#1.  The mother of a 10-year-old girl has brought her to the clinic based on concerns expressed by the school nurse.  The teacher has noted times when the girl appears to be daydreaming; however, after the nurse witnessed a few of these incidents, she has recommended the child be evaluated for absence seizures.  The mother is not totally convinced that is true, however, is willing to find out.

     A.  How would you respond to this mother?

     B.  What patient centered care will be appropriate here?

     C.  What safety measures should the parents be encouraged to follow?

#2. You are assessing a child’s vision and notice the child is unable to correctly answer her questions when shown the Ishihara color plates.  When questioning the mother, you discover that the child has not understood the colors but the mother has just assumed the child was slow.

     A.  How would you proceed?

     B.  What care would you provide in this case?

     C.  How will you know the nursing care plan was effective for this child?

#3.  The parents have brought their 3-year-old son to the clinic for an evaluation.  They are concerned something is wrong because he cannot seem to move like he used to and is having difficulty climbing up and down the stairs.

     A.  How would you respond?

     B.  What patient-centered care should you develop?

     C.  You recognize that this patient will need assistance from other departments.  Which additional team members will be able to assist this patient and his family?

#4.  A mother has brought her 4-year-old daughter to the emergency department.  She didn’t realize her husband had sprayed the lawn with a pesticide and allowed their daughter to play in the yard.  She now comes in with complaints of nausea, vomiting, difficulty breathing, and confusion.

     A.  How would you respond?  What are you initial interventions?

     B.  How can you help the family?

     C.  What are some nursing diagnoses that would be appropriate for this situation?

#5.  The parents are in denial demanding a second opinion.  The physician has just informed them their 2-year-old son has a glioblastoma.  Devastated, they ask the nurse, “How can this happen to us?”

     A.  How would you respond?

     B.  What are some nursing diagnoses you would identify in this situation (more than 1 please)

     C.  What are some expected outcomes related to your nursing diagnoses? (should have an outcome for every diagnoses)

 

What are your thoughts about the debate regarding whether health care is a right or a privilege? How has the changing health care environment impacted your practice?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

  

A. Choose a current medical procedure, medication, or therapy. Discuss the scientific/medical rationale for its effectiveness, history of its development, the research related to its safety and effectiveness, and any controversies over its use.

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REQUIREMENTS: 

Your essay must cite at least 3 sources (all independent: none from the class reading list).

— No Wikipedia or general encyclopedias (on-line or print)

— Try to find articles designed for the general reader, as opposed to articles in professional medical journals.

–Be sure to consistently (in every paragraph) document your sources (APA Style) as we have learned to do throughout our work during the semester.

–All sources must be listed on the References page according to standard APA guidelines.

–Note the proper formatting for direct quotations in your text.

–Paraphrase and quote accurately. All drafts will be screened for plagiarism. Plagiarism on this project will result in your failing this course (as noted on the syllabus).  Be especially scrupulous in using Internet sources. Websites offering ready-made research papers are absolutely off-limits; using them in any manner will be considered plagiarism.

–You may be required to submit links to your source materials.

–Use the Model Research Essay, “Are Organic Foods Healthier Than Conventional” (on Canvas/Files) as a model to your writing, documentation, and formatting.

THE COMPLETED PROJECT: The final draft is expected to display writing skills worthy of a second-semester college student, including competence with APA style of documentation and formatting. (For a guide to APA Style, see your handbook or a website such as the Purdue Owl). The finished essay should be 4-5 pages of text, not including the References page. 

  

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.

3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.   (MY STATE IS ILLINIONS)

5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three sources  to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide.

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. 

 

rt by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.
2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
3. Consider the course discussions so far and any insights gained from it.
4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

Leininger and Watson

Write a 1500-1750 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and the textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

• Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
• Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
• Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
• Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

• Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
• How is love, as defined by Watson, evident in this caring moment?
• How can the nurse creatively use self to create a healing environment?
• Discuss the strengths and limits to Watson’s Theory.

Assignment Expectations:

Length: 1500 – 1750 words

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) outside scholarly sources and the textbook are required for this assignment.