled substances? Would you prescribe a long or short acting narcotic? Why or why not? Discussion 2 What other non narcotic medication options can you offer to this patient? What patient education is needed with them? What would you do if the patient and his wife tell you that none of them work for him?

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Discussion 2025

As a new nurse, you have had clients with Myasthenia Gravis (MG) and are concerned about their level of understanding of the disease process. You have taken on the task of developing a teaching pamphlet to provide clear discharge instructions including information on the disease, support resources, medication teaching, and signs and symptoms of Myasthenic Crisis. You will include the following information in the pamphlet. Describe the disease process for MG. List (2) local community resources available that can provide support such as: Nutrition. Transportation. Psychosocial needs such as support groups. Include medication administration instructions and the importance of timing of medication delivery. Include signs of symptoms of Myasthenic Crisis and when to notify health care provider. You must thoroughly describe the disease process, list 2 local community resources, have superior recommendations of medication administration instructions including detailed explanations for the timing of delivery, thoroughly describe signs/symptoms of Myasthenic crisis and when to notify the healthcare provider

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Nurse 2025

Choose a health problem that you may commonly see in primary care nurse practitioner practice. Describe the health problem and recommended medical management for it. Research published clinical practice guidelines and evaluate the practice guideline you have selected based on the components listed in the Clinical Practice Guideline Template below. Clinical Practice Guideline Prompts: HEALTHCARE PROBLEM IDENTIFIED: Briefly describe the health problem you have identified. Include a discussion of morbidity, mortality, epidemiology and pathophysiology related to this health problem PRACTICE GUIDELINE: Describe the clinical practice guideline used for this problem. Reflect on the questions included. Expand on your answer using support from evidence Does the clinical practice guideline adequately address the health problem? Describe. Is this practice guideline based on current evidence (within 5 years)? What is the strength of this evidence? Does this clinical practice guideline adequately direct the healthcare provider in the management of a patient with this problem? How effective is this clinical guideline in the management of patients with this healthcare problem? Think about how you would assess the effectiveness of patient management. ANALYSIS: Think about future healthcare needs of patients with this problem, changing demographics, and changes in healthcare policies. Address these questions. Does this clinical practice guideline need revision(s)? Please explain your answer in detail. If you were going to revise this clinical practice guideline, what would you change? What evidence would you use to base your changes on? How might changes in US demographics and healthcare reform affect this clinical practice guideline? What strategies would you use to increase the likelihood that a new or modified clinical practice guideline would be adopted and used in clinical practice? EVALUATION How would you determine its effectiveness of this revised clinical practice guideline in directing care for patients with the identified health problem? Outline the steps you might employ. LEARNING POINTS (3-5 bullet points outlining key learning in this case.) REFERENCES (APA formatting, current within past 5 years.)

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