2025 Homework Read the case study on Ted Alexander Ted Alexander Case study

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Nursing Theory 2025

Homework Read the case study on Ted Alexander. Ted Alexander Case study Mr. Ted Alexander, a 50 year old white divorced salesman from Las Vegas, was on a business trip to Atlantic City when he developed pain in the right lower abdominal quadrant. He took Alka –Seltzer with little relief, and the pain persisted for the next two days. He was busy with appointments during the day and evening and was able to ignore the pain. He ate very little and took two sleeping pills at night. On the afternoon of the third day, the pain became much more intense, and when it continued for several hours and he began to vomit repeatedly, he went to the emergency department. Physical examination and laboratory data at this time revealed an alert, well-groomed male with generalized abdominal tenderness, rigidity of the abdominal wall, presence of a palpable mass in the right inguinal area, absent bowel sounds, and a WBC of 20,000/mm’ (normal = 5000-9000). The diagnosis of ruptured appendix was made. He was admitted to the hospital for initial medical management, with surgery anticipated at a later date. Your examination of the patient reveals the following: B/P = 140/80, P=116, Resp=26 and temp 101.2. The patient indicates that he is 6 ft. 2 inches tall and weighs 196 lbs. He is alert and oriented and states, “My gut is killing me.” His skin is warm to the touch and slightly diaphoretic. The patient states that he had been a heavy drinker for 15 years and was admitted to the hospital with cirrhosis two years ago by his family doctor, Dr. Manland, but has never had surgery. He denies drinking for the past two years but smokes two packs of cigarettes daily. Mr. Alexander is tense throughout your conversation and shares a number of concerns with you, including his separation from his two teenage children who live with him. He is also anxious about being cared for by an unfamiliar physician. The ED Nurse indicates that he wears contact lenses and is concerned because he has left his case and supplies as well as his glasses in his hotel. He gives you $750 in cash and traveler’s checks to deposit in the hospital safe. He has a partial lower plate of dentures and caps on his four front teeth. Further inquiry reveals that the patient prefers a low-fat diet, occasionally uses laxatives, and has had several occurrences of urinary urgency and nocturia in the last six months. The physician states that his treatment plan includes gastric suction, antibiotics and IV fluid therapy with electrolytes and vitamins until the patient is stabilized enough for exploratory surgery. Mr. Alexander agrees to this plan but is concerned about his job demands and wonders how he will deal with “getting back home when all of this is over.” Using the assessment sheet below, complete an assessment of Mr. Alexander. Client Assessment Tool – Orem Basic conditioning factors Age ______________ health state _______________ Sociocultural orientation __________________ Health system _________________ Patterns of living _______________________________ Environment _________________________ Resources _____________________ Universal Self-care Requisites Air Water Food Elimination Activity/rest Solitude/social interaction Prevention of hazards Promotion of normalcy Developmental self-care requisites Prevention/mgt of condition threatening Health deviation self-care requisites Seeking medical attention when health status altered Awareness/mgt of disease process Awareness of potential problems associated with regimen Modification of self-image to incorporate changes in health status Adjustment of lifestyle to accommodate changes in health Now consider, how time efficient is this model? Did you assess anything using the model that you wouldn’t have assessed using your usual method? Are there patients that you don’t think this model would work well for? Who?

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2025 Prepare this assignment as a 1 500 1 750 word paper using the instructor feedback

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Research Critiques and PICOT Statement Final Draft 2025

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below. PICOT Question Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor. The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). Research Critiques In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions. The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question. Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper. Proposed Evidence-Based Practice Change Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes. General Requirements Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

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2025 Discussion Exercise Chapter 7 Objective The students will complete a Virtual Classroom Discussion Exercise that will Extend

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Discussion Exercise 2025

Discussion Exercise: Chapter 7 Objective : The students will complete a Virtual Classroom Discussion Exercise that will Extend your knowledge beyond the core required materials for this class, Engage in collaborative learning with other students to improve the quality of the learning experience for all students and Apply the higher cognitive skills associated with critical thinking to your academic and professional work. ASSIGNMENT GUIDELINES (10%): Students will judgmentally amount the readings from Chapter assign on your textbook. This assignment is prearranged to help you to learning in all disciplines because it helps student’s process information rather than simply receive it. You need to read the PowerPoint Presentation assigned for week 4 and develop a 2-3 page paper replicating your appreciative and competence to apply the readings to your ethics knowledge. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA style 7th edition format when referring to the selected articles and include a reference page. EACH  PAPER SHOULD INCLUDE THE FOLLOWING: 1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words that will apply to the case study presented. 2. Discussion Challenge (65%) Health care in the 21st century is governed by a confusing array of rules, regulations, laws, and ethical standards. Issues that involve confidentiality, informed consent, and patient relationships can appear out of nowhere, even when health care workers have the best of intentions. What’s legal today might not be considered ethical, and there is the ever-present threat of being sued for negligence and malpractice. There are unresolved issues around doctor assisted dying that have yet to be worked out, while medical procedures considered ethical for adults might not be seen as ethical for minors. Here are the top five ethical issues that health care managers of today and tomorrow will be facing in the course of delivering responsible and compassionate patient care. a. Patient Confidentiality b. Patient Relationships c. Malpractice and Negligence d. Informed Consent e. Issues Related To Physician Assisted Suicide (PAD). STUDENT CHALLENGE: 1. Describe, mention and define the five ethical issues that health care managers of today and explain your point of view relate with the ethical implication. 2. Designate and discussion how this five issues where affected by the COVID-19 pandemic?

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2025 Create your Assignment submission and be sure to cite your sources use APA

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legal and ethical 2025

Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling. Assignment: Professional Development Exercises : Read the case study presented at the end of Chapter 11 (Guido, p. 222) A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per 222 Part 4 • Impact of the Law on the Professional Practice of Nursing nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. D  id the facility have sufficient evidence to suspend the nurse from their employee? 2. How should the testimony of the other nurses in the unit affect the outcome of this case? 3. What additional questions should the institution address before the court rules in this case? 4. How would you have ruled in this case? sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). D iscrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. A t trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these Did the facility have sufficient evidence to suspend the nurse? How should the testimony of the other nurses in the unit affect the outcome of this case? What additional questions should the institution address before the court rules in this case? How would you have ruled in this case? Read the case study presented at the end of Chapter 12 (Guido, p. 238) preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been caused by digital penetration. The child would not talk about the injury with the ANP. T he ANP then discussed the child’s case with the child protective services worker, and the child was admitted to the facility. The parents were subsequently questioned regarding potential abuse of the child. Charges of child abuse were filed against the father, who is now a registered sex offender in the state. The parents filed suit against the preschool teacher, the case worker and the ANP. A t trial, evidence was presented that the ANP did not share her findings or impressions of possible child abuse with the mother, the child’s primary pediatrician, or other emergency center physicians. She also did not recommend that the mother contact the child’s pediatrician for an evaluation and a second opinion. The ANP also admitted that it was possible that the child had scratched herself as a result of the infection and that the child herself had caused the vaginal tear. Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker? What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury? Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined? How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants? Read the case study presented at the end of Chapter 16 (Guido, p. 329) licensed practical nurse (LPN) employed by a nursing personnel agency worked one evening shift at the Veterans Administration Hospital in a major city. She cared for a patient who had recently undergone hip replacement surgery. Since his surgery, the patient had consistently spiked significant temperatures, and his temperature generally responded well to oral Tylenol, 500 mg, 2 tablets, every 4 hours as needed. The change nurse explained to the LPN that the patient was to continue on vital signs every 4 hours, including temperatures, and that he was to be medicated if his fever increased, even if only at low-grade levels. During the evening that she worked, the LPN obtained the patient’s temperature at 4 p.m. and again at 8 p.m. He had a lowgrade fever at the 4 p.m. hour and his temperature had risen to 102 degrees orally at 8 p.m. At both intervals, the LPN administered Tylenol as ordered. The charge nurse did not assess the patient during the evening, nor did she inquire about the patient’s condition. The nurse caring for the patient at midnight noted that his temperature was still elevated (102.4 orally). When notified, the attending physician ordered blood cultures, additional treatment for his ever-increasing fever, and a change in antibiotic therapy. D espite this aggressive therapy, the patient developed a fatal septicemia and the patient’s family sued for wrongful death. At trial, the court determined that the charge nurse had been derelict in her duty to supervise this patient and assessed partial liability against the LPN and the charge nurse Did the nurse manager have a responsibility to supervise the care of the patient? Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately? If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case? How do the principles associated with delegation and supervision figure into this case? How would you decide this case? You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question. Please combine all of these responses into a single Microsoft Word document for submission Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

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2025 Select a current or proposed health care policy that is designed to improve

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Benchmark – Population Health Policy Analysis 2025

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following: Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it? To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals? Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations. You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. Please refer to the directions in the Student Success Center. Rubric

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2025 Minimum of 250 words with peer reference Using the GCU Library notably the GCU Library Nursing

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NUR-550-D1Q2 2025

(Minimum of 250 words with peer reference). Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best type of translational research is best for the study, and explain why translational research is the most appropriate approach for this problem or population.

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2025 Post a 3 to 5 minute Kaltura video that addresses the following Describe an

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Discussion: Clinical Supervision Week 10 2025

Post a 3- to 5-minute Kaltura video that addresses the following: Describe an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name. Explain your therapeutic approach with the client, including the perceived effectiveness of your approach. Identify any additional information about this client that may potentially impact expected outcomes. Support with evidence-based literature and/or your own experiences with clients.

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2025 It may seem to you that healthcare has been a national topic of debate among political leaders

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Review Agenda priorities 2025

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember. Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since. As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news. In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy. To Prepare: Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations. Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations. Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected. Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda. The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet) Part 1: Agenda Comparison Grid Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following: Identify and provide a brief description of the population health concern you selected and the factors that contribute to it. Describe the administrative agenda focus related to the issue you selected. Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. Explain how each of the presidential administrations approached the issue. (A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.) Part 2: Agenda Comparison Grid Analysis Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following: Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected? How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there? Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? Part 3: Fact Sheet or Talking Points Brief Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis. Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following: Summarize why this healthcare issue is important and should be included in the agenda for legislation. Justify the role of the nurse in agenda setting for healthcare issues. By Day 3 of Week 1 Submit a draft of Part 1: Agenda Comparison Grid to the Module 1 Discussion Board Considering the feedback you received in the Module 1 Discussion on Part 1: Agenda Comparison Grid, revise and further develop Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis. Consider how the feedback you received might influence your Fact Sheet or Talking Points and revise as necessary. By Day 7 of Week 2 Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Fact Sheet or Talking Points Brief.

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2025 I Purpose The purpose of this experiential learning activity is to apply nursing leadership knowledge and skills to plan

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NR 534 week BA 2025

I. Purpose The purpose of this experiential learning activity is to apply nursing leadership knowledge and skills to plan for organizational change with system-wide impact. (CO 2, 3, 5) III. Requirements Description of the Assignment This assignment provides the opportunity for the student to: Create an evidence-based plan for system-wide change guided by a selected organizational change model Engage in high-level decision-making processes common in the nurse executive role Use reflective practice knowledge and skills in making high level decision making and change management IV. Preparing the Assignment Address all components of the Advanced Communication in Systems Leadership paper as outlined under “Assignment Directions and Criteria”. The paper is graded on quality and completeness of information, depth of thought, organization following outline provided, substantive narrative, use of citations, use of Standard English, and writing conventions. Format: American Psychological Association. (2010). Publication manual of the American Psychological Association (current ed.). Washington, DC: Author. Is the source used for this paper Required elements Title page, reference page Use Microsoft Word Page numbers, running head, doubles-spaced, times new roman, 12pt font, 1″ margins, level 1 headings Paper length: 7 maximum, excluding reference page and title page Scholarly sources Minimum of four (4) scholarly resources no older than 5 years (See: What is a Scholarly Source under APA resources) Proof-reading Use spell check and grammar check and correct all errors Compare final draft to detailed outline directions to ensure all required elements included Submitting the paper DIRECTIONS AND ASSIGNMENT CRITERIA You will use the following headings for your paper: Approach to the organizational mandate Purpose of the paper Overview of the tasks, potential challenges, and implications of a reduction in workforce Part II: Reduction in Workforce-Deciding Using Human Resources (HR) metrics Table 1 Approach, choices, rationale Challenges presented (including role of ethics) Using HR metrics with Relative Information Table 2 Approach, choices, rational Challenges presented Conflicts raised Negotiation used Part III: Reduction in Workforce-Planning the Change Overview of reorganization plan including timeline Plan for change and application of Kotter’s or Rogers’ change model Anticipated conflict (three areas) and the benefits of using a change model Healthy work environment Describe department and system-wide implications, impact, and conflict Strategies for addressing morale and motivation of remaining workforce Summary/Conclusions Restatement of purpose Overview of tasks What was learned

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2025 Assignment Developing Organizational Policies and Practices Competing needs arise within any organization as employees seek to

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Developing Organizational Policies and practices 2025

Assignment: Developing Organizational Policies and Practices Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly. Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice. Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization. To Prepare: Review the national healthcare issue/stressor you examined in your Assignment for Module 1 (which my issue/ stressor was the critical faculty shortage), and review the analysis of the healthcare issue/stressor you selected. Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor. Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs. The Assignment (4-5 pages): Developing Organizational Policies and Practices Add a section to the paper you submitted in Module 1. The new section should address the following: Identify and describe at least two competing needs impacting your selected healthcare issue/stressor. Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor. Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics. Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples. Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

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