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pick one Discussion Question 1 JT is a fifty-five-year-old man with a three-day history of worsening shortness of breath, fever, chills, right-sided chest pain, and productive cough. He states that the initial symptoms started approximately one week ago. He has been taking over-the-counter (OTC) medications to control the fever and the cough. He comes in today because he feels that he is getting worse. He is coughing up rust-colored mucus, and the chest pain has started to make breathing even more difficult. His physical exam is normal, with the exception of tachypnea, labored breathing, coarse rhonchi through the right lung field, and decreased breath sounds on the right. Answer the following questions: What additional laboratory or radiological tests would be indicated and why? What would you expect to find? What is your diagnosis? What medication would be given and for what period of time? Discussion Question 2 LN is a twenty-six-year-old married woman who presents at the clinic with symptoms of dysuria, frequency, and urgency. Further history yields two days of these symptoms but no fever, chills, or flank pain. She describes a burning discomfort during and immediately following urination and feeling the need to void every half hour. There is no vaginal discharge, itching, or odor. She is not using birth control at this time. She requests “a urine culture and some sulfa pills.” When asked to explain, she says she has had many “bladder infections” over the past three years and “sulfa pills usually work.” She was evaluated approximately five years ago with an IV pyelography and cystogram, and “nothing was wrong.” All her vital signs are normal. Answer the following questions: What additional information would you like to collect? What is your working diagnosis? What are the contributing factors to this potential diagnosis? What treatment would you implement and why? What type of follow-up would you recommend?

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Pick one Discussion Question 1 There are multiple issues to consider in caring for someone with diabetes II. Your course textbook lists these as: Race and Ethnic Group Obesity Coronary Artery Disease and Heart Failure Hyperlipidemia Hypertension Nephropathy Neuropathy Retinopathy From this group, select two specific issues and explain the importance of that variable in the treatment of diabetes. Explain how a provider needs to approach the patient and how these considerations would influence the selection of agents for the treatment of diabetes and related complications. Discussion Question 2 AG is a sixty-nine-year-old male who presents for an initial visit with a complaint of blurred vision, fatigue, and lack of energy. He is currently being treated for hypertension, hypothyroidism, and gouty arthritis. He is currently retired and married, with three adult children. His vital signs are unremarkable, with a body mass index (BMI) of 30. His current medications include lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine 0.088 mg daily. As per his blood work today, his A1c level is 7.8%, his fasting blood sugar is 202, his total cholesterol is 180 mg/dL, his high-density lipoprotein (HDL) is 27 mg/dL, his low-density lipoprotein (LDL) is 193 mg/dL, and his triglycerides are 302 mg/dL. Answer the following questions: What additional blood work would you like to complete at this point? Is there any additional information that should be collected from the patient? Evaluate the current therapy and make recommendations concerning any needed changes. What lifestyle modifications or changes do you think would be appropriate for this patient?

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comment from post 3 2025

I agree with you, in that “nurses can help vulnerable populations by knowing what programs are available in the community.” The vulnerablity of homelessness is the cause of development of many health-related problems. One thing that specifically comes in mind is the maximum capacity of homeless shelters. In some areas where the homeless are in great numbers, the shelters have to cap the line and the homeless are once again on the streets. Some of them also play the system and are able to get admitted to a psych unit so they can temporarily have safe shelter and get medical care for their health-related problems; they are referred to as frequent flyers. By providing the maximum resources for any of their concerns or refer them to a specialist such as a social worker, the homeless may be able to revert some of those vulnerabilities. Good post and thanks for sharing! I NEED YOU TO COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERENCE PLEASE

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Evidence Based question 2025

Answer Evidence Based Questions in Sewell chap. 10. When researching information regarding evidence-based practice associated with hand hygiene methods and products used when caring for a patient-ordered contact precaution, you could access the library’s nursing databases. What is the difference between an index system and an electronic database ? What different attributes/features would you use to conduct an effective, concise online search for appropriate nursing literature? What advantage will a federated search provide for your search? This doesnt have to be in a certain format or have a cover page. You can just answer each question with a few sentences and that will be fine. This is the book Title Informatics and Nursing Author Jeanne Sewell

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NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Discussion 2 (Grading Rubic and Media Attached) 2025

Discussion: Using Emotional Intelligence and Appreciative Inquiry to Promote Quality Through communication—inquiry and dialogue—every person makes a contribution, and by being involved in the process, people can shift their attention and action away from a problem-oriented focus to dreams that are worthy to them and to productive possibilities for the future. —Watkins & Mohr, 2001 Without a doubt, promoting health care quality and patient safety presents a meaningful aim. To achieve this goal, nurse leader-managers need to be able to evaluate a situation from many different viewpoints and frame questions that elicit valuable insights. They must be able to promote skillful problem solving and interdisciplinary teamwork. In this Discussion, you examine how you can use emotional intelligence and appreciative inquiry to facilitate positive changes that lead to improved quality and safety. To prepare: Review the information on emotional intelligence and appreciative inquiry presented in this week’s Learning Resources. If you have not already done so, follow the instructions in the course text, Emotional Intelligence 2.0 to complete the online assessment. Consider the results of the assessment. Review your strengths and opportunities for growth related to self-awareness, self-management, social awareness, and relationship management. What insights, questions, or concerns arise as you think about these results? Think about how your identified emotional intelligence strengths and opportunities for growth relate to your current role as a leader-manager and to the professional contributions that you hope to make now and in the future. Give focused attention to patient safety and health care quality. How and why is emotional intelligence valuable for promoting optimal patient outcomes and creating systems-level change? As indicated on pages 53–55 of the Bradberry and Greaves text, develop a plan for improving your skills in one area of emotional intelligence. Evaluate strategies for applying your strengths in the workplace. Identify at least two that you can use to add value to a team or workgroup to improve quality and safety. Also review the information on appreciative inquiry in this week’s Learning Resources. Have you used appreciative inquiry before? If so, how? How does the application of appreciative inquiry relate to your role as nurse leader-manager and/or to efforts to promote health care quality? Reflect on your experiences working in health care and identify an issue or problem that required, or requires, a change. Consider how you could apply emotional intelligence and appreciative inquiry strategies to this situation to facilitate positive results that lead to improved quality. Post a brief description of an issue or problem in a health care setting that required, or requires, a change. Explain how you, as a nurse leader-manager, could apply both emotional intelligence and appreciative inquiry strategies to address this issue and facilitate positive results that lead to improved quality. Respond to at least two of your colleagues on two different days using one or more of the following approaches: Ask a probing question, substantiated with additional background information or research. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Validate an idea with your own experience and additional resources. Required Readings Bradberry, T., & Greaves, J. (2009). Emotional intelligence 2.0. San Diego, CA: TalentSmart. Chapter 1, “The Journey” (pp. 1–12) Chapter 2, “The Big Picture” (pp. 13–22) Chapter 3, “What Emotional Intelligence Looks Like: Understanding the Four Skills” (pp. 23–50) The first three chapters of this book introduce foundational concepts related to emotional intelligence, and provide the background for the online assessment that you will take in preparation for this week’s Discussion. In addition to these chapters, you should read the rest of the book once you have completed the assessment. Note: You must purchase a new, unopened copy of this book in order to acquire the access code that you will need to complete the online assessment. Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers. Chapter 1, “Understanding the U.S. Healthcare System” (pp. 1–30) This chapter sets the context for understanding quality-related issues within the U.S. health care system (macroenvironment). The authors discuss health care access and costs, which may be viewed as part of a triad with quality. Ingram, J., & Cangemi, J. (2012). Emotions, emotional intelligence and leadership: A brief, pragmatic perspective. Education, 132(4), 771–778. Retrieved from the Walden Library databases. Nel, H., & Pretorius, E. (2012). Applying appreciative inquiry in building capacity in a nongovernmental organization for youths: An example from Soweto, Gauteng, South Africa. Social Development Issues, 34(1), 37–55. Retrieved from the Walden Library databases. This article examines how appreciative inquiry can be used to foster meaningful change in organizations. It outlines the principles of appreciative inquiry and the four phases: discovery, dream, design, and delivery. Sadri, G. (2012). Emotional intelligence and leadership development. Public Personnel Management, 41(3), 535–548. Retrieved from the Walden Library databases. Emotional intelligence has been proposed as a key element of leadership. This article examines that argument, with attention to how and why it has been challenged. Copperrider, D. L., & Godwin, L. N. (2010). Positive organization development: Innovation-inspired change in an economy and ecology of strengths. Retrieved from http://appreciativeinquiry.case.edu/intro/comment.cfm The authors present a framework for Innovation-Inspired Positive Organization Development (IPOD), which draws from appreciative inquiry. Required Media Laureate Education (Producer). (2013c). The importance of emotional intelligence. Retrieved from https://class.waldenu.edu Note: The approximate length of this media piece is 5 minutes. Dr. Kenneth Rempher shares insights on the importance of emotional intelligence for health care leaders. He also discusses using appreciative inquiry to address health care quality concerns. Accessible player Optional Resources Cooperrider, D. L., & Whitney, D. (n.d.). A positive revolution in change: Appreciative inquiry. Retrieved March 18, 2013, from http://appreciativeinquiry.case.edu/uploads/whatisai.pdf Momeni, N. (2009). The relation between managers’ emotional intelligence and the organizational climate they create. Public Personnel Management, 38(2), 35–48. Retrieved from the Walden Library databases.

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