nursing assessment – 2025 SCENARIO A young 33 year old man is admitted to your unit with a chief

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nursing assessment – 2025

 

SCENARIO

A young 33-year-old man is admitted to your unit with a chief complaint of “tiredness and morning headaches” even after sleeping. How you would perform a comprehensive analysis of symptoms? What are the possible causes of the symptoms? What examinations would be crucial to determine the cause of his problems? Why

CLASSMATE RESPOND

I would first introduce myself, assuring for privacy and comfort. After taking a detailed health history and acknowledging the complaints of tiredness and morning headaches, I would assess for the following symptoms:  loud snoring, being awaken from sleep by gasping or choking, dry mouth or sore throat after waking, asking if anyone has told the patient of having episodes of not breathing while asleep, having mood changes and high blood pressure.

Assessments include height and weight, checking BMI for overweight. Blood pressure would be assessed.

One possible cause could be sleep apnea. One examination to determine if it is sleep apnea would be the overnight pulse oximetry. If this comes back positive, the next step would be a polysomnography, which is an overnight sleep study where you are hooked up to certain monitors that tract your heart, brain, lungs, oxygen levels and arm and leg movements.

You may be referred to an ENT doctor to rule out any blockage to your throat or nose.

If positive for sleep apnea, some changes should be started: lose weight, exercise and monitor alcohol intake. You may also be recommended to wear a CPAP (continuous positive airway pressure)

Obstructive sleep apnea. (2018, March 06). Retrieved from https://www.mayoclinic.org/diseases-conditions/obstructive-sleep-apnea/diagnosis-treatment/drc-20352095

3 Assignments – 2025 Discussion Question 1 1 1 Complete the Learning Styles Inventory found at http www educationplanner org students self assessments learning styles shtml This is a free tool that you

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3 Assignments – 2025

  Discussion Question 1-1

1. Complete the Learning Styles Inventory found at:

http://www.educationplanner.org/students/self-assessments/learning-styles.shtml.

This is a free tool that you can take called the Learning Styles Inventory. Once you have obtain your results by answering the 20 questions, you will then answer the following questions: What is your personal learning style? How did your results compare to what you already knew about your personal learning style? How do you think your learning style affects your teaching style?

Discussion Question 1-2

2. How would Maslow’s hierarchy of needs affect a person’s readiness to learn? Include an example from your selected area of education (academic, staff, or patient). Support your response with literature.

Assignment Benchmark – Learning Styles

As faculty members, you have been asked to design a 4-hour Leadership Strategies course that would accommodate the learning styles for a selected 10 students. The students have all completed a learning style inventory in which three of the students are determined visual learners, four are kinesthetic learners, and the rest are auditory learners. 

Note: The intended audience for the course can be either newly graduated nurses or experienced staff nurses as you choose.

Compose a 1,000-1,250-word paper which describes your plan to accommodate the learning styles of each student. This plan starts with defining course objectives; use the “A-B-C-D Method of Writing Objectives” resource as a guide. 

The objectives should incorporate Bloom’s taxonomy, be written at the appropriate level for the audience, and include at least two learning domains (cognitive, psychomotor, and affective). Make sure to include the following:

  1. An outline of the course content and agenda that will be covered. 
  2. Descriptions  of the learning activities and the rationale for the learning activities  selected
  3. Strategies  to assess learning, based on the learner objectives
  4. Use  at least three scholarly, peer-reviewed resources less than 5 years old in addition to the course materials.

An abstract is required.

Refer to “Learning Styles Rubric,” prior to beginning the assignment to become familiar with the expectations for successful completion.

NUR-647E-R-T6.docx NUR-647E-RS-A-B-C-DApproachtoObjectiveWriting.docx

Assignment: Practicum –SOAP Note And Time Log – 2025 Patient has to be less than 18 years old In addition to Journal Entries SOAP Note submissions are a way

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Assignment: Practicum –SOAP Note And Time Log – 2025

 

Patient has to be less than 18 years old

 

In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

  • Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

Explain why an arrangement would be found “per se” illegal under the FTCs’ analysis. – 2025 A physician hospital organization PHO consists of 15 hospitals with 2 247 staffed

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Explain why an arrangement would be found “per se” illegal under the FTCs’ analysis. – 2025

A physician-hospital organization (PHO) consists of 15 hospitals – with 2,247 staffed beds – and approximately 500 physicians. The PHO operates in a very large section of south Georgia, including the cities of Valdosta, Tifton, Thomasville, Moultrie, and Waycross. The PHOs’ physician members represent approximately 90 percent of all physicians practicing in the region.

The PHO served as a vehicle through which competing hospitals and physicians could bargain collectively with health plans to obtain higher fees for themselves. The owner PHOs, member hospitals, and member physicians canceled contracts with payors and informed them that the PHO would be the sole entity through which they would enter into payor contracts. To contract with the PHO, payors allegedly have had to accept the fixed physician fee schedule and fixed discount of no more than 10 percent off hospital list prices.

  1. Explain why this arrangement would be found “per se” illegal under the FTCs’ analysis.
  2. What kind of actions could be taken to restructure this arrangement to avoid a determination that it is per se illegal?
  3. Discuss the alternate FTC analysis that is applied to such cases if they are suspect but not found to be per se illegal.

  1. Limit your responses to a maximum of three pages, not including title and reference pages.
  2. Be sure to utilize at least 3-4 scholarly references to support your discussions.
  3. Be sure to properly cite your references within the text of your assignment and listed at the end.

HCA255 Week 5 Quiz Latest 2018 – 2025 Question 1 Which of the following factors that affect supply do NOT

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HCA255 Week 5 Quiz Latest 2018 – 2025

  

Question

1. Which of the following factors that affect supply do NOT shift the supply graph to the right?

Technological changes

Size of the industry

Weather

Input prices

2. There is a negative relation between income and the demand for health care: the richer the country, the greater the demand for health care.

True

False

3. _______ costs are easily identified because a recent market transaction is available to provide an accurate measure of costs

Implicit

Direct

Explicit

Indirect

4. In general, goods and services which are close substitutes have higher price elasticities

True

False

5. ________ is the sole provider of a good or service in a well defined market with no close substitutions.

Perfect competition

Oligopoly

Monopoly

Oligopolistic competition

6. _______ examines how changes in market conditions influence the positions of the demand and supply curve and cause the equilibrium price and quantity to change. 

Marginal private benefit

Marginal private cost

Comparative statics•

7. If the percentage increase in the quantity consumed is greater than the associated percentage increase in income the good is called___

Superior good

Inferior good

Normal good

8. A good for which income elasticity is positive but less than one. The good is called a(n) ___

Superior good

Normal good

Inferior good

9. The ___ effect would encourage the substitution of other consumer goods for investment in health as one ages. 

substitution

addition

subtraction

10. Which is not a state health incentive? 

The Oregon Health Plan

Hawaii’s Universal Coverage

Minnesota Care

California Universal Health Coverage

One page paper – 2025 I need one page paper in nursing this is the instruction about this one page paper Consider

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One page paper – 2025

I need one page paper in nursing, this is the instruction about this one page paper:

Consider the 4 metaparadigm concepts: nursing; person; environment; and health. Select one and articulate your own beliefs, assumptions, and values related to that concept. Describe a personal experience from clinical practice that demonstrates and reflects the beliefs, assumptions, and values you identified. This is your own, personal philosophy; no references should be used. The table below is provided to serve as an instructional guide for this assignment. You should include the following:Identify 1 metapardigm concept from the following: nursing; person; environment; or healthArticulate your personal beliefs, assumptions, and values related to your selected concept Describe a detailed interaction between you and a client or family that depicts the beliefs, assumptions, and values related to your selected concept

*Philosophical Statement Instruction GuideNote: The questions below are designed to help get ideas flowing and are not the only focus of your statement.Nursing (i.e., nursing actions)

What is your definition of nursing?Is the metaparadigm concept nursing an art, a science, or both? Is it a process or a product (set of tasks)?What is nursing mainly (e.g., caring, therapeutic healing, building relationships)?What is the role reflected in nursing (e.g., doing for, being with [being present with], working with)?Where does ethics fit in?Who or what is the object of nursing’s concern?

HealthWhat is your definition of health (e.g., includes absence of disease, ability to perform social roles)?Is health on a continuum?Can clients have a chronic illness and still be termed healthy in your definition of health?What if the client’s view of health and your view of health are different?

PersonWhat is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?What is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?EnvironmentWhat is it? Where is it found?Are there different components to environment (e.g., emotional, spiritual, social, cultural, mainly physical)?Is environment separate from person?What is the nurse’s role in terms of environment?Are there internal and external environments, or is what is internal to a person part of the person?

Description and ExamplesThis whole philosophical statement is a statement of beliefs. However, for the purpose of teasing out and articulating your beliefs, these beliefs are divided into three types: definitions and description, assumptions, and values. Each of these should be written in separate paragraphs to ensure clarity and comprehensiveness.Beliefs: This should be a succinct definition (one or two sentences), followed by a broader description. For example, if part of your definition of person was the person is a biopsychosocial and spiritual being, then each of the component parts (e.g., spiritual being) would be described more fully.Assumptions: A given, something that you take for granted that it is true. Examples are: Humans are rational beings. Individuals desire to work collaboratively with their nurses.Values: Something you consider good (i.e., desirable, worthy, or of esteem). Examples are: All persons are of value and are worthy of respect. Clients should be treated with dignity. Confidentiality and privacy are essential throughout all interactions with clients. Persons should be given choice in their treatment regimens.*adapted from Table 1 in Hernandez, C. A. (2009). Student Articulation of a Nursing Philosophical Statement: An Assignment to Enhance Critical Thinking Skills and Promote Learning. Journal of Nursing Education, 48(6), 343-349.Submission Instructions:Post your content by clicking the “Create Thread” button in the Metaparadigm Concepts: Personal Philosophy Forum. It is recommended that you compose (and spellcheck) your post in Microsoft Word, then copy and paste it into the ‘message’ field. Enter a descriptive title that reflects the ideas of your post In the ‘subject’ field. When replying to your classmates’ posts, be sure you click the “Reply” button below the message to which you intend to reply

NSG 6002 – 2025 Health policy unfolds daily and drives clinical practice in the US The student will investigate

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NSG 6002 – 2025

Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies or legislation underway for a specific health-related issue. The Student will develop a scholarly APA formatted paper supported by evidence. The policy paper rubric:

Introduction to population or problem (incidence, prevalence, epidemiology, cost burden etc)

Description of how the policy is intended for a specific population, program or organization

Specific legislators involved in the policy development and dissemination

Identify the role of the APRN in assisting with the policy or refuting the policy – this requires the evidence to support opinion, ideas and/or concepts.

Discuss how the policy influences clinical practice and is used to promote best outcomes

Examine how the policy can be used by the interprofessional team to ensure coordinated and comprehensive care for the specific population

Conclusion – summarize findings

APA format – use of primary peer-reviewed references as much as possible

Submission Details:

  • Support your responses with examples.
  • Cite any sources in APA format.

Need to have answer to this assignment – 2025 APA format 3 peer review references Please follow directions on assignment Assignment 1 Assessing the

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Need to have answer to this assignment – 2025

APA format 3 peer review references Please follow directions on assignment

  Assignment 1: Assessing the Genitalia and Rectum

Assignment 1: Asse

Assignment 1: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

 answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or Why not?
  • Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

  

Assignment 1: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or Why not?
  • Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

Assignment 1: Assessing the Genitalia and Rectum

Assignment 1: Assessing the Genitalia and Rectum

Details:/ create a PowerPoint presentation of 10-15 slides in which you – 2025 Details create a PowerPoint presentation of 10 15 slides in which you compare the pros and cons

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Details:/ create a PowerPoint presentation of 10-15 slides in which you – 2025

  Details:/ create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:
create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:

1. Impact on competency.

2. Impact on knowledge and attitudes.

3. Relationship to professional certification.

4. Relationship to ANA Scope and Standards of Practice.

5. Relationship to ANA Code of Ethics.

Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.

   $

For Essays Guru – Evaluate the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic and temporal variables – 2025 Evaluate the presence and effects of alteration in the homeostatic state secondary to gender genetic ethnic and temporal

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For Essays Guru – Evaluate the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic and temporal variables – 2025

Evaluate the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic and temporal variables

Select one of the case studies below, and include in your discussion an evaluation of the presence and effects of alteration in the homeostatic state secondary to gender, genetic, ethnic, and temporal variables.

Requirements:

  1. Make sure all of the topics in the case study have been addressed.
  2. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
  3. All sources must be within 5 years.
  4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.
  5. 4 pages APA not including Title page and reference page

Case Study 1

Structure and Function of the Respiratory System

Brad is 45 years old and has been working as a coal cutter in a mine for the last 25 years. He likes the job because it pays well and the same mine had employed his father. Like many of his colleagues, Brad has had problems with a chronic cough. He has avoided his annual checkups for fear that he will be told he has “black lung,” or coal worker’s pneumoconiosis. The disease causes fibrosis, decreased diffusing capacity, and permanent small airway dilation. In later stages, pulmonary capillaries, alveoli, and airways are destroyed.

  1. How can the disease described above create a mismatch between ventilation and perfusion? Use your understanding of alveolar dead space and physiologic shunt to explain your answer.
  2. Individuals with chronic obstructive pulmonary disease have more difficulty exhaling than inhaling. Why is this so?
  3. In general terms, what mechanisms in lung disease can affect diffusing capacity across alveolar membranes? Use the Fick law to explain your answer.

 

Case Study 2

Respiratory Tract Infections, Neoplasms, and Childhood Disorders

Patricia was called at work by a woman at the local daycare center. She told Patricia to come and pick up her son because he was not feeling well. Her son, three-and-a-half-year-old Marshall, had been feeling tired and achy when he woke up. While at daycare, his cheeks had become red and he was warm to touch. He did not want to play with his friends, and by the time Patricia arrived, he was crying. Later that afternoon, Marshall’s condition worsened. He had fever, chills, a sore throat, runny nose, and a dry hacking cough. Suspecting Marshall had influenza, Patricia wrapped him up and took him to the community health care clinic.

  1. Why did Marshall’s presentation lead Patricia to think he had influenza and not a cold? Why is it important to medically evaluate and diagnose a potential influenza infection?
  2. Describe the pathophysiology of the influenza virus. Outline the properties of influenza A antigens that allow them to exert their effects in the host.
  3. Marshall may be at risk at contracting secondary bacterial pneumonia. Why is this so? Explain why cyanosis may be a feature associated with pneumonia.