week 1 2025

Details: Planning is the key to successful completion of this course and your overall program of study. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course mentor. You will need to establish a plan for successful completion of (1) deliverables associated with weekly course objectives (2), required practice immersion hours, and (3) deliverables associated with your capstone project. Access the “Individual Success Plan” resource in the Topic Materials. Read the information in the resource, including student expectations and instructions for completing the ISP document. Use the “Individual Success Plan” to develop a personal plan for completing your practice hours and how topic objectives will be met. Include the number of hours you plan to set aside to meet your goals. A combination of 100 supervised clinical hours in community health and leadership areas will be obtained through the application of the objectives listed in the Guidelines for Undergraduate Field Experiences manual. Practicum immersion experiences are required in a community health setting. Community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. According to HealthyPeople.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings include health care facilitie s. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490 course. If you are a registered nurse in Washington, your practicum experience must include a minimum of 50 hours in a community health setting. Students should apply concepts from prior courses to critically examine and improve their current practice. Students should also integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice. Consider the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course. How might you overcome these challenges? You can renegotiate these deliverables with your faculty and mentor throughout this course and update your ISP accordingly. Once your ISP has been developed and accepted by your course faculty, you will have your course mentor sign it at the beginning of, and upon completion of, each assignment that incorporates practice immersion hours. You will track all course practice immersion hours in the ISP. APA format is not required, but solid academic writing is expected. You are not required to submit this assignment to Turnitin. NRS-490-RS-IndividualSuccessPlan.docx

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QUESTION/ Case Study on Death and Dying 2025

QUESTION/ Case Study on Death and Dying Details: The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions. The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc. In your comparative analysis, address all the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective. In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research: 1. How would each religion interpret the nature of George’s malady and suffering? Is there a “why” to his disease and suffering? (i.e., is there a reason for why George is ill, beyond the reality of physical malady?) 2. In George’s analysis of his own life, how would each religion think about the value of his life as a person, and value of his life with ALS? 3. What sorts of values and considerations would each religion focus on in deliberating about whether or not George should opt for euthanasia? 4. Given the above, what options would be morally justified under each religion for George and why? 5. Finally, present and defend your own view. Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, lectures, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A TOTAL OF SIX REFERENCES ARE REQUIRED ACCORDING TO THE SPECIFICATIONS LISTED ABOVE . Incorporate the research into your writing in an appropriate, scholarly manner. Prepare this assignment according to the guidelines found in the APA Style Guide Read “End of Life and Sanctity of Life” in the American Medical Association Journal of Ethics, formerly Virtual Mentor (2005). http://journalofethics.ama-assn.org/2005/05/ccas2-0505.html

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NR507 Week 7 Quiz Latest 2017 2025

Question Question 1 2 / 2 pts Dilated and sluggish pupils, widening pulse pressure, and bradycardia are clinical findings evident of which stage of intracranial hypertension? Stage 4 Stage 2 Stage 1 Stage 3 Question 2 2 / 2 pts Posthyperventilation apnea (PHVA) ceases and rhythmic breathing is resumed when levels of arterial carbon dioxide become normal . oxygen increase . oxygen decrease . carbon dioxide increase . Question 3 2 / 2 pts Uncal herniation occurs when the hippocampal gyrus shifts from the middle fossa through the tentorial notch into the posterior fossa . the diencephalon shifts from the middle fossa straight downward through the tentorial notch into the posterior fossa . the cingulate gyrus shifts under the falx cerebri . a cerebellar tonsil shifts through the foramen magnum . Question 4 2 / 2 pts What are the areas of the brain that mediate several cognitive functions, including vigilance, reasoning, and executive functions? Occipital Limbic Parietal Prefrontal Question 5 0 / 2 pts The most critical aspect in diagnosing a seizure disorder and establishing its cause is computed tomography (CT) scan . cerebrospinal fluid analysis . health history . skull x-ray films . Question 6 2 / 2 pts Cerebral edema is an increase in the fluid content of the brain tissue . meninges . neurons . ventricles . Question 7 2 / 2 pts Which is a characteristic of brainstem death? Comatose Vegetative state Apnea Locked-in syndrome Question 8 2 / 2 pts Which disease process is infratentorial? Cerebellar neoplasm Parkinson disease Encephalitis Cerebral neoplasm Question 9 2 / 2 pts Microinfarcts resulting in pure motor or pure sensory deficits are the result of which type of stroke? Lacunar Hemorrhagic Embolic Thrombotic Question 10 0 / 2 pts Spinal cord injuries are most likely to occur in which of the following regions? Cervical and thoracic Lumbar and sacral Cervical and lumbar Thoracic and lumbar Question 11 2 / 2 pts A right hemisphere embolic cerebrovascular accident has resulted in left-sided paralysis and reduced sensation of the left foot and leg . The vessel most likely affected by the emboli is the right _____ artery . middle cerebral posterior cerebral vertebral anterior cerebral Question 12 2 / 2 pts In children most intracranial tumors are located laterally . below the tentorium cerebelli . above the tentorium cerebelli . posterolaterally . Question 13 2 / 2 pts What are the most common side effects of selective serotonin reuptake inhibitors (SSRIs)? Hypertensive crisis and agitation Orthostatic hypotension and weight gain Dry mouth and sexual dysfunction Sleep disturbances and nausea Question 14 0 / 2 pts Which neurotransmitter is reduced in people with schizophrenia? Acetylcholine Dopamine Gamma-aminobutyric acid (GABA) Serotonin Question 15 0 / 2 pts Which electrolyte imbalance contributes to lithium toxicity? Hyponatremia Hypernatremia Hypokalemia Hyperkalemia Question 16 2 / 2 pts Benign febrile seizures are characterized by onset after the fifth year of life . respiratory or ear infections . lasting 30 minutes or more . a temperature less than 39° C . Question 17 2 / 2 pts The clinical manifestations of dyskinetic cerebral palsy include exaggerated deep tendon reflexes, clonus, and rigidity of extremities . scoliosis, contractures, and stiffness of trunk muscles . increased muscle tone and prolonged primitive reflexes . jerky uncontrolled and abrupt fine musculoskeletal movements . Question 18 2 / 2 pts A _____ is the test done on amniotic fluid and maternal blood to test for neural tube defect . α-fetoprotein (AFP) total protein culture C-reactive protein Question 19 2 / 2 pts Symptoms characteristic of bulimia nervosa include: a perception that the body is fat when it is actually underweight . recurrent episodes of binge eating with fears of not being able to stop eating . absence of three consecutive menstrual periods . a fear of becoming obese despite progressive weight loss . Question 20 2 / 2 pts Intussusception causes intestinal obstruction by the loss of peristaltic motor activity in the intestine, causing an adynamic ileus . twisting the intestine on its mesenteric pedicle causing occlusion of the blood supply . forming fibrin and scar tissue that attach to intestinal omentum and cause obstruction . telescoping of part of the intestine into another usually causing strangulation of the blood supply . Question 21 2 / 2 pts After a partial gastrectomy or pyloroplasty, clinical manifestations that include increased pulse, hypotension, weakness, pallor, sweating, and dizziness are a result of a rapid gastric emptying and creation of a high osmotic gradient in the small intestine that causes a sudden shift of fluid from the blood vessels to the intestinal lumen . hemorrhage postoperatively in which a large volume of blood is lost, causing hypotension with compensatory tachycardia . an anaphylactic reaction in which chemical mediators, such as histamine, prostaglandins, and leukotrienes, relax vascular smooth muscles causing shock . a concentrated bolus that moves from the stomach into the small intestine, which causes hyperglycemia, resulting in polyuria and eventually hypovolemic shock . Question 22 0 / 2 pts Hepatitis _____ in children is primarily associated with blood transfusions . D B A C Question 23 2 / 2 pts _____ diarrhea results from lactose intolerance . Motility Secretory Small volume Osmotic Question 24 0 / 2 pts A person with cystic fibrosis has an exocrine pancreatic insufficiency because the pancreas has a volvulus at the ampulla of Vater . of the impaired blood supply to the pancreas causing ischemia . genetically the pancreas is unable to produce digestive enzymes . the pancreatic ducts are obstructed with mucus . Question 25 2 / 2 pts Prolonged diarrhea is more severe in children than in adults because children have diarrhea more often than do adults . children have a higher fluid volume intake . less water is absorbed from the colon in children . fluid reserves are smaller in children . c

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NURS 81 ASSGN 6 & 7 2025

Systematic Reviews: Searching and Analysis of the Literature This Assignment expands upon the work you have been conducting for this week’s Discussion.) you will conduct a search for literature on your selected practice problem. A Literature Review Matrix template will be used to identify gaps in the literature. To prepare: Consider the practice problem you addressed in this week’s Discussion. (You may select a new issue if necessary, but it is not recommended): Practice problem chosen: Health literacy and self-care activities, self-efficacy, and health related outcome of patients with type 2 Diabetes. Review the guidelines in the Literature Review Matrix, included in the Learning Resources. Formulate a research question around your issue as indicated in Part I. Then complete Part II of the Matrix, identifying the resources you will use, search terms and criteria, and Boolean search strings. Using the Walden Library, locate 10 articles related to your research question. At least one article must be a systematic review. All of the articles should be primary sources. NOTE: If appropriate, you may use the four articles you reviewed for this week’s Discussion. Actual Assignment: Complete Part I and Part II of the Literature Review Matrix template. Begin working on Part III. Review Part III of the Literature Review Matrix and notice which middle range theories were used most frequently in the articles you reviewed. Consider the appropriate use of the theoretical frameworks in each article. Review the information on empiricism presented in Chapter 1 of Theoretical Basis for Nursing and Chapter 6 in The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence as you consider your response to Part IV. Complete Part III of the Literature Review Matrix. In your analysis of the strengths and weaknesses of the existing literature, note the appropriate use of the theoretical frameworks. Complete Part IV addressing the influence of empiricism on quantitative methodology. REFERENCES McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health. Chapter 10, “Introduction to Middle Range Nursing Theories” Chapter 11, “Overview of Selected Middle Range Nursing Theories” Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier. Chapter 3, “Introduction to Quantitative Research” Chapter 4, “Introduction to Qualitative Research” Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses. Chapter 7 examines the process of preparing for a literature review to support research efforts. Chapter 13, “Outcomes Research” Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning. Review Chapter 6, “Developing the Scholarly Project” Armola, R., Bourgault, A., Halm, M., Board, R., Bucher, L., Harrington, L., & … Medina, J. (2009). AACN levels of evidence: What’s new? Critical Care Nurse, 29(4), 70–73. doi: 10.4037/ccn2009969 Elkins, M. Y. (2010). Using PICO and the brief report to answer clinical questions. Nursing, 40(4), 59–60. doi: 10.1097/01.NURSE.0000369871.07714.39 Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia, Pennsylvania: F. A. Davis. DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355–359. Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part I an introduction to gathering, evaluating, and recording the evidence… fifth in a series. American Journal of Nursing, 110(7), 47–52. doi: 10.1097/01.NAJ.0000383935.22721.9c Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

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