Discussion Question 1

For this questions, please read the following case study and then respond to the questions noted below. 

 Ms. BD is a 33-year-old G2P1 female who has a history of chronic HTN. She was diagnosed with this in the interim since her first pregnancy, and she has been well controlled with Prinizide 12.5/20 PO BID. Her period, usually very regular, was 5 days late. She performed a home pregnancy test which was positive. She states she feel “OK” but is concerned about both her HTN and her developing fetus. She has no other medical problems, symptoms, or concerns. 

Assessment: Physical examination is unremarkable. Her BP is 128/68 and her pulse is 74. Her urine human chorionic gonadotropin (HCG) is positive. Her potassium is 4.2, blood  urea nitrogen (BUN) is 14, and creatinine is 0.6. Alanine aminotransferase (ALT) is 29. White blood cells (WBCs) are 6.5, hemoglobin (Hgb) is 12.8, hematocrit (Hct) is 39, and platelets are 330,000. 

1.Is there any additional subjective or objective information you need for this client? Explain. 

2.Is Prinizide safe in pregnancy? What are the possible complications to the pregnant woman and her fetus? 

3.Why is it important to assess the above laboratory values? How might this information impact your treatment plan? 

4.Would you make any changes to Ms. BD’s blood pressure medications? Explain. If yes, what would you prescribe? Discuss the medications safety in pregnancy, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.

5.What health maintenance or preventive education is important for this client based on your choice medication/treatment?

6.Would you treat this patient or refer her? Where would you refer this patient?

Do 2 pages

Provide References.

Please review the following website for an example of an early childhood program: Primrose School at East Lake

In your paper: a.Explain how the role of the administrator is different from that of the teacher in program and curriculum planning.

b. Describe the learning and developmental needs of your chosen age group.

c. Analyze how your program will address the cognitive, social, emotional, and physical development of children in this age group (give specific curricular ideas for each area of development) as well as classroom management and the daily schedule.

d.Explain how your program aligns with the philosophy, vision, and mission statements you created in Week One.

e. Discuss how your program aligns with NAEYC’s indicators of effective curriculum, as outlined in Chapter 4 and found in the article, “Where We Stand on Curriculum, Assessment, and Program Evaluation.” The paper should be five to six pages in length, in addition to the title page and the reference page. Use at least one scholarly source in addition to your text and the NAEYC article. Your paper should also be formatted according to APA style as outlined in the Ashford Writing Center.

1-I was in the same mind frame Sarah, how will I use statistics in my field? If I stop and think about it now, it is used with so much. Like your example an increase in falls and UTI’s. My place of work is using hand hygiene observations and rechecking of abnormal blood pressure readings. I believe the BP rechecks are being tracked to increase the awareness of possible patients that may need to be referred back to their PCP’s for further evaluation regarding HTN. Our goal in our clinic is to be at at least 70% by the end of the year. I was never a math wiz, so I pray that I don’t struggle too much with this class.

2-I agree, if we don’t do our own research to be sure the data is coming from a crediable source/study, we could be giving out false information. What if we took this information and gave it to our patient and it lead to a poor outcome. I try to take what I hear and see with a grain of salt, because I know that the information is more than likely not the whole truth. If I truly am interested, I would take the time to research the information for myself. I’m very tight lipped when it comes to spouting of statistics about anything, for one I don’t know it for fact, I did not do the research.

3-You are right, if the person being surveyed is not honest this could definitely skew the results.  We do depression screenings on all of our patients (12 and up) that are being seen in our office for their yearly physical.  The providers have noticed that the younger patients are not honest on their paper screening if a parent is in the room with them when they are filling it out, but they will be honest with the provider when the parent is out of the room.  We have used this to now remove the parent from the room (with their consent) to allow the child to fill out the questionnaire in privacy (we also step out of the room).  By doing this, the providers are finding that they are getting more accurate answers on paper and when they ask them during the appointment.

The Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:

• Identify and provide a brief description of the healthcare issue you selected.
• Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.
• How does the healthcare issue get on the agenda and how does it stay there?
• Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?

Part 2: Fact Sheet or Talking Points Brief

Based on your Agenda Comparison Grid for the healthcare issue you selected, 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. 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.

Evaluate: Personality Tests

Evaluation Title: Personality Assessments

Select two of the personality assessments from the Personality Tests list below. Compare the two personality assessments and respond to the following questions:

• Describe the history of each test.
• Who developed it and why?
• Where would it be administered? (as part of job interview, in a psychiatric setting, to determine a field of study, to set up a good dating match)
• What is your opinion of each test? Be sure to include evidence to support your opinion.
• What are the pros and cons or strengths and weaknesses of each test?

Personality Tests

• The Rorschach Inkblot Test
• The Thematic Apperception Test (TAT)
• Rotter’s Internal Locus of Control Test
• The NEO-PI Test
• The MMPI-2 Test
• The Myers-Briggs Type Indicator (MBTI)

Your assignment should be typed into a Word or other word processing document, formatted in APA style.

• Please include 2 to 3 credible resources as evidence to support your comparisons.

The assignments must include:

• Running head
• A title page with Assignment name
• Your name
• Professor’s name
• Course