Discussion: Legal and Ethical Considerations for Group and Family Therapy 2025

THE TASK IS TWO REPLY WITH A COMMENT TO EACH POST, POST 1 AND POST 2. TWO REFERENCE IS NEED IT PER COMMENT WITH CITATION PER REFERENCE IN APA STYLE ABOVE ABOVE 2013. POST 1 The Health Insurance Portability and Accountability Act (HIPPA) is one of the acts that guide the practices of a nurse when it comes to Group and Family Therapy. Ethical and legal considerations such as confidential information of a patient as defined by HIPPA is part of what psychiatric mental health nurse practitioner does. Therefore, in this discussion, the primary objective is to provide an explanation of how legal and ethical considerations for group and family therapy differ from individual therapy. The differences between the considerations significantly affect therapeutic approaches for clients depending on whether the clients are put on group or family therapy (Schiefele et al. 2018) The differences in legal and ethical considerations for group and family therapy and individual therapy Group and family therapists face more ethical and legal challenges than individually oriented therapists do. First, in group and family therapy, the ethical consideration is grounded in the foundational premise of the family as a system and therefore, the focus of the therapy is on the relationship. Some of the specific ethical and legal considerations that require special attention on the part of individual and group and family therapists include responsibility, informed consent and confidentiality. The first difference in ethical considerations for group and family therapy and individual therapy based on responsibility (Schiefele et al. 2018). Unlike individual therapy, group and family therapy is associated with the dilemma of multiple clients who are in the same situations and therefore, an intervention that serves one person’s best interests may be counter therapeutic to another. It means that the therapy process must consider an intervention that serves all the parties involved (Gurman & Burton, 2014). In group and family therapy, there are conflicting goals, as well as, the interests of the parties involved. It is unlike individual therapy in which the therapist encourages the client to explore potential ramifications of his or her actions. The group and family therapist is set apart from the individual therapist because of the family therapist’s ethical clear commitment to promoting the welfare of every member involved in the treatment process. It implies that group and family therapist has more responsibility than an individual therapist does for exercising judgment, which must take into account all the individuals (Gurman & Burton, 2014) When it comes to legal consideration, informed consent is a key difference between group and family therapy and individual therapy. In treating each member’s confidences in-group and family therapy, the therapists should act as though that person were an individual client (Shaw, 2015). The information got during a private session, or a telephone call from one member is not divulged to other family members. The therapist upholds the individual client’s confidentiality to other family members (Hertlein, Blumer & Mihaloliakos, 2015). When it comes to individual therapy, one obtains only one client’s permission to use information while in the group and family therapy the permission is obtained during the conjoint sessions. How the differences might affect therapeutic approaches for client’s in-group and family therapy By considering responsibility as ethical considering in group and family therapy, the therapist must ensure that improvement in the status of one the member in the therapy is not occurring at the expense of another member. As part of ethical consideration, the group and family therapist should be an advocate of the family system during therapeutic process and avoids becoming an agent of any one of the members. When it comes to preservation of confidentiality, therapeutic approaches for clients in group and family therapy is such that the therapists arrange for sessions with individual family members to actively encourage the sharing of “secrets” as part of better understand what is occurring in the group or family (Shaw, 2015). When dealing with clients in group and family therapy, I will ensure that informed consent is obtained from each member in the therapy process before any information is used. If permission is not granted, all information must be kept confidential (Hertlein, Blumer & Mihaloliakos, 2015) References Gurman, A. S., & Burton, M. (2014). Individual Therapy for Couple of Problems: Perspectives and Pitfalls. Journal of Marital and Family Therapy, 40, 4, 470-483. Hertlein, K. M., Blumer, M. L. C., & Mihaloliakos, J. H. (2015). Marriage and Family Counselors’ Perceived Ethical Issues Related to Online Therapy. The Family Journal, 23, 1, 5-12. Schiefele, A.-K., Lutz, W., Rubel, J., Barkham, M., Saxon, D., Bohnke, J., Delgadillo, J., … Lambert, M. J. ( 2018). Reliability of Therapist Effects in Practice-Based Psychotherapy Research: A Guide for the Planning of Future Studies. Administration and Policy in Mental Health and Mental Health Services Research, 45, 6, 598-613. Shaw, E. (2015). Ethical Practice in Couple and Family Therapy: Negotiating Rocky Terrain. Australian and New POST 2 Psychotherapy is a way to help people with a broad variety of mental illnesses and emotional difficulties. Psychotherapy can help eliminate or control troubling symptoms, so a person can function better and can increase well-being and healing (APA, 2018). There are two major types of therapies which are Individual therapy and group therapy. On individual therapy, the individual expresses his or her freedom and ability to talk to the therapist without fear of anything. Individual therapy involves the patient and the therapist alone while the group or family therapy includes the patient and the family members or another patient in a group therapy. The group and family therapy help to improve the relationship and interaction of the patient with other people in the group or family which leads to an improvement in the patient mental health (Laureate Education (Producer), 2017). Legal and Ethical Considerations for Group/Family and Individual Therapy Ethical consideration that is most seen individual therapy versus group and family therapy is the process and content of interactions in individual versus group therapy. In individual therapy, is mostly talk about one particular patient on his or her feeling and the patient privacy is maintained. Group or family therapy involves two or more people where privacy is not maintained and where one individual’s perception may be criticized by another member of the group which makes the patient endorse a feeling that his or her feelings do not count and respected (Nichols, M., 2014). The level of confidentiality in groups is far less secure than it is individual therapy. Although group members are generally instructed that the information and events that occur in the group are to be held confidential and only to be shared with group members during therapy, the potential for a breach of confidentiality is far greater in group therapy (AAC, 2018). Both the individual and group or family required the therapist to obtain informed consent before the commencement of the therapy. The therapist is expected to explain the dos and don’ts of the sessions, the goals, and the expected outcome of the therapy to his or her clients. In addition to that, the therapist will make sure that the client’s signs form for confidentiality. This will ensure that anything said between any two or more group members at any time is part of the group and is confidential (Breeskin J., 2011). Impact of the Ethical factors and Strategies for the therapeutic approaches for Clients in Group/Family Therapy The patient will be educated on the importance of confidentiality and not reveal other patient’s mental health problem to other people. The therapist should use appropriate therapeutic skills when interacting with group therapy. Ethical issues in group psychotherapy are complex and differ from individual psychotherapy with regard to the types of ethical dilemmas that are encountered. Confidentiality is a special area of concern, given that there are more threats to confidentiality in group therapy than in individual therapy (Klontz B.T., 2004). Reference American Addiction Centre, 2018. Group Therapy verses Individual Therapy. Retrieved from https://americanaddictioncenters.org/therapy-treatment/group-individual American Psychiatric Association, 2018. What is Psychotherapy? Retrieved from https://www.psychiatry.org/patients-families/psychotherapy Breeskin J., 2011. Procedures and guidelines for group therapy. Retrieved from https://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2011/04/group-procedures.aspx Klontz B.T., 2004. Ethical Practice of Group Experiential Psychotherapy. Retrieved from https://www.researchgate.net/publication/232563953_Ethical_Practice_of_Group_Experiential_Psychotherapy Laureate Education (Producer). (2017). Introduction to psychotherapy with groups and families [Video file]. Baltimore, MD: Author. Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

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Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews 2025

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size? In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Develop a PICO(T) question to address the clinical issue of interest for the Assignment. Use the key words from the PICO(T) question you developed and search at least four different databases in the Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question. Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research. I recreate a different PICOT question: This is my discussion In my observation, the practice problem is nurses are focused on administering medications, completing paperwork and working on care plans resulting in lack of engagement with their patients. The scope of this issue is nursing needs to educate themselves and find therapeutic ways to engage patients. The need for change arose in my practice related to increase violent incidents on staff, nurses and patients. Psych patients become extremely bored when they are not engaged. An idle mind is a playground for negative and unconstructive thoughts and actions. When mentally ill patients are admitted to hospitals; the goal along with maintaining safety is to provide a therapeutic environment so patient can learn or enhance positive coping skills when dealing with the symptoms of their mental illness. According to Melnyk & Fineout-Overholt, 2015, “ The type of study that would provide the best answer to an intervention or treatment question would be systematic reviews or meta-analyses, which are regarded as the strongest level of evidence on which to base treatment decisions. “One of the most challenging aspects of EBP is to actually identify the answerable question. This ability to identify the question is fundamental to then locating relevant information to answer the question”(Davies, 2015). An unstructured collection of keywords can retrieve irrelevant literature, which wastes time and effort eliminating inappropriate information. Successfully retrieving relevant information begins with a clearly defined, well-structured question. My scenario is for inpatient psychiatric hospitals patients with a lot of therapeutic activities within the hospital and outside hospital activities. The organization are now concerned about increase violent behaviours if there are lack of therapeutic activities over hospital stay. PICOT question: In inpatient psychiatric Hospitals does the lack of therapeutic activities and or groups increase violent behaviors over a 2 week period? P – (Patient, population, or problem): All Inpatient psychiatric patients I – (Intervention): Increase groups and structured activities to engage patients to decrease boredom when patients have down time C – (Comparison with other treatment/current practice): Compare patient behaviors during the week and day shift when groups are provided vs patient behaviors on evening shifts and weekends O – (Desired outcome): Decrease violent incidents among patients and staff and increase patient engagement during hospitalization T – (Time Frame): 2 weeks After formulating a proper PICOT question, the search begins by using the most appropriate database. The University Library (n.d.-a.) has specific databases that contain several nursing related journals that will definitely be helpful in my research. Database search defines essential aspects based on the underlying issue as well as how the information is searched. Therefore different approaches can help manage inpatient psychiatric patient. The leading search terms that were included, were preventing violent incidents among patients, staff and increase patient engagement during hospitalization. where more than 500 search results were returned. Increasing the accuracy of the findings is essential and provide a unique emphasis on significant changes which help define a strong focus on research outcomes. Therefore growing efficacy of the results will focus on the reduced year of publication to understand the latest publications that provide information on the research issue. Another approach would be to focus on the identified interventions individually to achieve positive outcomes. The main databases that were involved are Medline and Ebsco Host. These databases contain peer-reviewed research, which is of high quality. References Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for  LIS professionals. Evidence Based Library and Information Practice, 6 (2), 75–80. https://doi.org/10.18438/B8WS5N. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144 Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing (4th ed.). Philadelphia, PA: Wolters Kluwer. Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110 (3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step University Library. (n.d.-b). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved from http://academicguides.waldenu.edu/library/keyword/booleanI The Assignment (Evidence-Based Project) Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews Create a 6- to 7-slide PowerPoint presentation in which you do the following: Identify and briefly describe your chosen clinical issue of interest. Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest. Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. Provide APA citations of the four peer-reviewed articles you selected. Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples. Rubric: Create a 6- to 7-slide PowerPoint presentation in which you do the following: ·  Identify and briefly describe your chosen clinical issue of interest. ·  Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest. ·  Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. ·  Provide APA citations of the four peer-reviewed articles you selected. ·  Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.– Levels of Achievement: Excellent 81 (81%) – 90 (90%) Good 72 (72%) – 80 (80%) Fair 63 (63%) – 71 (71%) Poor 0 (0%) – 62 (62%) Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.– Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%) Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.– Levels of Achievement: Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%)

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Walden NURS6521 Week 9 Quiz 2017 2025

Question 1 A nurse educator who coordinates the staff education on an oncology unit is conducting an inservice on targeted therapies. What potential benefit of targeted therapies should the nurse highlight in this education session? A) Targeted therapies achieve the therapeutic benefits of traditional chemotherapy with no risk of adverse effects. B) Targeted therapies have the potential to provide prophylactic protection against neoplasia in high-risk individuals. C) Targeted therapies are significantly more cost-effective than traditional chemotherapeutic drugs. D) Targeted therapies have the potential to damage cancerous cells while leaving normal body cells less affected. Question 2 An oncology nurse is aware of the risks for injury that exist around the preparation, transportation, and administration of chemotherapeutic agents. In order to reduce these risks of injury, the nurse should take which of the following actions? A) Dispose of intravenous lines used for chemotherapy administration in a covered trash can in the patient’s room. B) Use an IV system for administration that includes needles to reduce the risk of accidental spills. C) Prime the IV tubing with an approved IV solution rather than with the drug itself. D) Encourage patients who have been receiving chemotherapy to use a bedside commode rather than a toilet. Question 3 A patient has just received her first dose of imatinib and the nurse on the oncology unit is amending the patient’s care plan accordingly. What nursing diagnosis is most appropriate in light of this addition to the patient’s drug regimen? A) Risk for Infection related to bone marrow suppression B) Risk for Acute Confusion related to adverse neurological effects of imatinib C) Risk for Impaired Skin Integrity related to exaggerated inflammatory response D) Risk for Deficient Fluid Volume related to changes in osmotic pressure Question 4 A nurse has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? A) A 19-year-old male receiving radiotherapy B) A 25-year-old female with a diagnosis of congenital neutropenia C) A 39-year-old female with a nonmyeloid malignancy D) A 47-year-old male with aplastic anemia Question 5 A patient with chronic lymphocytic leukemia (CLL) will imminently begin a course of treatment with rituximab. In order to minimize the risk of adverse effects, what strategy for administration will be adopted? A) Admitting the patient to the intensive care unit in anticipation of the initial bolus of the drug B) Administering diphenhydramine 30 minutes prior to the initial dose of rituximab C) Administering the drug by slow infusion to two peripheral IV sites simultaneously D) Administering the initial doses by slow infusion while observing for adverse reactions Question 6 A 45-year-old woman with acute leukemia is going to begin chemotherapy with vincristine. The nurse is aware that vincristine must always be administered A) at a rapid infusion rate. B) at a slow infusion rate. C) through an IV line primed with vincristine. D) through a central line. Question 7 Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse’s following assessment questions most directly addresses a common adverse effect of filgrastim? A) “Have you noticed any bleeding in your gums or cheeks?” B) “Do you feel like you’re having any pain in your bones?” C) “Are you experiencing any waves of cool, clammy skin?” D) “Have you had any shortness of breath lately?” Question 8 A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to A) stop taking the drug after a 2-week period. B) schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. C) schedule an appointment to check if the patient has a high WBC count. D) begin taking a calcium channel blocker to treat hypertension, which usually develops as an adverse effect of epoetin alfa therapy. Question 9 A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur? A) A skin rash B) Sudden occurrence of sleepiness and drowsiness C) Dizziness D) Presence of blood in urine or stools abcd Question 10 A nurse is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient’s laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered? A) Coumadin B) Alteplase C) Ticlopidine D) Protamine sulfate Question 11 A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following? A) Nausea and vomiting B) Respiratory difficulty C) Inability to drink fluids for 6 hours D) Reddish urine Question 12 A nurse is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following? A) Diabetes mellitus B) Hypertension C) Leukopenia D) Hypoglycemia Question 13 A patient’s current course of cancer treatment involves the administration of a conjugated monoclonal antibody. What characteristic of the drug is specified by the fact that it is classified as a conjugated drug? A) The drug is derived from nonhuman sources. B) The targeted therapy is combined with another substance that causes cell death. C) The targeted therapy is combination of a monoclonal antibody, a kinase inhibitor, and an inorganic cytotoxin. D) The drug is able to adapt its pharmacokinetics to the etiology of the patient’s cancer. Question 14 An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient’s chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs? A) Cells with a long generation time B) Cells that lack contact inhibition C) Cells that have a rapid mitotic rate D) Cells that lack a blood supply Question 15 A patient receiving high-dose cisplatin therapy exhibits symptoms of hypomagnesemia. Which of the following should the nurse suggest to help offset the magnesium losses from the cisplatin therapy? A) Consuming dairy products B) Consuming chocolates C) Drinking 2 to 3 liters of fluid a day D) Consuming potassium-rich foods Question 16 An older adult woman has been diagnosed with acute lymphoblastic leukemia (ALL) and her care team has identified potential benefits of imatinib. Which of the following characteristics of this patient’s current health status may preclude the use of imatinib? A) The patient has type 2 diabetes mellitus that is controlled using diet and oral antihyperglycemics. B) The patient has chronic heart failure resulting in significant peripheral edema. C) The patient experienced a mild ischemic stroke several years ago and had transient ischemic attacks last year. D) The patient had a total knee arthroplasty several months earlier. Question 17 A female patient is prescribed oprelvekin therapy to treat thrombocytopenia. Which of the following should the nurse continuously monitor to determine the efficacy and duration of the oprelvekin therapy? A) Weight gain B) Platelet count C) Red and white blood cell count D) Cardiac arrhythmias Question 18 During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient’s platelet count to be 92,000 cells/mm3. The nurse should do which of the following? A) Consult the prescriber for an increase in dosage B) Consult the prescriber for a decrease in dosage C) Consult the prescriber for discontinuation of the drug D) Continue the therapy as prescribed Question 19 A nurse has been assigned to a female patient who is to begin chemotherapy. The nurse will initiate the prescribed oprelvekin therapy A) 6 to 24 hours after chemotherapy. B) 2 days after chemotherapy. C) 6 days after chemotherapy. D) 10 days after chemotherapy. Question 20 A patient with a recent diagnosis of chronic myelogenous leukemia (CML) is discussing treatment options with his care team.What aspect of the patient’s condition would contraindicate the use of cyclophosphamide for the treatment of leukemia? A) The patient has a diagnosis of type 2 diabetes and takes oral antihyperglycemics. B) The patient has had a history of nonadherence to medical treatment. C) The patient’s bone marrow function is significantly depressed. D) The patient has decreased renal function. Question 21 A female patient has follicular non-Hodgkin’s lymphoma and is receiving thalidomide (Thalomid). It will be most important for the nurse to monitor this patient for which of the following? A) Angina B) Fever C) Chills and rigors D) Bleeding Question 22 When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) A) The patient will not develop an infection. B) The patient will not experience bone pain. C) The patient will be able to self-administer filgrastim at home. D) The patient will not develop febrile neutropenia. E) The patient will not retain fluid. Question 23 A nurse is to use a single-dose 1 mL vial to administer 0.5 mL of epoetin alfa to a 39-year-old woman who is being treated for chemotherapy-induced anemia. Which of the following will the nurse do with the unused portion of the drug? A) Refrigerate the medication for a future use. B) Discard the unused portion of the drug. C) Store the medication in the drug cart for the next dose. D) Put the medication in the freezer compartment of the refrigerator. Question 24 nurse is discussing oprelvekin therapy with a male patient. Which of the following will the nurse tell the patient is the most common adverse effect of the drug? A) Medullary bone pain B) Papilledema C) Fluid retention/weight gain D) Atrial arrhythmia Question 25 A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in A) iron-rich foods such as beans and leafy green vegetables. B) complex carbohydrates and vegetable-source proteins. C) calcium, such as dairy products, fish and vegetables. D) protein and low in carbohydrates. Question 26 A nurse is administering rituximab to a patient via the IV route. The nurse will set the IV pump at 50 mg/hour for the first half hour of the initial infusion. If there are not apparent reactions after 30 minutes of the infusion, the nurse will increase the dosage every 30 minutes by 50 mg/hour until the maximum infusion rate reaches which of the following? A) 250 mg/hour B) 300 mg/hour C) 400 mg/hour D) 500 mg/hour Question 27 A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following? A) A hypersensitivity reaction B) The tumor responding to treatment C) Nephrotoxic effects of tamoxifen D) Cardiomyopathy Question 28 A male patient is receiving rituximab therapy for non-Hodgkin’s lymphoma. Which of the following would be a priority nursing intervention to reduce the risk for cytotoxicity and tumor lysis syndrome? A) Ensure that the patient maintains a normal breathing pattern. B) Ensure that the patient maintains a normal fluid and electrolyte balance. C) Protect the patient from exposure to infections. D) Monitor the patient for deterioration in renal function. Question 29 A patient with a diagnosis of chronic myeloid leukemia has met with her oncologist, who has recommended treatment with the kinase inhibitor imatinib. What route of administration should the nurse explain to the patient? A) Daily intramuscular injections throughout the course of treatment B) Peripheral IV administration three times a day for 7 to 10 days C) Weekly IV infusions over 6 to 8 hours through a central line D) Oral administration of imatinib in a home setting Question 30 A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? A) By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa B) By inhibiting the action of vitamin K at its sites of action C) By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis D) By inactivating clotting factors and thus stopping the coagulation cascade Question 31 A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following? A) Visual function B) Blood counts C) Pap test results D) Liver function Question 32 Intravenous carmustine has been prescribed for a patient with cancer. The nurse should help relieve the discomfort of pain and burning during the infusion by A) slowing the infusion. B) decreasing the volume used for dilution. C) decreasing the total volume of the primary IV infusion. D) administering a dose of 2 units of bleomycin before carmustine. Question 33 A middle-aged patient has received a diagnosis of GI stromal tumor following an extensive diagnostic workup. Imatinib has been recommended as a component of the patient’s drug regimen. What patient education should the nurse provide to this patient? A) “It’s important that you let us know if you develop any significant swelling or puffiness.” B) “Try to keep your PICC line dressing as dry as possible at all times.” C) “You’ll likely experience a lot of dry mouth while you’re taking this drug, so it’s helpful to chew ice chips.” D) “If you experience significant nausea after taking a dose, stop taking the drug and schedule an appointment at the clinic.” Question 34 A nurse has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? A) Non-Hodgkin’s lymphoma B) Malignant melanoma C) Nonsmall cell lung cancer D) Renal cell carcinoma Question 35 Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy.He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse’s response to Mr. Lepp? A) Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy. B) Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp’s first round of chemotherapy and continue indefinitely. C) The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients. D) Mr. Lepp’s oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed.

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What do the four parts of the Christian biblical narrative? 2025

What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.

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Patient Teaching Plan for medication safety at home. 2025

To create a Patient Teaching Plan aimed at educating a specific patient population about a specific health topic. This plan will be used to develop a Visual Teaching Tool in a future assignment , recognize the influence that developmental stages have on physical, psycho social, cultural, and spiritual functioning.  Identify teaching/learning needs from the health history of an individual.

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